Organization Active NPI

Pennmarc Internal Medicine PC

  • Internal Medicine Physician
  • Memphis, TN
National Provider Identifier
1952363632
Registry record updated Feb 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PENNMARC INTERNAL MEDICINE PC
Practice address
6401 Poplar Ave
Suite 400
Memphis, TN 38119-4823
Phone
(901) 525-3086
Fax
(901) 525-0844
NPI assigned
Apr 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2012

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

Authorized official

Name
Mr. Tammy D Hormann
Title
Practice Manager
Phone
(901) 525-3086

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

6401 Poplar Ave
Suite 400
Memphis, TN 38119-4823

Mailing address

6401 Poplar Ave
Suite 400
Memphis, TN 38119-4823
Phone (901) 525-3086

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329264000000",
    "number": "1952363632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6401 POPLAR AVE",
            "address_2": "SUITE 400",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381194823",
            "telephone_number": "901-525-3086",
            "fax_number": "901-525-0844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 POPLAR AVE",
            "address_2": "SUITE 400",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381194823",
            "telephone_number": "901-525-3086",
            "fax_number": "901-525-0844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNMARC INTERNAL MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-06",
        "last_updated": "2012-02-15",
        "status": "A",
        "authorized_official_last_name": "HORMANN",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "901-525-3086",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal 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 15, 2012; 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.