Active NPI
Physician and Surgeons Hospital Group
- Obstetrics & Gynecology Physician
- Batesville, MS
National Provider Identifier
1013961580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- PHYSICIAN AND SURGEONS HOSPITAL GROUP
- Practice address
- 303 Medical Center Dr
Batesville, MS 38606 - Phone
- (662) 578-8262
- Fax
- (662) 578-7969
- NPI assigned
- May 20, 2006
- 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
- Ray L Shoemaker
- Title
- Ceo
- Phone
- (662) 712-2371
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
303 Medical Center Dr
Batesville, MS 38606
Mailing address
303 Medical Center Dr
Batesville, MS 38606
Phone (662) 578-8262
Other names 1
- tri lakes women clinic
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1013961580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 MEDICAL CENTER DR",
"city": "BATESVILLE",
"state": "MS",
"postal_code": "38606",
"telephone_number": "662-578-8262",
"fax_number": "662-578-7969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 MEDICAL CENTER DR",
"city": "BATESVILLE",
"state": "MS",
"postal_code": "38606",
"telephone_number": "662-578-8262",
"fax_number": "662-578-7969"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSICIAN AND SURGEONS HOSPITAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-20",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SHOEMAKER",
"authorized_official_first_name": "RAY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "662-712-2371"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "tri lakes women clinic",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Batesville, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.