Active NPI
Mestemacher Clinic for Women, PLLC
- Obstetrics & Gynecology Physician
- Germantown, TN
National Provider Identifier
1104028737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- MESTEMACHER CLINIC FOR WOMEN, PLLC
- Practice address
- 7918 Wolf River Blvd.
Germantown, TN 38138-1725 - Phone
- (901) 624-4444
- Fax
- (901) 202-4920
- NPI assigned
- Jun 5, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eric W Gibson
- Title
- Ceo
- Phone
- (901) 373-8949
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
7918 Wolf River Blvd.
Germantown, TN 38138-1725
Mailing address
7918 Wolf River Blvd.
Germantown, TN 38138-1725
Phone (901) 624-4444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DQ3581 | Other | TN | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryLocations
7918 Wolf River Blvd
Germantown, TN 38138
Phone (901) 624-4444
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Memphis, TN
- NPI 1700897709
Obstetrics & Gynecology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181001600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1323648000000",
"number": "1104028737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7918 WOLF RIVER BLVD.",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381381725",
"telephone_number": "901-624-4444",
"fax_number": "901-202-4920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7918 WOLF RIVER BLVD.",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381381725",
"telephone_number": "901-624-4444",
"fax_number": "901-202-4920"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MESTEMACHER CLINIC FOR WOMEN, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-05",
"last_updated": "2011-12-12",
"status": "A",
"authorized_official_last_name": "GIBSON",
"authorized_official_first_name": "ERIC",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "901-373-8949"
},
"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": "RAILROAD MEDICARE",
"identifier": "DQ3581",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Germantown, TN
- Memphis Women'S Consulting,PLLC
- Alena Mendoza
- Mental Health Resources, PLLC
- Kristy Anne Merritt, RN BSN CDE
- Lauren N. Merritt, M.D.
- Christine Mestemacher, M.D.
- Methodist Healthcare - Memphis Hospitals
- Methodist Healthcare-Memphis Hospitals
- Methodist Le Bonheur Healthcare
- Methodist Lebonheur Healthcare
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.