Organization Active NPI

Womens Care Center of Memphis,Mpllc

  • Specialist
  • Germantown, TN
National Provider Identifier
1497821185
Registry record updated Jan 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
WOMENS CARE CENTER OF MEMPHIS,MPLLC
Practice address
7705 Poplar Ave
Suite 330
Germantown, TN 38138-3930
Phone
(901) 682-0630
Fax
(901) 312-9696
NPI assigned
Nov 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2008

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

Authorized official

Name
Sharon Stone
Title
Administrator
Phone
(901) 682-0630

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

7705 Poplar Ave
Suite 330
Germantown, TN 38138-3930

Mailing address

7705 Poplar Ave
Suite 330
Germantown, TN 38138-3930
Phone (901) 682-0630

Other names 1

  • D/B/A RUCH CLINIC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040223000808 TN Part B Supplier - Clinic/Group Practice 7012803505 Receives reassigned benefits from 31 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Memphis, TN

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Dba Ruch Clinic6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199750400000",
    "number": "1497821185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7705 POPLAR AVE",
            "address_2": "SUITE 330",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383930",
            "telephone_number": "901-682-0630",
            "fax_number": "901-312-9696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7705 POPLAR AVE",
            "address_2": "SUITE 330",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383930",
            "telephone_number": "901-682-0630",
            "fax_number": "901-312-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMENS CARE CENTER OF MEMPHIS,MPLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2008-01-08",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "901-682-0630"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "D/B/A RUCH CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.