Organization Active NPI

Memphis Electrocardiographic Physicians PLLC

  • Cardiovascular Disease Physician
  • Memphis, TN
National Provider Identifier
1285874800
Registry record updated Feb 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
MEMPHIS ELECTROCARDIOGRAPHIC PHYSICIANS PLLC
Practice address
6019 Walnut Grove Rd
Ekg Department
Memphis, TN 38120-2113
Phone
(901) 821-0338
Fax
(901) 821-0384
NPI assigned
Feb 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2009

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

Authorized official

Name
Dr. Otis S Warr III, MD
Title
Senior Partner
Phone
(901) 821-0338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

6019 Walnut Grove Rd
Ekg Department
Memphis, TN 38120-2113

Mailing address

PO Box 382534
Germantown, TN 38183-2534
Phone (901) 821-0338

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090713000667 TN Part B Supplier - Clinic/Group Practice 0749332385 Receives reassigned benefits from 5 practitioners
Practice locations: Memphis, TN

National Provider Directory

National Provider Directory

Locations

5885 Airline Rd
Unit 1012
Arlington, TN 38002

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1235260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235520000000",
    "number": "1285874800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 382534",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381832534",
            "telephone_number": "901-821-0338",
            "fax_number": "901-821-0384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6019 WALNUT GROVE RD",
            "address_2": "EKG DEPARTMENT",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202113",
            "telephone_number": "901-821-0338",
            "fax_number": "901-821-0384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMPHIS ELECTROCARDIOGRAPHIC PHYSICIANS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-22",
        "last_updated": "2009-02-25",
        "status": "A",
        "authorized_official_last_name": "WARR",
        "authorized_official_first_name": "OTIS",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "SENIOR PARTNER",
        "authorized_official_telephone_number": "901-821-0338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "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 Feb 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.