Organization Active NPI

Otis S Warr III, M.D., P.C.

  • Cardiovascular Disease Physician
  • Memphis, TN
National Provider Identifier
1558402800
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD4870 Issued in NE
Legal business name
OTIS S WARR III, M.D., P.C.
Practice address
6025 Walnut Grove Rd
Suite 607
Memphis, TN 38120-2131
Phone
(901) 684-1909
Fax
(901) 821-0733
NPI assigned
Feb 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Otis S Warr III, MD
Title
Owner
Phone
(901) 684-1909

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X MD4870 NE Primary

Addresses

Primary practice location

6025 Walnut Grove Rd
Suite 607
Memphis, TN 38120-2131

Mailing address

PO Box 40759
Memphis, TN 38174-0759
Phone (901) 684-1909

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1558402800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40759",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381740759",
            "telephone_number": "901-684-1909",
            "fax_number": "901-821-0733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6025 WALNUT GROVE RD",
            "address_2": "SUITE 607",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202131",
            "telephone_number": "901-684-1909",
            "fax_number": "901-821-0733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTIS S WARR III, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WARR",
        "authorized_official_first_name": "OTIS",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-684-1909",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NE",
            "license": "MD4870",
            "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 22, 2020; 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.