Organization Active NPI

Shete Ear Nose & Throat Clinic, PLLC

  • Otolaryngology Physician
  • Memphis, TN
National Provider Identifier
1184061509
Registry record updated May 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
49192 Issued in TN
Legal business name
SHETE EAR NOSE & THROAT CLINIC, PLLC
Practice address
5100 Sanderlin Ave
Suite 1200
Memphis, TN 38117-4387
Phone
(901) 644-2857
Fax
(901) 844-3222
NPI assigned
May 24, 2013
Last updated
May 7, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2014

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

Authorized official

Name
Mona M Shete, MD
Title
Physician/Owner
Phone
(901) 644-2857

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 49192 TN Primary

Addresses

Primary practice location

5100 Sanderlin Ave
Suite 1200
Memphis, TN 38117-4387

Mailing address

PO Box 17304
Memphis, TN 38187-0304
Phone (901) 644-2857

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7458/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1369353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399420800000",
    "number": "1184061509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17304",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381870304",
            "telephone_number": "901-644-2857",
            "fax_number": "901-844-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 SANDERLIN AVE",
            "address_2": "SUITE 1200",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381174387",
            "telephone_number": "901-644-2857",
            "fax_number": "901-844-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHETE EAR NOSE & THROAT CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-24",
        "last_updated": "2014-05-07",
        "status": "A",
        "authorized_official_last_name": "SHETE",
        "authorized_official_first_name": "MONA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "901-644-2857",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TN",
            "license": "49192",
            "primary": true
        }
    ],
    "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 May 7, 2014; 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.