NPIMap

Organization Active NPI

Oxford Vein Center PLLC

  • Phlebology Physician
  • Oxford, MS
National Provider Identifier
1174904239
Registry record updated Jun 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebology PhysicianTaxonomy code 202K00000X
License
20317 Issued in MS
Legal business name
OXFORD VEIN CENTER PLLC
Practice address
300 Enterprise Dr
Suite B
Oxford, MS 38655-2762
Phone
(662) 638-3677
Fax
(662) 638-3678
NPI assigned
Jun 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2015

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

Authorized official

Name
Christine Waldrop, MD
Title
Owner
Phone
(662) 638-3677

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 202K00000X 20317 MS Primary
Anesthesiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207L00000X 20317 MS

Addresses

Primary practice location

300 Enterprise Dr
Suite B
Oxford, MS 38655-2762

Mailing address

300 Enterprise Dr
Suite B
Oxford, MS 38655-2762
Phone (662) 638-3677

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435017600000",
    "number": "1174904239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 ENTERPRISE DR",
            "address_2": "SUITE B",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386552762",
            "telephone_number": "662-638-3677",
            "fax_number": "662-638-3678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 ENTERPRISE DR",
            "address_2": "SUITE B",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386552762",
            "telephone_number": "662-638-3677",
            "fax_number": "662-638-3678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OXFORD VEIN CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-15",
        "last_updated": "2015-06-23",
        "status": "A",
        "authorized_official_last_name": "WALDROP",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-638-3677",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Phlebology",
            "state": "MS",
            "license": "20317",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "MS",
            "license": "20317",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2015; 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.