Organization Active NPI

Cah Acquisition Company 11 LLC

Doing business as Lauderdale Community Hospital Professional Group

  • Surgery Physician
  • Ripley, TN
National Provider Identifier
1992069538
Registry record updated Jul 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
0088 Issued in TN
Legal business name
CAH ACQUISITION COMPANY 11 LLC
Doing business as
Lauderdale Community Hospital Professional Group
Practice address
326 Asbury Ave
Ripley, TN 38063
Phone
(731) 221-2200
Fax
(731) 221-2499
NPI assigned
Jun 28, 2012
Last updated
Jul 16, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
CAH ACQUISITION COMPANY 11 LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 16, 2018

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

Authorized official

Name
Michael G Layfield
Title
Ceo
Phone
(731) 221-2200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 0088 TN Primary

Addresses

Primary practice location

326 Asbury Ave
Ripley, TN 38063

Mailing address

326 Asbury Ave
Ripley, TN 38063-5577
Phone (731) 221-2200

Other identifiers 1

IdentifierTypeStateIssuer
1530950MedicaidTN

Other names 1

  • Lauderdale Community Hospital Professional Group Doing business as

National Provider Directory

National Provider Directory
Part of
Cah Acquisition Co 11 LLC

NPI Registry JSON

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

{
    "created_epoch": "1340841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531699200000",
    "number": "1992069538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 ASBURY AVE",
            "city": "RIPLEY",
            "state": "TN",
            "postal_code": "380635577",
            "telephone_number": "731-221-2200",
            "fax_number": "731-221-2499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 ASBURY AVE",
            "city": "RIPLEY",
            "state": "TN",
            "postal_code": "38063",
            "telephone_number": "731-221-2200",
            "fax_number": "731-221-2499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAH ACQUISITION COMPANY 11 LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAH ACQUISITION COMPANY 11 LLC",
        "enumeration_date": "2012-06-28",
        "last_updated": "2018-07-16",
        "status": "A",
        "authorized_official_last_name": "LAYFIELD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "731-221-2200"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "0088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1530950",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lauderdale Community Hospital Professional Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lauderdale Community Hospital Professional Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ripley, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2018; 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.