Active NPI
Hni Medical Services of Mississippi, LLC
- Internal Medicine Physician
- Jackson, MS
National Provider Identifier
1003671793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- HNI MEDICAL SERVICES OF MISSISSIPPI, LLC
- Practice address
- 969 Lakeland Dr
Jackson, MS 39216-4606 - Phone
- (601) 200-2000
- NPI assigned
- Feb 21, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Oon Soo Ung
- Title
- Cfo
- Phone
- (813) 442-1860
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
969 Lakeland Dr
Jackson, MS 39216-4606
Mailing address
7500 Rialto Blvd Ste 140
Austin, TX 78735-8531
Phone (440) 542-5000
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708473600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1708646400000",
"number": "1003671793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7500 RIALTO BLVD STE 140",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787358531",
"telephone_number": "440-542-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "969 LAKELAND DR",
"city": "JACKSON",
"state": "MS",
"postal_code": "392164606",
"telephone_number": "601-200-2000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HNI MEDICAL SERVICES OF MISSISSIPPI, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-21",
"last_updated": "2024-02-23",
"certification_date": "2024-02-23",
"status": "A",
"authorized_official_last_name": "UNG",
"authorized_official_first_name": "OON SOO",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "813-442-1860"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.