Active NPI
Oklahoma PHS LLC
- Family Medicine Physician
- Memphis, TN
National Provider Identifier
1902128564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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 DirectoryNPI 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.