Active NPI
Ian M Windmill, PHD
- Audiologist
- Jackson, MS
National Provider Identifier
1154391068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- A3324
- Practice address
- 2500 N State St
Department of Otolaryngology
Jackson, MS 39216-4500 - Phone
- (601) 984-5160
- Fax
- (601) 815-6985
- NPI assigned
- Jan 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 0100 | KY | |
| Audiologist | 231H00000X | A3324 | MS | Primary |
Addresses
Primary practice location
2500 N State St
Department of Otolaryngology
Jackson, MS 39216-4500
Mailing address
2500 N State St
Department of Otolaryngology
Jackson, MS 39216-4500
Phone (601) 984-5160
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1085858 | Other | KY | PASSPORT |
| 70001003 | Medicaid | KY | |
| 01531216 | Medicaid | MS | |
| 100345580A | Medicaid | IN |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A3324 | MS | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Surgical Associates, PSC | Audiologist | Past | Accepting new patients |
| University Physicians Group - Radiology | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Louisville, KY
- NPI 1619061116
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391126400000",
"number": "1154391068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 N STATE ST",
"address_2": "DEPARTMENT OF OTOLARYNGOLOGY",
"city": "JACKSON",
"state": "MS",
"postal_code": "392164500",
"telephone_number": "601-984-5160",
"fax_number": "601-815-6985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 N STATE ST",
"address_2": "DEPARTMENT OF OTOLARYNGOLOGY",
"city": "JACKSON",
"state": "MS",
"postal_code": "392164500",
"telephone_number": "601-984-5160",
"fax_number": "601-815-6985"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINDMILL",
"first_name": "IAN",
"middle_name": "M",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-24",
"last_updated": "2014-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "KY",
"license": "0100",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MS",
"license": "A3324",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT",
"identifier": "1085858",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "70001003",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01531216",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100345580A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.