Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mid South Regional Thoracic Center, LLC

Organization Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · NPI 1164745238

Mid South Regional Thoracic Center, LLC is a Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Memphis, Tennessee. Licensed in Tennessee. Registered with an NPI since 2010.

Licensed in
TN
In the registry since
2010
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6029 Walnut Grove Rd Ste 100
Memphis, TN 38120-2112
Phone: (901) 259-4130
Fax: (901) 259-4131
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (primary) Taxonomy 208G00000X · Licence MD5950415 (TN)

Record details

NPI number1164745238
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mathew Ninan — Owner · (901) 259-4130
NPI enumeratedMarch 3, 2010
Last updated in NPPESMarch 3, 2010
Mailing address6029 Walnut Grove Rd, Suite 100, Memphis, TN 38120-2112

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