Methodist Physician Practice LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

METHODIST PHYSICIAN PRACTICE LLC

Practice address

1211 Union Ave Ste 330
Memphis, TN 38104-6655

Phone

(901) 478-0954

Fax

(901) 478-0951

NPI assigned

Aug 26, 2020

Last updated

Aug 26, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Collin Costello

Title

Cfo

Phone

(901) 478-0889

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1598400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598400000000",
    "number": "1952914285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 UNION AVE STE 700",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381046600",
            "telephone_number": "901-478-0954",
            "fax_number": "901-478-0951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 UNION AVE STE 330",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381046655",
            "telephone_number": "901-478-0954",
            "fax_number": "901-478-0951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METHODIST PHYSICIAN PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-26",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-26",
        "status": "A",
        "authorized_official_last_name": "COSTELLO",
        "authorized_official_first_name": "COLLIN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "901-478-0889"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Methodist Healthcare-Memphis Hospitals (Le Bonheur Outpatient Pharmacy)
• Methodist Heatlhcare Community Care Associates
• Methodist Inpatient Physicians LLC
• Methodist Le Bonheur Healthcare Eap
• Methodist North Emergency Physicians, PLLC
• Methodist South Emergency Physicians, PLLC
• Methodist Specialty Physician VI (Methodist Shoulder & Orthopaedic Surgery)
• Methodist Specialty Physician VII LLC
• Methodist Specialty Physician, III, LLC
• Methodist Specialty Physicians, III, LLC

• Multi-Specialty Clinic/Center in Memphis, TN
• Providers in Memphis, TN by specialty
• Multi-Specialty Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2020; 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.