NPIMap

Organization Active NPI

MSK Group, PC

  • Orthopaedic Surgery Physician
  • Germantown, TN
National Provider Identifier
1942397534
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
MSK GROUP, PC
Practice address
2100 Exeter Rd Ste 200
Germantown, TN 38138-3966
Phone
(901) 641-3000
Fax
(901) 373-0804
NPI assigned
Oct 6, 2006
Organization subpart
Yes
Parent organization
MSK GROUP, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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

Authorized official

Name
Mr. Chris Ruscitto
Title
Co-Cfo
Phone
(901) 641-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

2100 Exeter Rd Ste 200
Germantown, TN 38138-3966

Mailing address

6077 Primacy Pkwy Ste 140
Memphis, TN 38119-5754
Phone (901) 259-1673

Other identifiers 1

IdentifierTypeStateIssuer
3371161OtherTNGROUP MEDICARE PTAN

Other names 2

  • OrthoSouth Doing business as
  • MSK Group, PC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930070452 TN DME Supplier - Physician - Orthopedic/Orthopedic SurgeryDME Supplier - Sports MedicineDME Supplier - Independently-Practicing Physical TherapistDME Supplier - Independently-Practicing Occupational Therapist 4688574262 Practice locations: Germantown, TN

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Orthopaedic Clinic19 organizations share this tax ID, including this one
Part of
Orthopaedic Clinic

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

Locations

8040 Wolf River Blvd
Ste 100
Germantown, TN 38138
Phone (901) 381-4664

Practitioners & affiliated clinicians

Practitioners 138

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

View all 138

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677715200000",
    "number": "1942397534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6077 PRIMACY PKWY STE 140",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195754",
            "telephone_number": "901-259-1673",
            "fax_number": "901-259-7637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 EXETER RD STE 200",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383966",
            "telephone_number": "901-641-3000",
            "fax_number": "901-373-0804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MSK GROUP, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MSK GROUP, PC",
        "enumeration_date": "2006-10-06",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A",
        "authorized_official_last_name": "RUSCITTO",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "CO-CFO",
        "authorized_official_telephone_number": "901-641-3000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE PTAN",
            "identifier": "3371161",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OrthoSouth",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "OrthoSouth",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MSK Group, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Mar 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.