Organization Active NPI

Urology of Oxford, PLLC

  • Urology Physician
  • Oxford, MS
National Provider Identifier
1235228925
Registry record updated Apr 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
15494 Issued in MS
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

Updated by the provider on Apr 30, 2008

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)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
2021868MedicaidMS

National Provider Directory

National Provider Directory
Tax ID family
Urology of Oxford2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.