Organization Active NPI

Regional Heart & Vein Clinic, PLLC

  • Cardiovascular Disease Physician
  • Jackson, TN
National Provider Identifier
1740437698
Registry record updated Nov 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
REGIONAL HEART & VEIN CLINIC, PLLC
Practice address
130 Stonebridge Blvd Ste a
Jackson, TN 38305-2086
Phone
(731) 664-4446
Fax
(731) 664-7829
NPI assigned
Aug 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2008

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

Authorized official

Name
Dr. Woodie Monroe Deming, MD
Title
President
Phone
(731) 664-4446

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

130 Stonebridge Blvd Ste a
Jackson, TN 38305-2086

Mailing address

130 Stonebridge Blvd Ste a
Jackson, TN 38305-2086
Phone (731) 664-4446

National Provider Directory

National Provider Directory

Locations

130 Stonebridge Blvd
Ste A
Jackson, TN 38305
Phone (731) 664-4446

6401 Poplar Ave
Ste 410
Memphis, TN 38119
Phone (901) 259-2718

NPI Registry JSON

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

{
    "created_epoch": "1219363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227139200000",
    "number": "1740437698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 STONEBRIDGE BLVD STE A",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052086",
            "telephone_number": "731-664-4446",
            "fax_number": "731-664-7829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 STONEBRIDGE BLVD STE A",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052086",
            "telephone_number": "731-664-4446",
            "fax_number": "731-664-7829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL HEART & VEIN CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-22",
        "last_updated": "2008-11-20",
        "status": "A",
        "authorized_official_last_name": "DEMING",
        "authorized_official_first_name": "WOODIE",
        "authorized_official_middle_name": "MONROE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "731-664-4446",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2008; 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.