NPIMap

Organization Active NPI

Baptist Memorial Health Services, Inc. of Mississippi

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Oxford, MS
National Provider Identifier
1295849578
Registry record updated Jul 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
Legal business name
BAPTIST MEMORIAL HEALTH SERVICES, INC. OF MISSISSIPPI
Practice address
2301 S Lamar Blvd
Suite 140
Oxford, MS 38655-5373
Phone
(662) 513-3246
Fax
(662) 513-6248
NPI assigned
Aug 17, 2006
Organization subpart
Yes
Parent organization
BAPTIST MEMORIAL HEALTH SERVICES, INC. OF MISSISSIPPIAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 16, 2010

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

Authorized official

Name
Donald R Pounds
Title
Cfo Senior Vice President
Phone
(901) 227-7463

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208G00000X Primary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

2301 S Lamar Blvd
Suite 140
Oxford, MS 38655-5373

Mailing address

350 N Humphreys Blvd
Memphis, TN 38120-2177
Phone (901) 227-7463

Other identifiers 1

IdentifierTypeStateIssuer
09274328MedicaidMS

Other names 1

  • Oxford Cardiovascular and Thoracic Surgery Other name

National Provider Directory

National Provider Directory
Part of
Baptist Family Medical

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279238400000",
    "number": "1295849578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 N HUMPHREYS BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202177",
            "telephone_number": "901-227-7463",
            "fax_number": "901-227-5699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 S LAMAR BLVD",
            "address_2": "SUITE 140",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555373",
            "telephone_number": "662-513-3246",
            "fax_number": "662-513-6248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAPTIST MEMORIAL HEALTH SERVICES, INC. OF MISSISSIPPI",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BAPTIST MEMORIAL HEALTH SERVICES, INC. OF MISSISSIPPI",
        "enumeration_date": "2006-08-17",
        "last_updated": "2010-07-16",
        "status": "A",
        "authorized_official_last_name": "POUNDS",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CFO SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "901-227-7463"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09274328",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oxford Cardiovascular and Thoracic Surgery",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oxford, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2010; 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.