Univ OB/GYN Assoc.,PLLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

UNIV OB/GYN ASSOC.,PLLC

Practice address

2500 N State St
Jackson, MS 39216-4500

Phone

(601) 984-5373

Fax

(601) 984-5476

NPI assigned

Jun 10, 2006

Last updated

Aug 22, 2020By 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

Dr. Bryan D Cowan, M.D.

Title

Chariman of Obstetrics/Gynecology

Phone

(601) 984-5373

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083655922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 N STATE ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164500",
            "telephone_number": "601-984-5373",
            "fax_number": "601-984-5476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 N STATE ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164500",
            "telephone_number": "601-984-5373",
            "fax_number": "601-984-5476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIV OB/GYN ASSOC.,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COWAN",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CHARIMAN OF OBSTETRICS/GYNECOLOGY",
        "authorized_official_telephone_number": "601-984-5373",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09014712",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia Lufkin Undesser, M.D.
• Eric Karl Undesser, MD, PHD
• Ricardo Ungo
• Unique Inc
• United Methodist Ministry With Children and Families, Inc. (Methodist Children's Homes, LLC)
• Univ Prev Med Assocs PLLC
• University Anesthesia Services, PLLC
• University Emergency Physicians, PLLC
• University Emergency Physicians, PLLC
• University Family Medicine Associates, PLLC

• Obstetrics & Gynecology Physician in Jackson, MS
• Providers in Jackson, 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 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.

Verify at the official NPI Registry.