Active NPI
Neil Sloan, M.D.
- Internal Medicine Physician
- Corinth, MS
National Provider Identifier
1073522348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 19029
- Practice address
- 209 Alcorn Dr
Corinth, MS 38834-8400 - Phone
- (662) 665-9073
- Fax
- (662) 665-9098
- NPI assigned
- Aug 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 19029 | MS | Primary |
Addresses
Primary practice location
209 Alcorn Dr
Corinth, MS 38834-8400
Mailing address
209 Alcorn Dr
Corinth, MS 38834-8400
Phone (662) 665-9073
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04006511 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1073522348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 ALCORN DR",
"city": "CORINTH",
"state": "MS",
"postal_code": "388348400",
"telephone_number": "662-665-9073",
"fax_number": "662-665-9098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 ALCORN DR",
"city": "CORINTH",
"state": "MS",
"postal_code": "388348400",
"telephone_number": "662-665-9073",
"fax_number": "662-665-9098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLOAN",
"first_name": "NEIL",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-05",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MS",
"license": "19029",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04006511",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Corinth, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.