Jan H. Petri MD, PLLC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

JAN H. PETRI MD, PLLC

Practice address

2028 W Poplar Ave Ste 112
Collierville, TN 38017-0618

Phone

(901) 861-2526

NPI assigned

Aug 21, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Jan H Petri, MD

Title

Owner

Phone

(901) 861-2526

Specialties & licenses 1

Addresses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16560/brand/1/csg/1/fhir/r4

Practitioners 1

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

• Michael Allen Hood, MD

  • Orthopaedic Surgery Physician
  • West Memphis, AR
  • NPI 1124134952
  NPD

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

{
    "created_epoch": "1503273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503273600000",
    "number": "1144746249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9554 FOX HILL CIR S",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381396829",
            "telephone_number": "901-485-0863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2028 W POPLAR AVE STE 112",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380170618",
            "telephone_number": "901-861-2526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAN H. PETRI MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-21",
        "last_updated": "2017-08-21",
        "status": "A",
        "authorized_official_last_name": "PETRI",
        "authorized_official_first_name": "JAN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-861-2526",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelia Lenett Jackson, PMHNP-BC
• Stephanie Bryant Jacobson, PHARMD
• Anuj K Jain, PT
• James Eric Gardner, MD
• Samantha James
• Hollis Barry Jarnigan, RPH
• Renee R Jarnigan, RPH
• Jeffers Internal Medicine PLLC
• Jerry H. Langford
• Kara Jimenez, PT, DPT

• Otolaryngology Physician in Collierville, TN
• Providers in Collierville, TN by specialty
• Otolaryngology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2017; 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.