Organization Active NPI

OB-GYN Specialists, P.C.

  • Obstetrics & Gynecology Physician
  • Memphis, TN
National Provider Identifier
1033137732
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
OB-GYN SPECIALISTS, P.C.
Practice address
6401 Poplar Ave Ste 530
Memphis, TN 38119-4840
Phone
(909) 767-9368
Fax
(901) 767-9496
NPI assigned
Jul 18, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jeanne E Distretti
Title
Administrator
Phone
(901) 767-9368

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X Primary

Addresses

Primary practice location

6401 Poplar Ave Ste 530
Memphis, TN 38119-4840

Mailing address

6401 Poplar Ave Ste 530
Memphis, TN 38119-4840
Phone (909) 767-9368

National Provider Directory

National Provider Directory

Locations

6401 Poplar Ave
Ste 530
Memphis, TN 38119
Phone (615) 767-9368

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033137732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6401 POPLAR AVE STE 530",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381194840",
            "telephone_number": "909-767-9368",
            "fax_number": "901-767-9496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 POPLAR AVE STE 530",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381194840",
            "telephone_number": "909-767-9368",
            "fax_number": "901-767-9496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OB-GYN SPECIALISTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DISTRETTI",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "901-767-9368"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.