Active NPI
Frayser Medical Center
- Clinic/Center
- Germantown, TN
National Provider Identifier
1780009399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 044474
- Legal business name
- FRAYSER MEDICAL CENTER
- Practice address
- 9349 Parkgate Dr
Germantown, TN 38139-3599 - Phone
- (901) 358-0326
- Fax
- (901) 358-9010
- NPI assigned
- Feb 19, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mohamad Moughrabieh
- Title
- Owner
- Phone
- (901) 358-0326
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 044474 | TN | Primary |
Addresses
Primary practice location
9349 Parkgate Dr
Germantown, TN 38139-3599
Mailing address
1750 Frayser Blvd
Suite a
Memphis, TN 38127-6439
Phone (901) 358-0326
National Provider Directory
National Provider Directory- Tax ID family
- B M Physicians
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Internal Medicine Physician
- Memphis, TN
- NPI 1063716264
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392768000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1392768000000",
"number": "1780009399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1750 FRAYSER BLVD",
"address_2": "SUITE A",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381276439",
"telephone_number": "901-358-0326",
"fax_number": "901-358-9010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9349 PARKGATE DR",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381393599",
"telephone_number": "901-358-0326",
"fax_number": "901-358-9010"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRAYSER MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2014-02-19",
"last_updated": "2014-02-19",
"status": "A",
"authorized_official_last_name": "MOUGHRABIEH",
"authorized_official_first_name": "MOHAMAD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "901-358-0326"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "TN",
"license": "044474",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Germantown, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.