Mississippi Ear Nose and Throat Surgical Associates

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

MISSISSIPPI EAR NOSE AND THROAT SURGICAL ASSOCIATES

Practice address

332 Highway 12 West
Kosciusko, MS 39090-3209

Phone

(662) 289-1800

Fax

(662) 289-2486

NPI assigned

Feb 27, 2012

Last updated

Feb 27, 2012By 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

Janice Kay

Title

Business Manager

Phone

(601) 709-7700

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Mississippi Ear, Nose and Throat Surgical Associates

  • Otolaryngology Physician
  • Jackson, MS
  • NPI 1679617773

  O20040825000904

  Same enrollment
• Mississippi Ear, Nose and Throat Surgical Associates, P.C.

  • Otolaryngology Physician
  • Madison, MS
  • NPI 1821204736

  O20040825000904

  Same enrollment
• Mississippi Ear, Nose and Throat Surgical Associates, PC

  • Specialist
  • Flowood, MS
  • NPI 1679905210

  O20040825000904

  Same enrollment

Locations

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

{
    "created_epoch": "1330300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330300800000",
    "number": "1245504026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 MARSHALL STREET",
            "address_2": "SUITE 501",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392021615",
            "telephone_number": "601-709-7700",
            "fax_number": "601-709-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 HIGHWAY 12 WEST",
            "city": "KOSCIUSKO",
            "state": "MS",
            "postal_code": "390903209",
            "telephone_number": "662-289-1800",
            "fax_number": "662-289-2486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSISSIPPI EAR NOSE AND THROAT SURGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-27",
        "last_updated": "2012-02-27",
        "status": "A",
        "authorized_official_last_name": "KAY",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "601-709-7700"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "C03111",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melinda J Meacham, CFNP
• Anna Taylor Middleton, OD
• Philip Adam Middleton, DMD
• Jenni Kate Miles, MD
• Mississippi CVS Pharmacy, L.L.C. (CVS Pharmacy # 05883)
• Mississippi State Department of Health
• Valerie Michelle Mitchell, LMSW
• Montfort Jones Memorial Hospital
• Montfort Jones Memorial Hospital
• Montfort Jones Memorial Hospital

• Otolaryngology Physician in Kosciusko, MS
• Providers in Kosciusko, MS by specialty
• Otolaryngology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.