NPIMap

Organization Active NPI

Memphis Emergency Room Group, PLLC

  • Emergency Medicine Physician
  • Bartlett, TN
National Provider Identifier
1972628733
Registry record updated Sep 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD0000014381 Issued in TN
Legal business name
MEMPHIS EMERGENCY ROOM GROUP, PLLC
Practice address
2986 Kate Bond Rd
Bartlett, TN 38133-4003
Phone
(901) 861-0355
Fax
(901) 861-4006
NPI assigned
Mar 20, 2007
Last updated
Sep 20, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2007

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

Authorized official

Name
David Wilcox, MD
Title
President
Phone
(901) 861-0355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD0000014381 TN Primary

Addresses

Primary practice location

2986 Kate Bond Rd
Bartlett, TN 38133-4003

Mailing address

PO Box 381888
Germantown, TN 38183-1888
Phone (901) 861-0355

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190246400000",
    "number": "1972628733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 381888",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381831888",
            "telephone_number": "901-861-0355",
            "fax_number": "901-861-4006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2986 KATE BOND RD",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381334003",
            "telephone_number": "901-861-0355",
            "fax_number": "901-861-4006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMPHIS EMERGENCY ROOM GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-09-20",
        "status": "A",
        "authorized_official_last_name": "WILCOX",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-861-0355",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "MD0000014381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlett, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; 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.