NPIMap

Organization Active NPI

Methodist Healthcare Community Care Associates

Doing business as Methodist Healthcare Sleep Disorders Center-Desoto

  • Sleep Disorder Diagnostic Clinic/Center
  • Memphis, TN
National Provider Identifier
1962661991
Registry record updated Jun 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
METHODIST HEALTHCARE COMMUNITY CARE ASSOCIATES
Doing business as
Methodist Healthcare Sleep Disorders Center-Desoto
Practice address
6400 Shelby View Dr
Suite 101
Memphis, TN 38134-7659
Phone
(901) 516-1489
Fax
(901) 380-8081
NPI assigned
Jun 5, 2008
Last updated
Jun 5, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
METHODIST LEBONHEUR HEATLHCAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 5, 2008

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

Authorized official

Name
Mr. Doug Stover
Title
Administrative Director
Phone
(901) 516-1724

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X NU Primary

Addresses

Primary practice location

6400 Shelby View Dr
Suite 101
Memphis, TN 38134-7659

Mailing address

5480 Goodman Rd
Suite 3
Olive Branch, MS 38654-7902
Phone (901) 516-1489

Other names 1

  • Methodist Healthcare Sleep Disorders Center-Desoto Doing business as

National Provider Directory

National Provider Directory
Part of
Methodist Hospital Cent

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

5480 Goodman Rd
Ste 3
Olive Branch, MS 38654
Phone (662) 349-4377

NPI Registry JSON

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1962661991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5480 GOODMAN RD",
            "address_2": "SUITE 3",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386547902",
            "telephone_number": "901-516-1489",
            "fax_number": "901-380-8081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 SHELBY VIEW DR",
            "address_2": "SUITE 101",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381347659",
            "telephone_number": "901-516-1489",
            "fax_number": "901-380-8081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METHODIST HEALTHCARE COMMUNITY CARE ASSOCIATES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "METHODIST LEBONHEUR HEATLHCARE",
        "enumeration_date": "2008-06-05",
        "last_updated": "2008-06-05",
        "status": "A",
        "authorized_official_last_name": "STOVER",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "901-516-1724",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Methodist Healthcare Sleep Disorders Center-Desoto",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 5, 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.

Verify at the official NPI Registry.