Organization Active NPI

Interventional Cardiology of the Midsouth, Inc.

  • Interventional Cardiology Physician
  • Memphis, TN
National Provider Identifier
1548211378
Registry record updated Aug 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
MD0000018928 Issued in TN
Legal business name
INTERVENTIONAL CARDIOLOGY OF THE MIDSOUTH, INC.
Practice address
1211 Union Ave
Suite 975
Memphis, TN 38104-6638
Phone
(901) 725-0347
Fax
(901) 725-5359
NPI assigned
May 15, 2006
Last updated
Aug 13, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2009

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

Authorized official

Name
George J Smith, M.D.
Title
President
Phone
(901) 725-0347

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X MD0000018928 TN Primary

Addresses

Primary practice location

1211 Union Ave
Suite 975
Memphis, TN 38104-6638

Mailing address

MSC 410705
PO Box 415000
Nashville, TN 37241-0001
Phone (901) 725-0347

National Provider Directory

National Provider Directory

Locations

1211 Union Ave
Ste 975
Memphis, TN 38104
Phone (901) 725-0347

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250121600000",
    "number": "1548211378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MSC 410705",
            "address_2": "PO BOX 415000",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372410001",
            "telephone_number": "901-725-0347",
            "fax_number": "901-725-5359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 UNION AVE",
            "address_2": "SUITE 975",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381046638",
            "telephone_number": "901-725-0347",
            "fax_number": "901-725-5359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERVENTIONAL CARDIOLOGY OF THE MIDSOUTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2009-08-13",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-725-0347",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TN",
            "license": "MD0000018928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2009; 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.