Midsouth Internists, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

18404 Issued in MS

Legal business name

MIDSOUTH INTERNISTS, PC

Practice address

6025 Walnut Grove Rd
Suite 405
Memphis, TN 38120-2131

Phone

(901) 537-1892

Fax

(901) 537-1898

NPI assigned

Dec 19, 2006

Organization subpart

No

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

Authorized official

Name

Ashutosh Mishra, MD

Title

President

Phone

(901) 537-1892

Specialties & licenses 1

Addresses

Practitioners 2

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

• John Tom Morris Jr., M.D.

  • Orthopaedic Surgery Physician
  • Southaven, MS
  • NPI 1407813736
  NPD (past)
• Edmond W Owen Jr., M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Round Rock, TX
  • NPI 1609859776
  NPD (past)

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376956800000",
    "number": "1083777015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1000",
            "address_2": "DEPT 282",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381480001",
            "telephone_number": "901-537-1892",
            "fax_number": "901-537-1898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6025 WALNUT GROVE RD",
            "address_2": "SUITE 405",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202131",
            "telephone_number": "901-537-1892",
            "fax_number": "901-537-1898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDSOUTH INTERNISTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2013-08-20",
        "status": "A",
        "authorized_official_last_name": "MISHRA",
        "authorized_official_first_name": "ASHUTOSH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-537-1892",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "18404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas M Middleton Jr., LPC
• David Michael Midlick Jr.
• Midsouth Family Care PLLC
• Midsouth Healthcare Management
• Midsouth Independent Group, PLLC
• Midsouth Mental Health LLC
• Midsouth Mental Health Services, Inc
• Midsouth Neurology Clinic PLLC
• Midsouth Neuropathy Treatment Center
• Midsouth Primary Care PC

• Internal Medicine Physician in Memphis, TN
• Providers in Memphis, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2013; 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.