Jack Joseph Rodriguez, MD

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

15252 Issued in MS

Practice address

106 Jefferson Davis Blvd
Suite 120
Natchez, MS 39120-5104

Phone

(601) 442-9210

Fax

(601) 442-7409

NPI assigned

Jul 15, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Natchez Oncology Clinic Incorporated Other name

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Hematology/Oncology

Education

Ponce School of Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Merit Health Natchez Hospital, Natchez, MS, CCN 250084
• Riverland Medical Center Hospital, Ferriday, LA, CCN 191318
• Southwest Ms Regional Medical Center Hospital, McComb, MS, CCN 250097
• Franklin County Memorial Hospital Hospital, Meadville, MS, CCN 251330
• Field Health System Hospital, Centreville, MS, CCN 251309

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jack.rodriguez@noc.ikm.direct-ci.com

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.

• Natchez Oncology Clinic Incorporated

  • Hematology & Oncology Physician
  • Natchez, MS
  • NPI 1629145719
  Medicare reassignment NPD Authorized official
• Camellia Hospice of Southwest Ms, LLC

  dba Enhabit Hospice of Southwest Mississippi

  • Community Based Hospice Care Agency
  • McComb, MS
  • NPI 1699918664
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Field Memorial Community Hospital

  dba Field Health System

  • Critical Access Hospital
  • Centreville, MS
  • NPI 1770574048
  Care Compare affiliation
• Franklin County Memorial Hospital

  • Critical Access Hospital
  • Meadville, MS
  • NPI 1669705612
  Care Compare affiliation
• Natchez Hospital Company LLC

  dba Merit Health Natchez

  • General Acute Care Hospital
  • Natchez, MS
  • NPI 1164821559
  Care Compare affiliation
• Southwest Mississippi Regional Medical Center

  • General Acute Care Hospital
  • McComb, MS
  • NPI 1407805971
  Care Compare affiliation
• Concordia Parish Hospital Service District Number One

  dba Trinity Medical

  • Critical Access Hospital
  • Ferriday, LA
  • NPI 1144227935
  Care Compare affiliation

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517443200000",
    "number": "1184623886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S COMMERCE ST",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391203506",
            "telephone_number": "601-442-9210",
            "fax_number": "601-442-7409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 JEFFERSON DAVIS BLVD",
            "address_2": "SUITE 120",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391205104",
            "telephone_number": "601-442-9210",
            "fax_number": "601-442-7409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "JACK",
        "middle_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-15",
        "last_updated": "2018-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MS",
            "license": "15252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09015568",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00123444",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATCHEZ",
            "last_name": "CLINIC INCORPORATED",
            "middle_name": "ONCOLOGY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Angela Reynolds
• Steve R Roberson, APRN
• Sharon Robillard, LPN
• Kizzy Robinson, FNP-C
• Cathy K Roboski, OTRL
• Stephanie Roe, FNP-C
• Christy Leigh Rollins Anderson
• Eric S. Romig, MD
• Rose Medical Equipment, Inc
• Mary Ann Roth-Wyrick, O.T.

• Hematology & Oncology Physician in Natchez, MS
• Providers in Natchez, MS by specialty
• Hematology & Oncology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.