Family Doctors-Doctores de Familia, PLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD0000040121 Issued in TN

Legal business name

FAMILY DOCTORS-DOCTORES DE FAMILIA, PLC

Practice address

3860 New Covington Pike
Suite 101
Memphis, TN 38128-2506

Phone

(901) 377-6805

Fax

(901) 377-6806

NPI assigned

May 12, 2006

Organization subpart

No

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

Authorized official

Name

Vijay Mattewada, M.D.

Title

Co-Owner

Phone

(901) 377-6805

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187913600000",
    "number": "1407807654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3860 NEW COVINGTON PIKE",
            "address_2": "SUITE101",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381282506",
            "telephone_number": "901-377-6805",
            "fax_number": "901-377-6806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3860 NEW COVINGTON PIKE",
            "address_2": "SUITE 101",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381282506",
            "telephone_number": "901-377-6805",
            "fax_number": "901-377-6806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DOCTORS-DOCTORES DE FAMILIA, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2007-08-24",
        "status": "A",
        "authorized_official_last_name": "MATTEWADA",
        "authorized_official_first_name": "VIJAY",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "901-377-6805",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD0000040121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3731181",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Family Cancer Center, PLLC
• Family Cancer Center, PLLC
• Family Cancer Center, PLLC
• Family Center of Wellness
• Family Clinic - Clinica Familiar, LLC
• Family Ear Nose & Throat Care of the Mid-South, PLLC
• Family First Home Health, LLC
• Family Heart Center
• Family Medic Primary Healthcare Inc
• Family Medicine With Surgical Obstetrics, PLLC

• Family Medicine Physician in Memphis, TN
• Providers in Memphis, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2007; 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.