Organization Active NPI

ASC-TN LLC

  • Ambulatory Surgical Clinic/Center
  • Memphis, TN
National Provider Identifier
1255465910
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
ASC-TN LLC
Practice address
995 S Yates Rd Ste 1
Memphis, TN 38119-0882
Phone
(901) 527-7100
NPI assigned
Mar 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Authorized official

Name
Mr. Douglas Nichols
Title
Ar Director
Phone
(586) 498-9440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

995 S Yates Rd Ste 1
Memphis, TN 38119-0882

Mailing address

27087 Gratiot Ave
Roseville, MI 48066-2947

National Provider Directory

National Provider Directory

Locations

27087 Gratiot Ave
Roseville, MI 48066

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1255465910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27087 GRATIOT AVE",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480662947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "995 S YATES RD STE 1",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381190882",
            "telephone_number": "901-527-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASC-TN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "AR DIRECTOR",
        "authorized_official_telephone_number": "586-498-9440",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "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 Jun 26, 2008; 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.