Organization Active NPI

Memphis Professional Physician Staffing LLC

  • Emergency Medicine Physician
  • Memphis, TN
National Provider Identifier
1033650775
Registry record updated Mar 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
MEMPHIS PROFESSIONAL PHYSICIAN STAFFING LLC
Practice address
3000 Getwell Rd
Memphis, TN 38118-2205
Phone
(901) 821-0338
NPI assigned
Mar 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2017

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

Authorized official

Name
David J Richardson, MD
Title
Managing Partner
Phone
(901) 734-6834

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X Primary

Addresses

Primary practice location

3000 Getwell Rd
Memphis, TN 38118-2205

Mailing address

96 Plantation Woods CV
Cordova, TN 38018-7491
Phone (901) 821-0338

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1489449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489449600000",
    "number": "1033650775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 PLANTATION WOODS CV",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380187491",
            "telephone_number": "901-821-0338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 GETWELL RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381182205",
            "telephone_number": "901-821-0338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMPHIS PROFESSIONAL PHYSICIAN STAFFING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-14",
        "last_updated": "2017-03-14",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "901-734-6834",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "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 Mar 14, 2017; 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.