Active NPI
Kay Elizabeth Midler, D.O.
- Obstetrics & Gynecology Physician
- Flowood, MS
National Provider Identifier
1023063955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 21122
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00452051 | Medicaid | MS |
Other names 1
- Mrs. Kay Elizabeth Laderer
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
Enrollment records 1
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
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
| Organization | Specialty | Status | New 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.
-
- Obstetrics & Gynecology Physician
- Flowood, MS
- NPI 1316036353
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1306876065
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.