Organization Active NPI

Oklahoma PHS LLC

  • Family Medicine Physician
  • Memphis, TN
National Provider Identifier
1902128564
Registry record updated Feb 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
OKLAHOMA PHS LLC
Practice address
9155 Crestwyn Hills Dr
Memphis, TN 38125-8501
Phone
(901) 261-4843
Fax
(901) 261-4849
NPI assigned
Feb 24, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2010

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

Authorized official

Name
Tanya Noah
Title
Revenue Cycle Manager
Phone
96012614843

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

9155 Crestwyn Hills Dr
Memphis, TN 38125-8501

Mailing address

9155 Crestwyn Hills Dr
Memphis, TN 38125-8501
Phone (901) 261-4843

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1266969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266969600000",
    "number": "1902128564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9155 CRESTWYN HILLS DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381258501",
            "telephone_number": "901-261-4843",
            "fax_number": "901-261-4849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9155 CRESTWYN HILLS DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381258501",
            "telephone_number": "901-261-4843",
            "fax_number": "901-261-4849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKLAHOMA PHS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-24",
        "last_updated": "2010-02-24",
        "status": "A",
        "authorized_official_last_name": "NOAH",
        "authorized_official_first_name": "TANYA",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "96012614843"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2010; 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.