Active NPI
Midtngyn PLLC
- Gynecology Physician
- Murfreesboro, TN
National Provider Identifier
1104325869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 15608
- Legal business name
- MIDTNGYN PLLC
- Practice address
- 305 Uptown SQ
Murfreesboro, TN 37129-0574 - Phone
- (615) 904-1650
- Fax
- (615) 904-0598
- NPI assigned
- Feb 8, 2018
- Last updated
- Feb 8, 2018
- 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
- Dr. Elizabeth Read Laroche, MD
- Title
- Owner
- Phone
- (615) 904-1650
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 15608 | TN | Primary |
Addresses
Primary practice location
305 Uptown SQ
Murfreesboro, TN 37129-0574
Mailing address
305 Uptown SQ
Murfreesboro, TN 37129-0574
Phone (615) 904-1650
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://fhir4.healow.com/fhir/r4/BDCBBA
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Specialist
- Murfreesboro, TN
- NPI 1407807761
-
- Nurse Practitioner
- Murfreesboro, TN
- NPI 1902917404
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518048000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1518048000000",
"number": "1104325869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 UPTOWN SQ",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371290574",
"telephone_number": "615-904-1650",
"fax_number": "615-904-0598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 UPTOWN SQ",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371290574",
"telephone_number": "615-904-1650",
"fax_number": "615-904-0598"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIDTNGYN PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-02-08",
"last_updated": "2018-02-08",
"status": "A",
"authorized_official_last_name": "LAROCHE",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_middle_name": "READ",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "615-904-1650",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "TN",
"license": "15608",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Murfreesboro, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.