OrganizationActive
Mid South Regional Thoracic Center, LLC
NPI 1164745238 · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Memphis, TN
Provider details
- NPI number
- 1164745238
- Entity type
- Organization
- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mathew Ninan, Owner(901) 259-4130
- License
- MD5950415 (TN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6029 Walnut Grove Rd
Suite 100
Memphis, TN 38120-2112
Phone: (901) 259-4130
Fax: (901) 259-4131
Street-level locationGet directions
Mailing address
6029 Walnut Grove Rd
Memphis, TN 38120-2112
Registry dates
- Enumerated
- 2010-03-03
- Last updated
- 2010-03-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.