Meridian Oncology Associates PLLC

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

20329 Issued in MS

Legal business name

MERIDIAN ONCOLOGY ASSOCIATES PLLC

Practice address

1704 23Rd Ave
2ND FLR
Meridian, MS 39301-3103

Phone

(601) 482-1555

Fax

(601) 696-4611

NPI assigned

Aug 10, 2006

Last updated

Sep 11, 2017By 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

Wendy Turner

Title

Clinic Manager

Phone

(601) 482-1555

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Matthew Cassell, MD Other name

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Matthew Wade Cassell, M.D.

  • Hematology & Oncology Physician
  • Meridian, MS
  • NPI 1427269331
  Medicare reassignment Care Compare group NPD
• Jennifer T Eubanks, M.D.

  • Hematology & Oncology Physician
  • Meridian, MS
  • NPI 1720241201
  Medicare reassignment Care Compare group NPD
• John C Halbrook, MD

  • Hematology & Oncology Physician
  • Meridian, MS
  • NPI 1992782924
  Medicare reassignment Care Compare group NPD
• John D Voss, MD

  • Hematology & Oncology Physician
  • Meridian, MS
  • NPI 1780793059
  Medicare reassignment Care Compare group NPD
• Amy M Goodin, PA-C

  • Physician Assistant
  • Meridian, MS
  • NPI 1952569261
  Medicare reassignment

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505088000000",
    "number": "1164433678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 23RD AVE",
            "address_2": "2ND FLR",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393013103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 23RD AVE",
            "address_2": "2ND FLR",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393013103",
            "telephone_number": "601-482-1555",
            "fax_number": "601-696-4611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN ONCOLOGY ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2017-09-11",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "601-482-1555"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "MS",
            "license": "20329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "5939260001",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD GROUP #",
            "identifier": "CF9149",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "2586610",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "2586610",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Matthew Cassell, MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Meridian Long Term Care Pharmacy
• Meridian Meadows LLC
• Meridian Medical Associates, PA
• Meridian Medical Equipment
• Meridian OB/GYN, PLLC
• Meridian Ophthalmic Associates, P.a.
• Meridian Orthopaedic Clinic, PA
• Meridian Orthopaedic Surgery Center, LLC
• Meridian Pediatric Dental Group, LLC
• Meridian Pediatric Extended Care LLC

• Non-Pharmacy Dispensing Site in Meridian, MS
• Providers in Meridian, MS by specialty
• Non-Pharmacy Dispensing Site in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.