Organization Active NPI

Memphis Midsouth OBGYN Alliance P.C.

  • Obstetrics & Gynecology Physician
  • Memphis, TN
National Provider Identifier
1598892325
Registry record updated Jul 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
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

Updated by the provider on Jul 8, 2013

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)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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": []
}

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 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.

Verify at the official NPI Registry.