Individual provider Active NPI

Kay Elizabeth Midler, D.O.

  • Obstetrics & Gynecology Physician
  • Flowood, MS
National Provider Identifier
1023063955
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
21122 Issued in MS
Practice address
1050 River Oaks Drive
Suite 200
Flowood, MS 39232
Phone
(601) 200-8201
Fax
(601) 987-0019
NPI assigned
May 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 21122 MS Primary

Addresses

Primary practice location

1050 River Oaks Drive
Suite 200
Flowood, MS 39232

Mailing address

1050 River Oaks Dr Ste 200
Flowood, MS 39232-9564
Phone (601) 420-0265

Other identifiers 1

IdentifierTypeStateIssuer
00452051MedicaidMS

Other names 1

  • Mrs. Kay Elizabeth Laderer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101104001069 MS Practitioner - Obstetrics/Gynecology 1052344348 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of North Texas HSC, College of Osteopathic Med, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Womens Health Associates PLLCGroup PAC ID 3678476983, 7 clinicians

Practice addresses (Care Compare)

1050 River Oaks Dr
Suite 200
Flowood, MS 39232-9564
Phone (601) 420-0134

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
St Dominic-Jackson Memorial Hospital Past Accepting new patients

Networks

  • MS PPO C-SNP
  • MS PPO
  • MS PPO D-SNP
  • LA PPO C-SNP

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1023063955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 RIVER OAKS DR STE 200",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329564",
            "telephone_number": "601-420-0265",
            "fax_number": "601-709-2452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 RIVER OAKS DRIVE",
            "address_2": "SUITE 200",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "39232",
            "telephone_number": "601-200-8201",
            "fax_number": "601-987-0019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIDLER",
        "first_name": "KAY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-22",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MS",
            "license": "21122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00452051",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAY",
            "last_name": "LADERER",
            "middle_name": "ELIZABETH",
            "prefix": "MRS.",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Flowood, MS

Sources for this page

Verify at the official NPI Registry.