Organization Active NPI

Jay H. Schwartz, M.D., P.a.

  • Surgery Physician
  • Natchez, MS
National Provider Identifier
1003089954
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
18289 Issued in MS
Legal business name
JAY H. SCHWARTZ, M.D., P.A.
Practice address
131 Jefferson Davis Blvd Suite B
Suite B
Natchez, MS 39120
Phone
(601) 334-1033
Fax
(601) 897-0198
NPI assigned
Apr 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Polly Thompson
Title
Office Manager
Phone
(601) 334-1033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 18289 MS Primary

Addresses

Primary practice location

131 Jefferson Davis Blvd Suite B
Suite B
Natchez, MS 39120

Mailing address

PO Box 18001
Natchez, MS 39122
Phone (601) 334-1033

Other identifiers 3

IdentifierTypeStateIssuer
00151543MedicaidMS
020000536OtherMSMEDICARE PROVIDER
C00350OtherMSMEDICARE GROUP

National Provider Directory

National Provider Directory

Locations

131 Jefferson Davis Blvd
Ste B
Natchez, MS 39120
Phone (601) 304-0298

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1003089954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18001",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "39122",
            "telephone_number": "601-334-1033",
            "fax_number": "601-897-0198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 JEFFERSON DAVIS BLVD SUITE B",
            "address_2": "SUITE B",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "39120",
            "telephone_number": "601-334-1033",
            "fax_number": "601-897-0198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY H. SCHWARTZ, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-10",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "POLLY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "601-334-1033"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "MS",
            "license": "18289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00151543",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER",
            "identifier": "020000536",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "C00350",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Natchez, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.