NPIMap

Organization Active NPI

Vibha Vig MD PA

Doing business as Sunshine Medical Clinic

  • Primary Care Clinic/Center
  • Yazoo City, MS
National Provider Identifier
1013233857
Registry record updated Apr 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
13655 Issued in MS
Legal business name
VIBHA VIG MD PA
Doing business as
Sunshine Medical Clinic
Practice address
110 N Jerry Clower Blvd
Suite M
Yazoo City, MS 39194-8669
Phone
(601) 855-5287
Fax
(601) 855-5130
NPI assigned
Apr 19, 2010
Last updated
Apr 19, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
SUNSHINE MEDICAL CLINICAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 19, 2010

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

Authorized official

Name
Dr. Vibha Vig, MDNPI 1689619405
Title
Owner
Phone
(601) 855-5287

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
Primary Care Clinic/Center 261QP2300X 13655 MS Primary

Addresses

Primary practice location

110 N Jerry Clower Blvd
Suite M
Yazoo City, MS 39194-8669

Mailing address

PO Box 626
Canton, MS 39046-0626
Phone (601) 855-5287

Other names 1

  • Sunshine Medical Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Vibha Vig MD PA3 organizations share this tax ID, including this one
Part of
Vibha Vig MD PA

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

110 N Jerry Clower Blvd
Ste M
Yazoo City, MS 39194
Phone (662) 763-3750

230 Wyeth Ln
Yazoo City, MS 39194
Phone (662) 746-8962

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1271635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271635200000",
    "number": "1013233857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 626",
            "city": "CANTON",
            "state": "MS",
            "postal_code": "390460626",
            "telephone_number": "601-855-5287",
            "fax_number": "601-855-5130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N JERRY CLOWER BLVD",
            "address_2": "SUITE M",
            "city": "YAZOO CITY",
            "state": "MS",
            "postal_code": "391948669",
            "telephone_number": "601-855-5287",
            "fax_number": "601-855-5130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIBHA VIG MD PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUNSHINE MEDICAL CLINIC",
        "enumeration_date": "2010-04-19",
        "last_updated": "2010-04-19",
        "status": "A",
        "authorized_official_last_name": "VIG",
        "authorized_official_first_name": "VIBHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-855-5287",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MS",
            "license": "13655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunshine Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yazoo City, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2010; 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.