ENT MEMPHIS NPI 1578848990

NPI Information

  • NPI: 1578848990
  • Provider Name: ENT MEMPHIS
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 791 ESTATE PL
    MEMPHIS, TN
    ZIP 38120
  • Phone: (901) 821-4300

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NPI Details

ENT MEMPHIS is a specialist in Memphis, TN. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. ENT MEMPHIS NPI is 1578848990. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

791 ESTATE PL
MEMPHIS, TN
ZIP 38120-600
Phone: (901) 821-4300
Fax: (901) 821-4373

The provider's authorized official is Rande Harris Lazar .
The authorized official title is Owner and has the following contact phone number (901) 821-4317.

The enumeration date for this NPI number is 10/17/2011 and was last updated on 10/17/2011.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist016275TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1A97853MEDICARE UPINTENNESSEE
23014589MEDICARE PINTENNESSEE
33014587MEDICAIDTENNESSEE

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: 11/21/2025

NPI Synchronization or Removal

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