Maic PC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

11736 Issued in TN

Legal business name

MAIC PC

Doing business as

Memphis Accident and Injury Center

Practice address

1509 Union Ave
Memphis, TN 38104

Phone

(901) 278-5156

Fax

(901) 278-5161

NPI assigned

May 6, 2008

Last updated

May 6, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

MAIC PCAs reported in NPPES

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

Authorized official

Name

Mr. Roger William Byrd, DC

Title

Sec

Phone

(561) 649-4662

Specialties & licenses 3

Addresses

Other names 1

• Memphis Accident and Injury Center Doing business as

Part of

Maic PC

Locations

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

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210032000000",
    "number": "1427224856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7461",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "33468",
            "telephone_number": "561-649-4662",
            "fax_number": "561-649-4665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 UNION AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38104",
            "telephone_number": "901-278-5156",
            "fax_number": "901-278-5161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIC PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAIC PC",
        "enumeration_date": "2008-05-06",
        "last_updated": "2008-05-06",
        "status": "A",
        "authorized_official_last_name": "BYRD",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "SEC",
        "authorized_official_telephone_number": "561-649-4662",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "1470",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TN",
            "license": "APN0000005344",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TN",
            "license": "11736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Memphis Accident and Injury Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ammar Obaid Mahmood, MD
• Hussien Mahmoud, DO
• Osama Mohamed F. M. Mahmoud, M.D
• Lisa Smith Mahoney, APRN-BC
• Porshia Elise Mahoro, DNP, APRN, FNP-C
• Robert Joseph Maichrowicz, PH.D.
• Mary Grace Maiden, PA-S
• Casey L. Maidon, PA
• Renita Maiten
• John Maixner

• General Practice Physician in Memphis, TN
• Providers in Memphis, TN by specialty
• General Practice Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; 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.