NPIMap

Organization Active NPI

Cardiovascular Specialist , P.C.

  • Vascular Surgery Physician
  • Memphis, TN
National Provider Identifier
1730142795
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
D32091 Issued in TN
Legal business name
CARDIOVASCULAR SPECIALIST , P.C.
Practice address
1211 Union Ave
Memphis, TN 38104-6643
Phone
(901) 722-0340
NPI assigned
Apr 10, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Frank Martin, MD
Title
Owner
Phone
(901) 722-0340

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X D32091 TN Primary

Addresses

Primary practice location

1211 Union Ave
Memphis, TN 38104-6643

Mailing address

MSC 410702
P O Box 415000
Nashville, TN 37241-0001
Phone (901) 722-0340

Other identifiers 1

IdentifierTypeStateIssuer
3849165MedicaidTN

National Provider Directory

National Provider Directory

Locations

1211 Union Ave
Ste 865
Memphis, TN 38104
Phone (901) 725-0347

Practitioners & affiliated clinicians

Practitioners 25

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.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730142795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MSC 410702",
            "address_2": "P O BOX 415000",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372410001",
            "telephone_number": "901-722-0340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 UNION AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381046643",
            "telephone_number": "901-722-0340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR SPECIALIST , P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-722-0340",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "TN",
            "license": "D32091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3849165",
            "state": "TN"
        }
    ],
    "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 Aug 22, 2020; 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.