Organization Active NPI

Mroz Baier Breast Care Clinic, PC

  • Surgery Physician
  • Memphis, TN
National Provider Identifier
1215009162
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
MROZ BAIER BREAST CARE CLINIC, PC
Practice address
6005 Park Ave
#700
Memphis, TN 38119-5217
Phone
(901) 527-3391
Fax
(901) 578-3969
NPI assigned
Nov 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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

Authorized official

Name
Dr. Christine Mroz, MD
Title
Owner, Ao
Phone
(901) 527-3391

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

6005 Park Ave
#700
Memphis, TN 38119-5217

Mailing address

6005 Park Ave
#700
Memphis, TN 38119-5217
Phone (901) 527-3391

Other names 2

  • Dr Christine Mroz MD PC Doing business as
  • Dr. Christine Mroz, P.C. Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658275200000",
    "number": "1215009162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6005 PARK AVE",
            "address_2": "#700",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195217",
            "telephone_number": "901-527-3391",
            "fax_number": "901-578-3969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6005 PARK AVE",
            "address_2": "#700",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195217",
            "telephone_number": "901-527-3391",
            "fax_number": "901-578-3969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MROZ BAIER BREAST CARE CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A",
        "authorized_official_last_name": "MROZ",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "OWNER, AO",
        "authorized_official_telephone_number": "901-527-3391",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Christine Mroz MD PC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dr. Christine Mroz, P.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Jul 20, 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.

Verify at the official NPI Registry.