Active NPI
Thane E. Duncan, M.D.
- Otolaryngology Physician
- Germantown, TN
National Provider Identifier
1538275078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- MD19187
- Practice address
- 7600 Wolf River Blvd
Suite 220
Germantown, TN 38138-1785 - Phone
- (901) 755-5300
- Fax
- (901) 756-0196
- NPI assigned
- Aug 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | MD19187 | TN | Primary |
Addresses
Primary practice location
7600 Wolf River Blvd
Suite 220
Germantown, TN 38138-1785
Mailing address
PO Box 2757
Cordova, TN 38088-2757
Phone (901) 755-5300
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3039470 | Medicaid | TN | |
| 040006960 | Other | TN | RR MEDICARE |
| 0183198 | Other | TN | BC |
| 140064 | Other | TN | UHC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD19187 | TN | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-South Ear, Nose, and Throat, P.C. | Otolaryngology | Current | Accepting new patients |
| North Internal Medicine, P. C. | Past | Accepting new patients |
Locations
8090 Walnut Run Rd
Cordova, TN 38018
Phone (901) 509-8347
7600 Wolf River Blvd
Ste 220
Germantown, TN 38138
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Otolaryngology Physician
- Germantown, TN
- NPI 1407057276
-
- Internal Medicine Physician
- Memphis, TN
- NPI 1518982008
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508889600000",
"number": "1538275078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2757",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380882757",
"telephone_number": "901-755-5300",
"fax_number": "901-753-9659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7600 WOLF RIVER BLVD",
"address_2": "SUITE 220",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381381785",
"telephone_number": "901-755-5300",
"fax_number": "901-756-0196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNCAN",
"first_name": "THANE",
"middle_name": "E.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-21",
"last_updated": "2017-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "TN",
"license": "MD19187",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3039470",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "040006960",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC",
"identifier": "0183198",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "140064",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
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 Oct 25, 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.