More 901 LLC

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

Legal business name

MORE 901 LLC

Practice address

1407 Union Ave Ste 1401
Memphis, TN 38104-3667

Phone

(901) 701-1777

Fax

(901) 701-1778

NPI assigned

Aug 13, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Susan Northern Lacy, MDNPI 1710998729

Title

Owner MD

Phone

(901) 701-1777

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AEHFDD

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan Northern Lacy, MD

  • Obstetrics Physician
  • Memphis, TN
  • NPI 1710998729
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1723507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723507200000",
    "number": "1003647769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 UNION AVE STE 1401",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381043667",
            "telephone_number": "901-701-1777",
            "fax_number": "901-701-1778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 UNION AVE STE 1401",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381043667",
            "telephone_number": "901-701-1777",
            "fax_number": "901-701-1778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORE 901 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-13",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A",
        "authorized_official_last_name": "LACY",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "NORTHERN",
        "authorized_official_title_or_position": "OWNER MD",
        "authorized_official_telephone_number": "901-701-1777",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ivysmeralys Morales, MA
• Vincent George Morales
• Edward Richard Moran Jr., MD
• Lauren Moran, DPT
• Darius William Moravian
• Lamar Houston Moree III, M.D.
• Daniel C Moreira Ridsdale, M.D.
• Jordan Moreno
• Wanda E Moreta, D.M.D.
• Anthony C Moretta, MD

• Gynecology Physician in Memphis, TN
• Providers in Memphis, TN by specialty
• Gynecology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.