Otolaryngology Consultants of Memphis, P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD016275 Issued in TN

Legal business name

OTOLARYNGOLOGY CONSULTANTS OF MEMPHIS, P.C.

Practice address

791 Estate PL
Memphis, TN 38120-0600

Phone

(901) 821-4300

NPI assigned

Mar 21, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tonya Malady

Title

Billing

Phone

(901) 737-3071

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

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.

• Rande Harris Lazar, MD

  • Otolaryngology Physician
  • Memphis, TN
  • NPI 1841378403
  Medicare reassignment

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1558487918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "791 ESTATE PL",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381200600",
            "telephone_number": "901-821-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "791 ESTATE PL",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381200600",
            "telephone_number": "901-821-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTOLARYNGOLOGY CONSULTANTS OF MEMPHIS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MALADY",
        "authorized_official_first_name": "TONYA",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "901-737-3071"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "TN",
            "license": "MD016275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID HMOS",
            "identifier": "3014587",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS  ID NUMBER",
            "identifier": "0063113",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3014587",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bridget Flavin Ostrow, MD
• Louis Barry Ostrow, M.D.
• Yvette Randle Oswell, MD
• Steve Biko Otieno, MD, PHD
• Otis S Warr III, M.D., P.C.
• Ruthie Otulana
• Otylia Primary Care
• Otylia Primary Care, LLC
• Our Hearts Your Home
• Our Loving Hearts

• Specialist in Memphis, TN
• Providers in Memphis, TN by specialty
• Specialist in Tennessee

• 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.
• 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.