Organization Active NPI

David a. Usdan, M.D., P.C.

  • Ophthalmology Physician
  • Memphis, TN
National Provider Identifier
1346527660
Registry record updated Nov 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
DAVID A. USDAN, M.D., P.C.
Practice address
6005 Park Ave
Suite 830B
Memphis, TN 38119-5220
Phone
(901) 685-1886
NPI assigned
Nov 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2011

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

Authorized official

Name
David A Usdan, M.D.
Title
Physician
Phone
(901) 685-1886

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

6005 Park Ave
Suite 830B
Memphis, TN 38119-5220

Mailing address

6005 Park Ave
Suite 830B
Memphis, TN 38119-5220
Phone (901) 685-1886

National Provider Directory

National Provider Directory

Locations

6005 Park Ave
Ste 830B
Memphis, TN 38119
Phone (901) 685-1886

NPI Registry JSON

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

{
    "created_epoch": "1321315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322006400000",
    "number": "1346527660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6005 PARK AVE",
            "address_2": "SUITE 830B",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195220",
            "telephone_number": "901-685-1886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6005 PARK AVE",
            "address_2": "SUITE 830B",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195220",
            "telephone_number": "901-685-1886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID A. USDAN, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-15",
        "last_updated": "2011-11-23",
        "status": "A",
        "authorized_official_last_name": "USDAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "901-685-1886",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "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 Nov 23, 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.