Organization Active NPI

Physicians Plaza Imaging of Bartlett, PLC

  • Diagnostic Radiology Physician
  • Bartlett, TN
National Provider Identifier
1053330266
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
PHYSICIANS PLAZA IMAGING OF BARTLETT, PLC
Practice address
7865 Educators LN Ste 200
Bartlett, TN 38133-8191
Phone
(615) 904-0455
Fax
(615) 904-6821
NPI assigned
Jul 19, 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
Ms. Ruth Edwards
Title
Manager
Phone
(615) 904-0455

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X Primary

Addresses

Primary practice location

7865 Educators LN Ste 200
Bartlett, TN 38133-8191

Mailing address

PO Box 332502
Murfreesboro, TN 37133-2502
Phone (615) 904-0455

National Provider Directory

National Provider Directory

Locations

7865 Educators Ln
Ste 200
Memphis, TN 38133
Phone (615) 904-0455

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053330266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 332502",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371332502",
            "telephone_number": "615-904-0455",
            "fax_number": "615-904-6821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7865 EDUCATORS LN STE 200",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381338191",
            "telephone_number": "615-904-0455",
            "fax_number": "615-904-6821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS PLAZA IMAGING OF BARTLETT, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "RUTH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "615-904-0455",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlett, 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.