| NPI | 1043260763 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-05-11 |
| Last Updated | 2024-10-16 |
| Authorized Official | John Ellzey President Phone: 9014736406 |
| Mailing Address | Po Box 5083 Memphis, TN 38101-5083 United States Phone: (901) 383-8860 | Fax: (901) 383-8985 📍 View Map |
| Primary Practice Address | 7600 Wolf River Blvd., #200 Germantown, TN 38138 United States Phone: (901) 747-1000 | Fax: (901) 747-1001 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | TN | 0022687 | Group TN BCBS # |
| MEDICAID | MS | 09013816 | — |
| MEDICAID | AR | 107365002 | — |
| MEDICAID | TN | 3373325 | — |
| MEDICAID | MO | 508212206 | — |
| Other (non-Medicare) | AR | 86018 | Group AR BCBS # |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 174400000X – Specialist | — | — |
| Yes | 2085R0202X – Radiology, Diagnostic Radiology | — | — |
| No | 367500000X – Nurse Anesthetist, Certified Registered | — | — |
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About NPI 1043260763
Mid-South Imaging & Therapeutics, P.a. is an organization registered in the CMS NPPES NPI Registry with NPI number 1043260763. The primary specialty listed is Radiology, Diagnostic Radiology. The organization is located in Germantown, TN. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-05-11. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1043260763?
NPI 1043260763 belongs to Mid-South Imaging & Therapeutics, P.a., a Radiology, Diagnostic Radiology in Germantown, TN. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1043260763 active?
The current status of NPI 1043260763 in the NPPES registry is Active. The record was last updated on 2024-10-16.
What specialty is NPI 1043260763?
NPI 1043260763 is classified under the taxonomy Radiology, Diagnostic Radiology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1043260763?
You can verify NPI 1043260763 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1043260763?
The primary practice address on file for NPI 1043260763 is 7600 Wolf River Blvd., Germantown, TN 38138. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1043260763 issued?
NPI 1043260763 was first issued (enumerated) on 2006-05-11. The NPPES record was last updated on 2024-10-16.
Practice Location Map
Mid-South Imaging & Therapeutics, P.a. is located at 7600 Wolf River Blvd., Germantown, TN. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Mid-South Imaging & Therapeutics, P.a.. All records sourced from the CMS NPPES registry.