Organization Active NPI

William H Light MD PC

  • Internal Medicine Physician
  • Germantown, TN
National Provider Identifier
1871503177
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
WILLIAM H LIGHT MD PC
Practice address
7715 Wolf River Blvd
Ger5Mantown
Germantown, TN 38138-1706
Phone
(901) 328-6031
NPI assigned
Aug 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
William Harry Light, M.D.
Title
Owner
Phone
(901) 328-6031

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X TN Primary

Addresses

Primary practice location

7715 Wolf River Blvd
Ger5Mantown
Germantown, TN 38138-1706

Mailing address

7715 Wolf River Blvd
Ger5Mantown
Germantown, TN 38138-1706
Phone (901) 328-6031

Other names 1

  • THE LIGHT CLINIC, P.C. Doing business as

National Provider Directory

National Provider Directory

Locations

7715 Wolf River Blvd
#5
Germantown, TN 38138
Phone (901) 328-6031

6025 Walnut Grove Rd
Ste 206
Memphis, TN 38120
Phone (901) 328-6031

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1871503177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7715 WOLF RIVER BLVD",
            "address_2": "GER5MANTOWN",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381706",
            "telephone_number": "901-328-6031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7715 WOLF RIVER BLVD",
            "address_2": "GER5MANTOWN",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381706",
            "telephone_number": "901-328-6031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM H LIGHT MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "LIGHT",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "HARRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-328-6031",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE LIGHT CLINIC, P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 21, 2018; 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.