GARY B LUM (NPI# 1740643972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740643972 |
| Entity Type | Individual |
| Full Name | GARY B LUM |
| Credential | M.D. |
| Practice Address |
8110 Walnut Run Rd Cordova TN 38018-6362 |
| Practice Telephone | 9017573535 |
| Mailing Telephone | 9017573535 |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2019-08-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 59301 | TN | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265440622 | Gary H Lum | Dentist | 2660 Homestead Rd, Santa Clara, CA 95051-5351 | 2006-08-03 |
| 1649308529 | Gary M. Lum | Pediatrics | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2007-03-01 |
| 1922097021 | Gary B Lum | Radiology | 8338 Summa Ave, Suite 100, Baton Rouge, LA 70809-3669 | 2005-10-20 |
| Street Address |
8110 WALNUT RUN RD |
| City | CORDOVA |
| State | TN |
| Zip Code | 38018-6362 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821006735 | William Cleage Threlkeld | Pediatrics | 8110 Walnut Run Rd, Cordova, TN 38018 | 2006-08-04 |
| 1225415474 | Jessica Taylor Wilson | Pediatrics | 8110 Walnut Run Rd, Cordova, TN 38018-6362 | 2015-04-27 |
| 1023374741 | Melanie Mcclain Smith | Pediatrics | 8110 Walnut Run Rd, Cordova, TN 38018-6362 | 2012-04-06 |
| 1356632269 | Daniel Chatham | Pediatrics | 8110 Walnut Run Rd, Cordova, TN 38018-6362 | 2011-04-26 |
| 1124134994 | Robert Ab Walker | Pediatrics | 8110 Walnut Run Rd, Cordova, TN 38018 | 2006-08-22 |
| 1871504050 | Susan Mack Aguillard | Pediatrics | 8110 Walnut Run Rd, Cordova, TN 38018 | 2006-08-11 |
| 1427066695 | Pediatrics East Inc | Pediatrics | 8110 Walnut Run Rd, Cordova, TN 38018 | 2006-08-04 |
| 1386652204 | Robert Thomas Higginbotham | Pediatrics | 8110 Walnut Run Rd, Cordova, TN 38018 | 2006-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264428 | Shaquia Janai Harris | Behavior Technician | 1079 N Houston Levee Road, Cordova, TN 38018 | 2020-10-29 |
| 1366041493 | Cynthia Brantley | Behavior Technician | 1079 N Houston Levee Rd, Cordova, TN 38018 | 2020-10-20 |
| 1558901736 | At Home Physical Rehabilitation Group, LLC | Physical Therapy Assistant | 856 Willow Tree Circle, Cordova, TN 38018 | 2020-01-15 |
| 1538703038 | Scott Eric Balogh | Psychiatry & Neurology | 65 Germantown Court, Suite 203, Cordova, TN 38018 | 2019-10-29 |
| 1851871305 | Joanna H Fussell | Behavioral Analyst | 8066 Walnut Run Suite 102, Cordova, TN 38018 | 2018-08-15 |
| 1841736097 | A Guardian Care Group | Home Health | 10164 Green Moss, Cordova, TN 38018 | 2017-01-12 |
| 1497127146 | Functional Independence, Inc. | Home Health | 270 German Oak Dr., Memphis, TN 38018 | 2015-10-21 |
| 1679984363 | Tiffany Masters Redfern | Obstetrics & Gynecology | 521 Riveredge Dr W, Cordova, TN 38018 | 2014-05-15 |
| 1295073427 | Mitchell Wyman Alvarez | Optometrist | 2075 N. Germantown Pkwy, Memphis, TN 38018 | 2013-01-23 |
| 1578827531 | Chiung Feng Hsu | Dentist | 831 Timber Creek Dr #1, Cordova, TN 38018 | 2012-06-25 |
| Find all providers in zip 38018 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235234683 | James Cleveland Montgomery | Pediatrics | 8537 Essex Court Cv, Cordova, TN 38016-9235 | 2006-09-13 |
| 1144332842 | James D. Saino | Pediatrics | 1172 Vickery Ln, Cordova, TN 38016-1619 | 2006-08-31 |
| 1821006735 | William Cleage Threlkeld | Pediatrics | 8110 Walnut Run Rd, Cordova, TN 38018 | 2006-08-04 |
| 1477513992 | Cordova Pediatrics Pllc | Pediatrics | 1665 Bonnie Lane, Suite 101, Cordova, TN 38016 | 2006-03-27 |
| 1558365429 | Erica Patrese Odum | Pediatrics | 1665 Bonnie Ln, Suite 101, Cordova, TN 38016-0548 | 2005-06-09 |
| 1225415474 | Jessica Taylor Wilson | Pediatrics | 8110 Walnut Run Rd, Cordova, TN 38018-6362 | 2015-04-27 |
| 1023374741 | Melanie Mcclain Smith | Pediatrics | 8110 Walnut Run Rd, Cordova, TN 38018-6362 | 2012-04-06 |
| 1356632269 | Daniel Chatham | Pediatrics | 8110 Walnut Run Rd, Cordova, TN 38018-6362 | 2011-04-26 |
| 1679776587 | Monica L Wright | Pediatrics | 1665 Bonnie Lane, Suite 101 Cordova Pediatrics, Cordova, TN 38016 | 2007-06-07 |
| 1497877427 | Pediatric Physicians, P.C. | Pediatrics | 1172 Vickery Ln, Cordova, TN 38016-1619 | 2007-04-03 |
| Find all providers in CORDOVA | ||||
Please comment or provide details below to improve the information on GARY B LUM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.