Meridian OB/GYN, PLLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

MERIDIAN OB/GYN, PLLC

Practice address

1020 22ND Ave
Meridian, MS 39301-5001

Phone

(601) 513-8630

NPI assigned

May 1, 2012

Last updated

May 1, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elizabeth Trest, D.O.

Title

Owner

Phone

(601) 513-8630

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1335830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335830400000",
    "number": "1043578784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 22ND AVE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393015001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 22ND AVE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393015001",
            "telephone_number": "601-513-8630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN OB/GYN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-01",
        "last_updated": "2012-05-01",
        "status": "A",
        "authorized_official_last_name": "TREST",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-513-8630",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meridian Living, LLC
• Meridian Long Term Care Pharmacy
• Meridian Meadows LLC
• Meridian Medical Associates, PA
• Meridian Medical Equipment
• Meridian Oncology Associates PLLC
• Meridian Ophthalmic Associates, P.a.
• Meridian Orthopaedic Clinic, PA
• Meridian Orthopaedic Surgery Center, LLC
• Meridian Pediatric Dental Group, LLC

• Obstetrics & Gynecology Physician in Meridian, MS
• Providers in Meridian, MS by specialty
• Obstetrics & Gynecology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2012; 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.