MNM Ecommerce Group, LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

MNM ECOMMERCE GROUP, LLC

Practice address

5271 Mendenhall Park PL
Memphis, TN 38115-5906

Phone

(901) 726-3966

Fax

(901) 726-3966

NPI assigned

Jun 18, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Ann Williams

Title

Director

Phone

(901) 726-3966

Specialties & licenses 1

Addresses

Other names 1

• c/o Medical Cranial Prosthesis Division Doing business as

Locations

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

{
    "created_epoch": "1371513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373587200000",
    "number": "1578902011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S HIGHLAND ST",
            "address_2": "#179",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381114640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5271 MENDENHALL PARK PL",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381155906",
            "telephone_number": "901-726-3966",
            "fax_number": "901-726-3966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MNM ECOMMERCE GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-18",
        "last_updated": "2013-07-12",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "901-726-3966",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "c/o Medical Cranial Prosthesis Division",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joseph A Mixon, MD
• Isao Miyairi, M.D.
• Anna E Mize, MD
• Blair Mize, MS, RDN, CSSD, LDN
• MKM Transportation Service, LLC
• Mobilcare Medical, Inc.
• Mobile Diagnostic Eyecare
• Mobile Mommy LLC
• Mobile Therapeutic Services, LLC
• Mobile Ultrasound Services Inc

• Prosthetic/Orthotic Supplier in Memphis, TN
• Providers in Memphis, TN by specialty
• Prosthetic/Orthotic Supplier in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2013; 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.