Organization Active NPI

The Village Doctor, LLC

  • General Practice Physician
  • Germantown, TN
National Provider Identifier
1790764579
Registry record updated Dec 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
THE VILLAGE DOCTOR, LLC
Practice address
7820 Walking Horse Cir
Germantown, TN 38138-2100
Phone
(901) 752-2500
NPI assigned
Jan 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2007

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

Authorized official

Name
Dr. Francis J Fenaughty, MD
Title
President
Phone
(901) 752-2500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X TN Primary

Addresses

Primary practice location

7820 Walking Horse Cir
Germantown, TN 38138-2100

Mailing address

PO Box 341861
Bartlett, TN 38184-1861
Phone (901) 291-2400

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196985600000",
    "number": "1790764579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 341861",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381841861",
            "telephone_number": "901-291-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7820 WALKING HORSE CIR",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381382100",
            "telephone_number": "901-752-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE VILLAGE DOCTOR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-11",
        "last_updated": "2007-12-07",
        "status": "A",
        "authorized_official_last_name": "FENAUGHTY",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-752-2500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "TN",
            "license": null,
            "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 Dec 7, 2007; 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.