Organization Active NPI

Forest Hill Family Practice and Aesthetics P C

  • Family Medicine Physician
  • Memphis, TN
National Provider Identifier
1225119654
Registry record updated Oct 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD13053 Issued in TN
Legal business name
FOREST HILL FAMILY PRACTICE AND AESTHETICS P C
Practice address
8970 Winchester Road
Memphis, TN 38125-8231
Phone
(901) 794-5806
Fax
(901) 794-7922
NPI assigned
Oct 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2007

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

Authorized official

Name
Dr. Philip Grayer Mintz, M.D.
Title
President
Phone
(901) 794-5806

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X MD13053 TN Primary

Addresses

Primary practice location

8970 Winchester Road
Memphis, TN 38125-8231

Mailing address

8970 Winchester Road
Memphis, TN 38125-8231
Phone (901) 794-5806

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192579200000",
    "number": "1225119654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8970 WINCHESTER ROAD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381258231",
            "telephone_number": "901-794-5806",
            "fax_number": "901-794-7922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8970 WINCHESTER ROAD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381258231",
            "telephone_number": "901-794-5806",
            "fax_number": "901-794-7922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST HILL FAMILY PRACTICE AND AESTHETICS P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-10-17",
        "status": "A",
        "authorized_official_last_name": "MINTZ",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "GRAYER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-794-5806",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD13053",
            "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 Oct 17, 2007; 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.