Magnolia Anesthesia Consultants LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

MAGNOLIA ANESTHESIA CONSULTANTS LLC

Practice address

4209 Lakeland Dr #252
Flowood, MS 39232

Phone

(601) 790-3086

NPI assigned

Nov 1, 2018

Last updated

Nov 1, 2018By 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

Lizette Morin

Title

MDMS Npi Compliance Officer

Phone

(210) 598-2800

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1541030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541030400000",
    "number": "1285101816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4209 LAKELAND DR # 252",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4209 LAKELAND DR #252",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "39232",
            "telephone_number": "601-790-3086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA ANESTHESIA CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-01",
        "last_updated": "2018-11-01",
        "status": "A",
        "authorized_official_last_name": "MORIN",
        "authorized_official_first_name": "LIZETTE",
        "authorized_official_title_or_position": "MDMS NPI COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "210-598-2800"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Kristen Macdonald, PT, DPT
• Amy Macon, P.T.
• Sudhakar Madakasira
• John B Madden, M.D.
• Madison Physician Surgery Center, LLC (The Surgery Center at Mississippi Sports Medicine)
• Magnolia Elite Wellness Group LLC
• Magnolia Internal Medical Clinic
• Magnolia Neurology Clinic
• Madison Mahaffey, OT
• Tonya Powell Malone, R.N.F.A.

• Anesthesiology Physician in Flowood, MS
• Providers in Flowood, MS by specialty
• Anesthesiology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2018; 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.