Gregory L Stidham in Memphis - Pediatric Critical Care Medicine
Gregory L Stidham - NPI 1366409666
Gregory L Stidham is a Pediatric Critical Care Medicine in Memphis, Tennessee. Gregory L Stidham practices all healthcare services and medical treatments related to Pediatric Critical Care Medicine. The NPI Number for Gregory L Stidham is 1366409666. The last update date is 2007-07-08.
Gregory L Stidham's current location address is 66 N Pauline St, Memphis, Tennessee. You can contact this provider via phone number 9014487642 and fax number 9014488015. The mailing address for Gregory L Stidham is 66 N Pauline St, Memphis, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory L Stidham |
|---|---|
| Address | 66 N Pauline St, Memphis, Tennessee |
| Phone Number | 9014487642 |
| Fax Number | 9014488015 |
| Sole Proprietor | X |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1366409666 |
|---|---|
| Provider Enumeration Date | 2006-04-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 66 N Pauline St |
|---|---|
| City | Memphis |
| State | Tennessee (TN) |
| Post Code | 381055105 |
| Phone Number | 9014487642 |
| Fax Number | 9014488015 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Critical Care Medicine |
|---|---|
| Taxonomy | 2080P0203X |
| Licence No | 12680 |
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Definition: A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surg |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3180615 | TN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Gregory L Stidham by the Centers for Medicare & Medicaid Services?
The Gregory L Stidham has been assigned the NPI (National Provider Identifier) 1366409666. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Gregory L Stidham?
The Gregory L Stidham is physically situated at 66 N Pauline St, in the city of Memphis, state of TN, with the postal code 381055105.
What is Gregory L Stidham's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Gregory L Stidham is Pediatric Critical Care Medicine, and the taxonomy code that categorizes this field of expertise is 2080P0203X.
When did Gregory L Stidham receive its 1366409666 assignment?
The Gregory L Stidham was assigned its 1366409666 on 2006-04-28, which is the date when this unique identifier was issued to the organization.
As of what date were the Gregory L Stidham's details last updated?
The information pertaining to the Gregory L Stidham, including its address, specialty, and other details, was most recently updated on 2007-07-08.