Organization Active NPI

Shiloh Neurology

  • Neurology Physician
  • Corinth, MS
National Provider Identifier
1265465264
Registry record updated Oct 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
SHILOH NEUROLOGY
Practice address
2425 Proper St
Corinth, MS 38834-5394
Phone
(662) 287-7785
Fax
(662) 287-7876
NPI assigned
Jul 10, 2006
Last updated
Oct 2, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2007

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

Authorized official

Name
William Earl Owens, M.D.NPI 1770501173
Title
Physician/Owner
Phone
(662) 287-7785

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

2425 Proper St
Corinth, MS 38834-5394

Mailing address

2425 Proper St
Corinth, MS 38834-5394
Phone (662) 287-7785

Other identifiers 1

IdentifierTypeStateIssuer
03782535MedicaidMS

National Provider Directory

National Provider Directory

Locations

2425 Proper St
Corinth, MS 38834
Phone (662) 287-7785

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191283200000",
    "number": "1265465264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 PROPER ST",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388345394",
            "telephone_number": "662-287-7785",
            "fax_number": "662-287-7876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 PROPER ST",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388345394",
            "telephone_number": "662-287-7785",
            "fax_number": "662-287-7876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHILOH NEUROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-10-02",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "662-287-7785",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03782535",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corinth, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; 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.