Active NPI
Urology of Oxford, PLLC
- Urology Physician
- Oxford, MS
National Provider Identifier
1235228925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 15494
- Legal business name
- UROLOGY OF OXFORD, PLLC
- Practice address
- 2166 S Lamar Blvd
Oxford, MS 38655-5224 - Phone
- (662) 234-2313
- Fax
- (662) 234-2314
- NPI assigned
- Oct 12, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Denis A Yalkut, MD
- Title
- President
- Phone
- (662) 234-2313
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 15494 | MS | Primary |
Addresses
Primary practice location
2166 S Lamar Blvd
Oxford, MS 38655-5224
Mailing address
2166 S Lamar Blvd
Oxford, MS 38655-5224
Phone (662) 234-2313
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2021868 | Medicaid | MS |
National Provider Directory
National Provider Directory- Tax ID family
- Urology of Oxford
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Urology Physician
- Oxford, MS
- NPI 1508032517
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1209513600000",
"number": "1235228925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2166 S LAMAR BLVD",
"city": "OXFORD",
"state": "MS",
"postal_code": "386555224",
"telephone_number": "662-234-2313",
"fax_number": "662-234-2314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2166 S LAMAR BLVD",
"city": "OXFORD",
"state": "MS",
"postal_code": "386555224",
"telephone_number": "662-234-2313",
"fax_number": "662-234-2314"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UROLOGY OF OXFORD, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-12",
"last_updated": "2008-04-30",
"status": "A",
"authorized_official_last_name": "YALKUT",
"authorized_official_first_name": "DENIS",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "662-234-2313",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": "MS",
"license": "15494",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2021868",
"state": "MS"
}
],
"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 Apr 30, 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.