NPIMap

Organization Active NPI

Ut Medical Group

  • Women's Hospital
  • Memphis, TN
National Provider Identifier
1174872295
Registry record updated Sep 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's HospitalTaxonomy code 282NW0100X
License
8199402 Issued in TN
Legal business name
UT MEDICAL GROUP
Practice address
853 Jefferson Ave
Room 201
Memphis, TN 38103-2807
Phone
(901) 545-7366
NPI assigned
Sep 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2012

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

Authorized official

Name
Ms. Marilyn Muirhead, NNP-BCNPI 1609283928
Title
Neonatal Nurse Practitioner
Phone
(901) 545-7366

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)CodeLicenseStatePrimary
Women's Hospital 282NW0100X 8199402 TN Primary

Addresses

Primary practice location

853 Jefferson Ave
Room 201
Memphis, TN 38103-2807

Mailing address

179 Eastland Dr
Memphis, TN 38111-6930
Phone (901) 761-2979

Other identifiers 1

IdentifierTypeStateIssuer
8198662OtherTNADVANCED PRACTICE LIICENSE

National Provider Directory

National Provider Directory
Tax ID family
Utmg-Radiology Billing10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

853 Jefferson Ave
Rm 201
Memphis, TN 38103
Phone (901) 545-7366

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346803200000",
    "number": "1174872295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 EASTLAND DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381116930",
            "telephone_number": "901-761-2979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "853 JEFFERSON AVE",
            "address_2": "ROOM 201",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381032807",
            "telephone_number": "901-545-7366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UT MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-05",
        "last_updated": "2012-09-05",
        "status": "A",
        "authorized_official_last_name": "MUIRHEAD",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_title_or_position": "NEONATAL NURSE PRACTITIONER",
        "authorized_official_telephone_number": "901-545-7366",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NNP-BC"
    },
    "taxonomies": [
        {
            "code": "282NW0100X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Women",
            "state": "TN",
            "license": "8199402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANCED PRACTICE LIICENSE",
            "identifier": "8198662",
            "state": "TN"
        }
    ],
    "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 Sep 5, 2012; 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.