Active NPI
The Village Doctor, LLC
- General Practice Physician
- Germantown, TN
National Provider Identifier
1790764579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 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 DirectoryNPI 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.