Organization Active NPI

Mid-South Minimally Invasive OB/GYN Services, PLLC

  • Obstetrics & Gynecology Physician
  • Cordova, TN
National Provider Identifier
1093082828
Registry record updated May 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
MID-SOUTH MINIMALLY INVASIVE OB/GYN SERVICES, PLLC
Practice address
8065 Club Pkwy
Suite 1
Cordova, TN 38016-5967
Phone
(901) 729-7973
Fax
(901) 343-0491
NPI assigned
Nov 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2012

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

Authorized official

Name
Torrance R. Lewis, MDNPI 1447203450
Title
Owner
Phone
(901) 729-7973

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

8065 Club Pkwy
Suite 1
Cordova, TN 38016-5967

Mailing address

8065 Club Pkwy
Suite 1
Cordova, TN 38016-5967
Phone (901) 729-7973

Other identifiers 1

IdentifierTypeStateIssuer
4312541OtherTNBCBS TN

National Provider Directory

National Provider Directory

Locations

8065 Club Pkwy
Ste 1
Cordova, TN 38016
Phone (901) 729-7973

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1321920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336435200000",
    "number": "1093082828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8065 CLUB PKWY",
            "address_2": "SUITE 1",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380165967",
            "telephone_number": "901-729-7973",
            "fax_number": "901-343-0491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8065 CLUB PKWY",
            "address_2": "SUITE 1",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380165967",
            "telephone_number": "901-729-7973",
            "fax_number": "901-343-0491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-SOUTH MINIMALLY INVASIVE OB/GYN SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-22",
        "last_updated": "2012-05-08",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "TORRANCE",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-729-7973",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS TN",
            "identifier": "4312541",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordova, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2012; 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.