NPIMap

Organization Active NPI

Jay Busby MD a Professional Corporation

  • Urology Physician
  • Winnsboro, LA
National Provider Identifier
1083795611
Registry record updated Oct 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
JAY BUSBY MD A PROFESSIONAL CORPORATION
Practice address
2106 Loop Rd
Suite B
Winnsboro, LA 71295
Phone
(318) 435-3771
Fax
(318) 435-7233
NPI assigned
Oct 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2007

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

Authorized official

Name
Dr. Jay D Busby Jr., MD
Title
Medical Doctor President
Phone
(318) 435-3777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X LA Primary

Addresses

Primary practice location

2106 Loop Rd
Suite B
Winnsboro, LA 71295

Mailing address

PO Box 1575
2106 Loop Road Suite B
Winnsboro, LA 71295
Phone (318) 435-3771

Other identifiers 1

IdentifierTypeStateIssuer
1303097MedicaidLA

Other names 1

  • Joseph D Busby Jr MD Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192147200000",
    "number": "1083795611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1575",
            "address_2": "2106 LOOP ROAD SUITE B",
            "city": "WINNSBORO",
            "state": "LA",
            "postal_code": "71295",
            "telephone_number": "318-435-3771",
            "fax_number": "318-435-7233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 LOOP RD",
            "address_2": "SUITE B",
            "city": "WINNSBORO",
            "state": "LA",
            "postal_code": "71295",
            "telephone_number": "318-435-3771",
            "fax_number": "318-435-7233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY BUSBY MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-10-12",
        "status": "A",
        "authorized_official_last_name": "BUSBY",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MEDICAL DOCTOR PRESIDENT",
        "authorized_official_telephone_number": "318-435-3777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1303097",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Joseph D Busby Jr MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Winnsboro, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.

Verify at the official NPI Registry.