Organization Active NPI

Martin Lee & Page OBGYN, PLC

  • Obstetrics & Gynecology Physician
  • Memphis, TN
National Provider Identifier
1356356174
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
MARTIN LEE & PAGE OBGYN, PLC
Practice address
6286 Briarcrest Ave Ste 308
Memphis, TN 38120-4023
Phone
(901) 752-4500
Fax
(901) 260-5606
NPI assigned
Jul 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ashley Chafin
Title
Administrator
Phone
(901) 752-4500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X TN Primary

Addresses

Primary practice location

6286 Briarcrest Ave Ste 308
Memphis, TN 38120-4023

Mailing address

6286 Briarcrest Ave Ste 308
Memphis, TN 38120-4023
Phone (901) 752-4500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040927000373 TN Part B Supplier - Clinic/Group Practice 4587633698 Receives reassigned benefits from 5 practitioners
Practice locations: Germantown, TN; Memphis, TN

National Provider Directory

National Provider Directory
Tax ID family
Martin Lee Page OBGYN PLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

7705 Poplar Ave
Ste 110
Germantown, TN 38138
Phone (901) 272-6051

7205 Wolf River Blvd
Ste 150
Germantown, TN 38138
Phone (901) 752-4000

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": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1356356174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6286 BRIARCREST AVE STE 308",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381204023",
            "telephone_number": "901-752-4500",
            "fax_number": "901-260-5606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6286 BRIARCREST AVE STE 308",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381204023",
            "telephone_number": "901-752-4500",
            "fax_number": "901-260-5606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN LEE & PAGE OBGYN, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CHAFIN",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "901-752-4500"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "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 Jul 21, 2022; 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.