Anazia Medical II, Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

14997 Issued in MS

Legal business name

ANAZIA MEDICAL II, INC.

Practice address

1264 Main Street
Suite a
Fayette, MS 39069

Phone

(601) 786-0390

Fax

(601) 786-0730

NPI assigned

Sep 8, 2006

Last updated

Oct 29, 2010By 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. Victor O Anazia, D.O.NPI 1245232792

Title

Ceo

Phone

(601) 249-0013

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

Practitioners 7

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.

• Victor Anazia, DO

  • Internal Medicine Physician
  • McComb, MS
  • NPI 1245232792
  Medicare reassignment NPD Authorized official
• Harry G. Hunt, M.D.

  • Family Medicine Physician
  • Columbia, MS
  • NPI 1346268786
  Medicare reassignment NPD
• Annette Edwards

  • Home Health Agency
  • Bogue Chitto, MS
  • NPI 1235669532
  NPD
• John Ellis Evans, M.D.

  • Family Medicine Physician
  • Fayette, MS
  • NPI 1265752356
  NPD (past)
• Chiedu Okocha, M.D.

  • Internal Medicine Physician
  • Lexington, NC
  • NPI 1851409817
  NPD (past)
• Humera Rana, M.D.

  • Internal Medicine Physician
  • Riverside, CA
  • NPI 1801982632
  NPD (past)
• Santanu Som, MD, DO

  • Family Medicine Physician
  • Niagara Falls, NY
  • NPI 1568678316
  NPD (past)

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288310400000",
    "number": "1174627459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 5TH AVENUE",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "39648",
            "telephone_number": "601-249-0013",
            "fax_number": "601-249-0592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1264 MAIN STREET",
            "address_2": "SUITE A",
            "city": "FAYETTE",
            "state": "MS",
            "postal_code": "39069",
            "telephone_number": "601-786-0390",
            "fax_number": "601-786-0730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANAZIA MEDICAL II, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-08",
        "last_updated": "2010-10-29",
        "status": "A",
        "authorized_official_last_name": "ANAZIA",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "601-249-0013",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "14997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07753329",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• At Home Care, Inc.
• At Home Hospice Care, Inc.
• Alicia R Berry-Kaho, LPN
• Bounds Family Medical
• Bounds Family Medical

• Internal Medicine Physician in Fayette, MS
• Providers in Fayette, MS by specialty
• Internal Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.