Organization Active NPI

James M Riser MD PA

  • Family Medicine Physician
  • Picayune, MS
National Provider Identifier
1013041011
Registry record updated Apr 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
09589 Issued in MS
Legal business name
JAMES M RISER MD PA
Practice address
2274 Highway 43 S
Picayune, MS 39466-8141
Phone
(601) 798-5798
Fax
(601) 798-5914
NPI assigned
Mar 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2008

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

Authorized official

Name
James Matthew Riser, MDNPI 1639212541
Title
Owner
Phone
(601) 798-5798

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 09589 MS Primary

Addresses

Primary practice location

2274 Highway 43 S
Picayune, MS 39466-8141

Mailing address

PO Box 1038
Picayune, MS 39466-1038
Phone (601) 798-5798

Other identifiers 1

IdentifierTypeStateIssuer
9016108MedicaidMS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208476800000",
    "number": "1013041011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1038",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394661038",
            "telephone_number": "601-798-5798",
            "fax_number": "601-798-5914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2274 HIGHWAY 43 S",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394668141",
            "telephone_number": "601-798-5798",
            "fax_number": "601-798-5914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES M RISER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2008-04-18",
        "status": "A",
        "authorized_official_last_name": "RISER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-798-5798",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "09589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9016108",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Picayune, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.