Active NPI
Thomas Stovall, MD
- Obstetrics & Gynecology Physician
- Germantown, TN
National Provider Identifier
1912922345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 15033
- Practice address
- 7800 Wolf Trail Cove
Germantown, TN 38138-1753 - Phone
- (901) 682-9222
- NPI assigned
- Jul 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 15033 | TN | Primary |
Addresses
Primary practice location
7800 Wolf Trail Cove
Germantown, TN 38138-1753
Mailing address
PO Box 372
Dept. 10
Memphis, TN 38101-0372
Phone (901) 202-6120
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00119168 | Medicaid | MS | |
| 4077771 | Other | TN | BCBS TN |
| 90060 | Other | AR | BCBS AR |
| 3835168 | Medicaid | TN | |
| 4106873 | Other | AETNA HMO | |
| 1524956 | Medicaid | LA | |
| 2570281 | Other | CIGNA | |
| P00245008 | Other | TN | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207699200000",
"number": "1912922345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 372",
"address_2": "DEPT. 10",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381010372",
"telephone_number": "901-202-6120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7800 WOLF TRAIL COVE",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381381753",
"telephone_number": "901-682-9222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOVALL",
"first_name": "THOMAS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-13",
"last_updated": "2008-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TN",
"license": "15033",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00119168",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS TN",
"identifier": "4077771",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS AR",
"identifier": "90060",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3835168",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "4106873",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1524956",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2570281",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00245008",
"state": "TN"
}
],
"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 Apr 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.