East Memphis Allergy and Asthma

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

Legal business name

EAST MEMPHIS ALLERGY AND ASTHMA

Practice address

3085 Fountainside Dr
Suite 202
Germantown, TN 38138-7842

Phone

(901) 755-0550

Fax

(901) 755-0474

NPI assigned

Jun 13, 2007

Last updated

Mar 8, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Betty Van Hooser Mirro, M.D.

Title

Medical Doctor, Business Owner

Phone

(901) 755-0550

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488931200000",
    "number": "1447454319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3085 FOUNTAINSIDE DR",
            "address_2": "SUITE 202",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381387842",
            "telephone_number": "901-755-0550",
            "fax_number": "901-755-0474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3085 FOUNTAINSIDE DR",
            "address_2": "SUITE 202",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381387842",
            "telephone_number": "901-755-0550",
            "fax_number": "901-755-0474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST MEMPHIS ALLERGY AND ASTHMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2017-03-08",
        "status": "A",
        "authorized_official_last_name": "MIRRO",
        "authorized_official_first_name": "BETTY",
        "authorized_official_middle_name": "VAN HOOSER",
        "authorized_official_title_or_position": "MEDICAL DOCTOR, BUSINESS OWNER",
        "authorized_official_telephone_number": "901-755-0550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3370933",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• E Arthur Franklin MD PC
• Eagle Systems Technology, Inc.
• Gary Charles Earhart, DDS
• Brandon Earnest
• Kelly Earnheart
• East Memphis Eye Associates PLLC (Eye Society)
• Raven Tiara Easter, PHARMD
• Daniel Eastlack
• Lynn Ebaugh, M.D.
• Paul Richard Eber, M.D.

• Allergy & Immunology Physician in Germantown, TN
• Providers in Germantown, TN by specialty
• Allergy & Immunology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2017; 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.