Organization Active NPI

MSK Group, PC

Doing business as OrthoSouth

  • Orthopaedic Surgery Physician
  • Arlington, TN
National Provider Identifier
1295440782
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
MSK GROUP, PC
Doing business as
OrthoSouth
Practice address
5150 Airline Rd Ste 400
Arlington, TN 38002-8008
Phone
(901) 641-3000
Fax
(901) 373-0804
NPI assigned
Jan 18, 2023
Last updated
Mar 30, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
MSK GROUP, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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

Authorized official

Name
Chris Ruscitto
Title
Cfo
Phone
(901) 725-8347

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Orthopaedic Surgery Physician 207X00000X NU Primary
Physical Therapist 225100000X NU

Addresses

Primary practice location

5150 Airline Rd Ste 400
Arlington, TN 38002-8008

Mailing address

6077 Primacy Pkwy Ste 140
Memphis, TN 38119-5754
Phone (901) 641-3000

Other names 1

  • OrthoSouth Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240502001838 TN DME Supplier - Physician - General PracticeDME Supplier - Other 4688574262 Practice locations: Arlington, TN

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
The Orthopaedic Clin-DME19 organizations share this tax ID, including this one
Part of
The Orthopaedic Clin-DME

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

Locations

5150 Airline Rd
Ste 400
Arlington, TN 38002
Phone (901) 507-1240

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1674000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680134400000",
    "number": "1295440782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6077 PRIMACY PKWY STE 140",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195754",
            "telephone_number": "901-641-3000",
            "fax_number": "901-259-1698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 AIRLINE RD STE 400",
            "city": "ARLINGTON",
            "state": "TN",
            "postal_code": "380028008",
            "telephone_number": "901-641-3000",
            "fax_number": "901-373-0804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MSK GROUP, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MSK GROUP, PC",
        "enumeration_date": "2023-01-18",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A",
        "authorized_official_last_name": "RUSCITTO",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "901-725-8347"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OrthoSouth",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "OrthoSouth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; 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.