Med-Net Healthcare Affiliates, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MED-NET HEALTHCARE AFFILIATES, PC

Doing business as

Promedica Clinic, PC / Max Foner, MD, PC

Practice address

361 N 3Rd St
Memphis, TN 38105-2710

Phone

(901) 526-7695

Fax

(901) 525-4483

NPI assigned

Nov 1, 2006

Last updated

Mar 27, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Max Foner, M.D.

Title

President, Medical Director

Phone

(901) 526-7695

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• PROMEDICA CLINIC, PC / MAX FONER, MD, PC Doing business as

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301184000000",
    "number": "1285711614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 N 3RD ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381052710",
            "telephone_number": "901-526-7695",
            "fax_number": "901-525-4483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 N 3RD ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381052710",
            "telephone_number": "901-526-7695",
            "fax_number": "901-525-4483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED-NET HEALTHCARE AFFILIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2011-03-27",
        "status": "A",
        "authorized_official_last_name": "FONER",
        "authorized_official_first_name": "MAX",
        "authorized_official_title_or_position": "PRESIDENT, MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "901-526-7695",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL PTAN NUMBER FOR MAX FONER, M.D.",
            "identifier": "3119555",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN NUMBER",
            "identifier": "3389128",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL NPI NUMBER FOR MAX FONER, M.D.",
            "identifier": "1649357062",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PROMEDICA CLINIC, PC / MAX FONER, MD, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medicine Physician in Memphis, TN
• Providers in Memphis, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2011; 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.