NPIMap

Organization Active NPI

Magee Benevolent Association

Doing business as Pedz-N-Teenz

  • Pediatrics Physician
  • Magee, MS
National Provider Identifier
1104945096
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
8656 Issued in MS
Legal business name
MAGEE BENEVOLENT ASSOCIATION
Doing business as
Pedz-N-Teenz
Practice address
310 2ND SE St
Magee, MS 39111
Phone
(601) 849-7339
Fax
(601) 849-7221
NPI assigned
Mar 29, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Michael S Ward, M.D.
Title
Pediatrician
Phone
(601) 849-7339

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 8656 MS Primary

Addresses

Primary practice location

310 2ND SE St
Magee, MS 39111

Mailing address

300 Third Avenue South East
Magee, MS 39111
Phone (601) 849-7339

Other identifiers 2

IdentifierTypeStateIssuer
03431741MedicaidMS
00126046MedicaidMS

Other names 1

  • PEDZ-N-TEENZ Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Magee General Hospital9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

310 SE 2nd St
Magee, MS 39111
Phone (601) 849-1647

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104945096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 THIRD AVENUE SOUTH EAST",
            "city": "MAGEE",
            "state": "MS",
            "postal_code": "39111",
            "telephone_number": "601-849-7339",
            "fax_number": "601-849-7221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 2ND SE ST",
            "city": "MAGEE",
            "state": "MS",
            "postal_code": "39111",
            "telephone_number": "601-849-7339",
            "fax_number": "601-849-7221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGEE BENEVOLENT ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PEDIATRICIAN",
        "authorized_official_telephone_number": "601-849-7339",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MS",
            "license": "8656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03431741",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00126046",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PEDZ-N-TEENZ",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Magee, MS

Sources for this page

  • 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.