Active NPI
Shiloh Neurology
- Neurology Physician
- Corinth, MS
National Provider Identifier
1265465264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- 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, 2007
- 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
- William Earl Owens, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03782535 | Medicaid | MS |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Neurology Physician
- Corinth, MS
- NPI 1770501173
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.