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MID SOUTH REGIONAL THORACIC CENTER LLC NPI 1164745238


NPI Information

NPI: 1164745238
Provider Name: MID SOUTH REGIONAL THORACIC CENTER, LLC
Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
Entity Type: Organization
Address:
6029 WALNUT GROVE RD
SUITE 100
MEMPHIS, TN
ZIP 38120
Phone: (901) 259-4130
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MID SOUTH REGIONAL THORACIC CENTER, LLC is a thoracic surgery cardiothoracic vascular surgery in Memphis, TN. The provider is a thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. MID SOUTH REGIONAL THORACIC CENTER, LLC NPI is 1164745238. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6029 WALNUT GROVE RD
SUITE 100
MEMPHIS, TN
ZIP 38120-112
Phone: (901) 259-4130
Fax: (901) 259-4131

The provider's authorized official is Mathew Ninan .
The authorized official title is Owner and has the following contact phone number (901) 259-4130.

The enumeration date for this NPI number is 3/3/2010 and was last updated on 3/3/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)MD5950415TENNESSEEYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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