NPIMap

Organization Active NPI

ENT Memphis

  • Specialist
  • Memphis, TN
National Provider Identifier
1578848990
Registry record updated Oct 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
016275 Issued in TN
Legal business name
ENT MEMPHIS
Practice address
791 Estate PL
Memphis, TN 38120-0600
Phone
(901) 821-4300
Fax
(901) 821-4373
NPI assigned
Oct 17, 2011
Last updated
Oct 17, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2011

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

Authorized official

Name
Dr. Rande Harris Lazar, M.D.NPI 1841378403
Title
Owner
Phone
(901) 821-4317

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 016275 TN Primary

Addresses

Primary practice location

791 Estate PL
Memphis, TN 38120-0600

Mailing address

791 Estate PL
Memphis, TN 38120-0600
Phone (901) 821-4300

National Provider Directory

National Provider Directory

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": "1318809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318809600000",
    "number": "1578848990",
    "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",
            "fax_number": "901-821-4373"
        },
        {
            "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",
            "fax_number": "901-821-4373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENT MEMPHIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-17",
        "last_updated": "2011-10-17",
        "status": "A",
        "authorized_official_last_name": "LAZAR",
        "authorized_official_first_name": "RANDE",
        "authorized_official_middle_name": "HARRIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-821-4317",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TN",
            "license": "016275",
            "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 Oct 17, 2011; 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.