NPIMap

Organization Active NPI

Midsouth Neurology Clinic PLLC

  • Neurology Physician
  • Memphis, TN
National Provider Identifier
1679025878
Registry record updated Nov 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
MIDSOUTH NEUROLOGY CLINIC PLLC
Practice address
8577 Cordes Cir
Memphis, TN 38139-3317
Phone
(901) 233-3385
NPI assigned
Nov 4, 2016
Last updated
Nov 15, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2016

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

Authorized official

Name
Maroun Dick, MDNPI 1942273826
Title
Owner/Physician
Phone
(901) 233-3385

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
Neurology Physician 2084N0400X NU Primary

Addresses

Primary practice location

8577 Cordes Cir
Memphis, TN 38139-3317

Mailing address

8577 Cordes Cir
Germantown, TN 38139-3317
Phone (901) 233-3385

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": "1478217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479168000000",
    "number": "1679025878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8577 CORDES CIR",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381393317",
            "telephone_number": "901-233-3385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8577 CORDES CIR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381393317",
            "telephone_number": "901-233-3385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDSOUTH NEUROLOGY CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-04",
        "last_updated": "2016-11-15",
        "status": "A",
        "authorized_official_last_name": "DICK",
        "authorized_official_first_name": "MAROUN",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "901-233-3385",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "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 15, 2016; 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.