NPIMap

Organization Active NPI

Family Ear Nose & Throat Care of the Mid-South, PLLC

  • Otolaryngology Physician
  • Memphis, TN
National Provider Identifier
1669725297
Registry record updated Nov 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
FAMILY EAR NOSE & THROAT CARE OF THE MID-SOUTH, PLLC
Practice address
6616 Kirby Center CV
Memphis, TN 38115-4313
Phone
(901) 363-8400
Fax
(901) 363-8644
NPI assigned
Oct 19, 2012
Last updated
Nov 29, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2012

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

Authorized official

Name
Mark P Clemons, M.DNPI 1457394611
Title
Owner
Phone
(901) 363-8400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X NU Primary

Addresses

Primary practice location

6616 Kirby Center CV
Memphis, TN 38115-4313

Mailing address

6616 Kirby Center CV
Memphis, TN 38115-4313
Phone (901) 363-8400

National Provider Directory

National Provider Directory

Locations

6616 Kirby Center Cv
Memphis, TN 38115
Phone (901) 363-8400

Practitioners & affiliated clinicians

Practitioners 6

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": "1350604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354147200000",
    "number": "1669725297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6616 KIRBY CENTER CV",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381154313",
            "telephone_number": "901-363-8400",
            "fax_number": "901-363-8644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6616 KIRBY CENTER CV",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381154313",
            "telephone_number": "901-363-8400",
            "fax_number": "901-363-8644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY EAR NOSE & THROAT CARE OF THE MID-SOUTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-19",
        "last_updated": "2012-11-29",
        "status": "A",
        "authorized_official_last_name": "CLEMONS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-363-8400",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "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 Nov 29, 2012; 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.