NPIMap

Organization Active NPI

Mid-South Ear, Nose, and Throat, P.C.

  • Otolaryngology Physician
  • Germantown, TN
National Provider Identifier
1407057276
Registry record updated Nov 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
MID-SOUTH EAR, NOSE, AND THROAT, P.C.
Practice address
7600 Wolf River Blvd Ste 220
Germantown, TN 38138-1788
Phone
(901) 755-5300
NPI assigned
May 30, 2007
Last updated
Nov 14, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2019

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

Authorized official

Name
Thane E. Duncan, MDNPI 1538275078
Title
President
Phone
(901) 755-5300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X Primary

Addresses

Primary practice location

7600 Wolf River Blvd Ste 220
Germantown, TN 38138-1788

Mailing address

8090 Walnut Run Rd
Cordova, TN 38018-6362
Phone (901) 755-5300

National Provider Directory

National Provider Directory

Locations

7600 Wolf River Blvd
Ste 220
Germantown, TN 38138

Practitioners & affiliated clinicians

Practitioners 36

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.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573689600000",
    "number": "1407057276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8090 WALNUT RUN RD",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380186362",
            "telephone_number": "901-755-5300",
            "fax_number": "901-753-9659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 WOLF RIVER BLVD STE 220",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381788",
            "telephone_number": "901-755-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-SOUTH EAR, NOSE, AND THROAT, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2019-11-14",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "THANE",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-755-5300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2019; 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.