Active NPI
Spine Cin of West Tennessee LLC
- Orthopaedic Surgery Physician
- Memphis, TN
National Provider Identifier
1124536008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- SPINE CIN OF WEST TENNESSEE LLC
- Practice address
- 5865 Ridgeway Center Pkwy Ste 300a
Memphis, TN 38120-4032 - Phone
- (615) 386-0064
- Fax
- (615) 386-0067
- NPI assigned
- Jan 13, 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
- John Hannon
- Title
- SVP, Marketing and Communications
- Phone
- (615) 386-0064
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | TN | Primary | |
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | TN |
Addresses
Primary practice location
5865 Ridgeway Center Pkwy Ste 300a
Memphis, TN 38120-4032
Mailing address
102 Woodmont Blvd Ste 350
Nashville, TN 37205-2216
Phone (615) 386-0064
National Provider Directory
National Provider DirectoryLocations
5865 Ridgeway Center Pkwy
Ste 300A
Memphis, TN 38120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515801600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1641945600000",
"number": "1124536008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 WOODMONT BLVD STE 350",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372052216",
"telephone_number": "615-386-0064",
"fax_number": "615-386-0067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5865 RIDGEWAY CENTER PKWY STE 300A",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381204032",
"telephone_number": "615-386-0064",
"fax_number": "615-386-0067"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPINE CIN OF WEST TENNESSEE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-01-13",
"last_updated": "2022-01-12",
"certification_date": "2022-01-12",
"status": "A",
"authorized_official_last_name": "HANNON",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "SVP, MARKETING AND COMMUNICATIONS",
"authorized_official_telephone_number": "615-386-0064"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "TN",
"license": null,
"primary": true
},
{
"code": "207XS0117X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "TN",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.