R. Kent Ozon MD PLLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

17909 Issued in MS

Legal business name

R. KENT OZON MD PLLC

Practice address

3109 Shortcut Rd
Pascagoula, MS 39567-1811

Phone

(228) 522-6482

Fax

(228) 522-6320

NPI assigned

Nov 16, 2007

Last updated

Aug 12, 2008By 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

Ms. Margo D Gedeon

Title

Coding / Billing

Phone

(228) 497-2652

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• PASCAGOULA NEUROLOGY PLLC Other name

Practitioners 1

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.

• Robert K Ozon, MD

  • Neurology Physician
  • Gulfport, MS
  • NPI 1861483075
  NPD (past)

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

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1205017480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 542",
            "city": "GAUTIER",
            "state": "MS",
            "postal_code": "395530542",
            "telephone_number": "228-522-6482",
            "fax_number": "228-522-6320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3109 SHORTCUT RD",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395671811",
            "telephone_number": "228-522-6482",
            "fax_number": "228-522-6320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R. KENT OZON MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-16",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "GEDEON",
        "authorized_official_first_name": "MARGO",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CODING / BILLING",
        "authorized_official_telephone_number": "228-497-2652",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MS",
            "license": "17909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06238271",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IND NPI",
            "identifier": "1861483075",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PASCAGOULA NEUROLOGY PLLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Neurology Physician in Pascagoula, MS
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; 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.