Runnels Plastic Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

13960 Issued in MS

Legal business name

RUNNELS PLASTIC SURGERY CENTER LLC

Practice address

1057 River Oaks Drive
Flowood, MS 39232-9595

Phone

(601) 939-9778

NPI assigned

Aug 27, 2008

Organization subpart

No

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

Authorized official

Name

Rudolph Scott Runnels Jr., M,D.NPI 1639221179

Title

Owner

Phone

(601) 939-9778

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rudolph Scott Runnels Jr., MD

  • Plastic Surgery Physician
  • Flowood, MS
  • NPI 1639221179
  NPD (past) Authorized official
• William Darden North, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Flowood, MS
  • NPI 1891087417
  NPD (past)

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

{
    "created_epoch": "1219795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219795200000",
    "number": "1275780660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1057 RIVER OAKS DRIVE",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1057 RIVER OAKS DRIVE",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329595",
            "telephone_number": "601-939-9778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUNNELS PLASTIC SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-27",
        "last_updated": "2008-08-27",
        "status": "A",
        "authorized_official_last_name": "RUNNELS",
        "authorized_official_first_name": "RUDOLPH",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-939-9778",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M,D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MS",
            "license": "13960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhonda Muree Roush, LPC
• Sadie Alexis Roush, RBT
• Heather Lynn Maurer Rowell, FNP-C
• RS Runnels Jr. M.D. PLLC
• Douglas G Rummells Jr., DMD
• John Matthew Runnels, MD
• Rudolph Scott Runnels Jr., MD
• Johnnie T Rush
• Rushing Family Dentistry PA
• Carla S Rushing, D.M.D.

• Ambulatory Surgical Clinic/Center in Flowood, MS
• Providers in Flowood, MS by specialty
• Ambulatory Surgical Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.