Organization Active NPI

Stanley L. Smith, Jr.,M.D., P.C.

  • Surgery Physician
  • Memphis, TN
National Provider Identifier
1770779134
Registry record updated Feb 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD9061 Issued in TN
Legal business name
STANLEY L. SMITH, JR.,M.D., P.C.
Practice address
6027 Walnut Grove Rd
Suite 116
Memphis, TN 38120-2145
Phone
(901) 761-1155
Fax
(901) 761-1240
NPI assigned
Sep 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2008

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

Authorized official

Name
Dr. Stanley Leon Smith Jr., M.D.
Title
President
Phone
(901) 761-1155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X MD9061 TN Primary

Addresses

Primary practice location

6027 Walnut Grove Rd
Suite 116
Memphis, TN 38120-2145

Mailing address

6027 Walnut Grove Rd
Suite 116
Memphis, TN 38120-2145
Phone (901) 761-1155

Other names 1

  • Patterson, Cheek, & Smith, M.D.s, P.C. Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202860800000",
    "number": "1770779134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6027 WALNUT GROVE RD",
            "address_2": "SUITE 116",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202145",
            "telephone_number": "901-761-1155",
            "fax_number": "901-761-1240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6027 WALNUT GROVE RD",
            "address_2": "SUITE 116",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202145",
            "telephone_number": "901-761-1155",
            "fax_number": "901-761-1240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANLEY L. SMITH, JR.,M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2008-02-13",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "LEON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-761-1155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "TN",
            "license": "MD9061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Patterson, Cheek, & Smith, M.D.s, P.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Feb 13, 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.