Active NPI
Memphis Midsouth OBGYN Alliance P.C.
- Obstetrics & Gynecology Physician
- Memphis, TN
National Provider Identifier
1598892325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- MEMPHIS MIDSOUTH OBGYN ALLIANCE P.C.
- Practice address
- 6215 Humprehys Blvd
Suite 400
Memphis, TN 38120 - Phone
- (901) 685-7342
- Fax
- (901) 767-0423
- NPI assigned
- Feb 28, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jack C Sanford, M.D.
- Title
- President
- Phone
- (901) 685-7342
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
6215 Humprehys Blvd
Suite 400
Memphis, TN 38120
Mailing address
6215 Humprehys Blvd
Suite 400
Memphis, TN 38120
Phone (901) 685-7342
National Provider Directory
National Provider DirectoryLocations
7705 Poplar Ave
Ste 240
Memphis, TN 38138
Phone (901) 754-6877
6215 Humphreys Blvd
Ste 40
Memphis, TN 38120
Phone (901) 685-7342
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Memphis, TN
- NPI 1174633515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1373241600000",
"number": "1598892325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6215 HUMPREHYS BLVD",
"address_2": "SUITE 400",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "38120",
"telephone_number": "901-685-7342",
"fax_number": "901-767-0423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6215 HUMPREHYS BLVD",
"address_2": "SUITE 400",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "38120",
"telephone_number": "901-685-7342",
"fax_number": "901-767-0423"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEMPHIS MIDSOUTH OBGYN ALLIANCE P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-28",
"last_updated": "2013-07-08",
"status": "A",
"authorized_official_last_name": "SANFORD",
"authorized_official_first_name": "JACK",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "901-685-7342",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Memphis Multi Specialty Associates,LLC
- Memphis Muslim Medical Services Inc
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.