Healthcare Provider Details

I. General information

NPI: 1821435884
Provider Name (Legal Business Name): MSK GROUP, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/31/2013
Last Update Date: 11/13/2025
Certification Date: 11/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4515 POPLAR AVE STE 206
MEMPHIS TN
38117-7506
US

IV. Provider business mailing address

6077 PRIMACY PKWY STE 140
MEMPHIS TN
38119-5742
US

V. Phone/Fax

Practice location:
  • Phone: 901-381-4664
  • Fax: 901-373-0804
Mailing address:
  • Phone: 901-259-1673
  • Fax: 901-259-7637

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number StateTN

VIII. Authorized Official

Name: MR. CHRISTOPHER RUSCITTO
Title or Position: CO-CFO
Credential:
Phone: 901-641-3000