Jerry Burton Gooch in Memphis - Thoracic Surgery (cardiothoracic Vascular Surgery)
Jerry Burton Gooch - NPI 1558305557
Jerry Burton Gooch is a Thoracic Surgery (cardiothoracic Vascular Surgery) in Memphis, Tennessee. Jerry Burton Gooch practices all healthcare services and medical treatments related to Thoracic Surgery (cardiothoracic Vascular Surgery). The NPI Number for Jerry Burton Gooch is 1558305557. The last update date is 2016-10-21.
Jerry Burton Gooch's current location address is 6027 Walnut Grove Rd, Memphis, Tennessee. You can contact this provider via phone number 9012265957 and fax number 9012265940. The mailing address for Jerry Burton Gooch is 6027 Walnut Grove Rd, Memphis, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry Burton Gooch |
|---|---|
| Address | 6027 Walnut Grove Rd, Memphis, Tennessee |
| Phone Number | 9012265957 |
| Fax Number | 9012265940 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1558305557 |
|---|---|
| Provider Enumeration Date | 2006-06-16 |
| Last Updated Date | 2016-10-21 |
Provider Mailing Address Detail
| Address | 6027 Walnut Grove Rd |
|---|---|
| City | Memphis |
| State | Tennessee (TN) |
| Post Code | 381202145 |
| Phone Number | 9012265957 |
| Fax Number | 9012265940 |
Provider's Primary Taxonomy Detail
| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
|---|---|
| Taxonomy | 208G00000X |
| Licence No | 10805 |
|
Definition: A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9016196 | MS | -- | |
| 201015716 | MO | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jerry Burton Gooch by the Centers for Medicare & Medicaid Services?
The Jerry Burton Gooch has been issued the NPI (National Provider Identifier) 1558305557 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Jerry Burton Gooch is physically located?
The Jerry Burton Gooch is physically situated at the following address: 6027 Walnut Grove Rd, Memphis, TN, 381202145.
What is the area of specialization for Jerry Burton Gooch, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jerry Burton Gooch is Thoracic Surgery (cardiothoracic Vascular Surgery), and the corresponding taxonomy code that categorizes this area of expertise is 208G00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1558305557 to Jerry Burton Gooch?
The Jerry Burton Gooch received its 1558305557 assignment from the Centers for Medicare & Medicaid Services on 2006-06-16.
As of what date were the details pertaining to Jerry Burton Gooch last refreshed?
The information related to the Jerry Burton Gooch, including its address, specialty, and other relevant details, was last updated on 2016-10-21.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA