Tennessee Obstetrics & Gynecology PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

011790 Issued in TN

Legal business name

TENNESSEE OBSTETRICS & GYNECOLOGY PLLC

Practice address

343 Franklin Rd
Ste 108
Brentwood, TN 37027-5250

Phone

(615) 373-1255

Fax

(615) 371-9040

NPI assigned

Oct 30, 2014

Organization subpart

No

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

Authorized official

Name

Stephen M Staggs, MD

Title

Owner

Phone

(615) 373-1255

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1414627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430352000000",
    "number": "1891190955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 FRANKLIN RD",
            "address_2": "STE 108",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275250",
            "telephone_number": "615-373-1255",
            "fax_number": "615-371-9040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 FRANKLIN RD",
            "address_2": "STE 108",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275250",
            "telephone_number": "615-373-1255",
            "fax_number": "615-371-9040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENNESSEE OBSTETRICS & GYNECOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-30",
        "last_updated": "2015-04-30",
        "status": "A",
        "authorized_official_last_name": "STAGGS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-373-1255",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TN",
            "license": "011790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "3186006",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Brentwood, TN
• Providers in Brentwood, TN by specialty
• Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2015; 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.