Germantown OB-GYN Group PLLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

012168 Issued in TN

Legal business name

GERMANTOWN OB-GYN GROUP PLLC

Practice address

7516 Capital Dr
Germantown, TN 38138-3847

Phone

(901) 753-4200

Fax

(901) 753-4463

NPI assigned

Feb 12, 2007

Organization subpart

No

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

Authorized official

Name

Tanja Lu Todd, MD

Title

Owner

Phone

(901) 753-4200

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203465600000",
    "number": "1487796264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7516 CAPITAL DR",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383847",
            "telephone_number": "901-753-4200",
            "fax_number": "901-753-4463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7516 CAPITAL DR",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383847",
            "telephone_number": "901-753-4200",
            "fax_number": "901-753-4463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERMANTOWN OB-GYN GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2008-02-20",
        "status": "A",
        "authorized_official_last_name": "TODD",
        "authorized_official_first_name": "TANJA",
        "authorized_official_middle_name": "LU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-753-4200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "012168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Obstetrics & Gynecology Physician in Germantown, TN
• Providers in Germantown, TN by specialty
• Obstetrics & Gynecology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.