The Conrad Pearson Clinic, Pc, NPI 1992758882
Urology Physician in Germantown, TN, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1992758882 |
| NPI Entity Type | Organization |
| Provider Name |
The Conrad Pearson Clinic, Pc
Former Legal Business Name |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Certification Date | September 30, 2009 |
| Provider Location Address | 1325 Wolf Park Dr, Suite 102, Germantown, TN, US |
| Provider Mailing Address | 1325 Wolf Park Dr, Suite 103, Germantown, TN, US, 381381742 |
| Gender | Male |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | MR. Russell A Degeorge |
| Official Position | CEO |
| Phone | 901-252-3411 |
Group Taxonomy
| Taxonomy Code | 193400000X |
| Taxonomy Name | 193400000X SINGLE SPECIALTY GROUP |
| Definition | A business group of one or more individual practitioners, all of who practice with the same area of specialization. |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Urology Physician |
| Classification | |
| Group | |
| License No. | N/A FOR THE GROUP |
| License State | TN |
| Description | A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 163577002 | AR | MEDICAID | 05 |
| 5F646 | AR | BLUE CROSS AR | 01 |
| 72409 | FL | BLUE CROSS FL | 01 |
| 5608209 | AETNA | 01 | |
| 3042605 | TN | BLUE CROSS TN | 01 |
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