Active NPI
Mid South Urology P C
- Specialist
- Cordova, TN
National Provider Identifier
1154543577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- MID SOUTH UROLOGY P C
- Practice address
- 640 N Germantown Pkwy
Cordova, TN 38018-6210 - Phone
- (901) 753-9821
- Fax
- (901) 753-3537
- NPI assigned
- May 3, 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
- Yair Walzer, M.D.
- Title
- President
- Phone
- (901) 753-9821
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
640 N Germantown Pkwy
Cordova, TN 38018-6210
Mailing address
640 N. Germantown Pkwy
Cordova, TN 38018
Phone (901) 753-9821
National Provider Directory
National Provider DirectoryLocations
228 W Tyler Ave
Ste 202
West Memphis, AR 72301
Phone (870) 732-5070
228 W Tyler Ave
Ste 201
West Memphis, AR 72301
Phone (870) 732-5070
8066 Walnut Run Rd
Cordova, TN 38018
Phone (901) 410-3595
640 N Germantown Pkwy
Cordova, TN 38018
Phone (901) 753-9821
3980 New Covington Pike
Ste 304
Memphis, TN 38128
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1302048000000",
"number": "1154543577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "640 N. GERMANTOWN PKWY",
"city": "CORDOVA",
"state": "TN",
"postal_code": "38018",
"telephone_number": "901-753-9821",
"fax_number": "901-753-3537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 N GERMANTOWN PKWY",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380186210",
"telephone_number": "901-753-9821",
"fax_number": "901-753-3537"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MID SOUTH UROLOGY P C",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-03",
"last_updated": "2011-04-06",
"status": "A",
"authorized_official_last_name": "WALZER",
"authorized_official_first_name": "YAIR",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "901-753-9821",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cordova, TN
- Michael E Steuer, MD, PC
- Janet Michael
- Tawny Mickey, BCBA
- Mid South Medical Systems LLC
- Mid South Orthopedic Associates PC
- Mid-South Foot and Ankle Specialists, PLLC
- Mid-South Foot and Ankle Specialists, PLLC
- Mid-South Minimally Invasive OB/GYN Services, PLLC
- Mid-South Neurological Clinic Inc
- Mid-South Transplant Foundation, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.