Oktibbeha Urology

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

21408 Issued in MS

Legal business name

OKTIBBEHA UROLOGY

Practice address

104 Doctors Park
Starkville, MS 39759-2570

Phone

(662) 324-1097

NPI assigned

Jul 22, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth Ryan Thomas, MD

Title

Member

Phone

(662) 324-1097

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1311292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311292800000",
    "number": "1174801377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 DOCTORS PARK",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397592570",
            "telephone_number": "662-324-1097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 DOCTORS PARK",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397592570",
            "telephone_number": "662-324-1097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKTIBBEHA UROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-22",
        "last_updated": "2011-07-22",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "16623241097",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MS",
            "license": "21408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Och Regional Health Clinic
• Och Urology Associates
• Oktibbeha County Hospital
• Oktibbeha County Hospital
• Oktibbeha County Hospital
• Oku Consulting Counseling & Therapy, PLLC
• Stacey Oliver, MS
• Ashley Omerza, LMSW
• Ahmed Orabi
• Ortho Express Holding Company LLC

• Medical Specialty Clinic/Center in Starkville, MS
• Providers in Starkville, MS by specialty
• Medical Specialty Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2011; 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.