Organization Active NPI

Medical Surgical Arts Clinic

  • Surgery Physician
  • Philadelphia, MS
National Provider Identifier
1356502157
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
06089 Issued in MS
Legal business name
MEDICAL SURGICAL ARTS CLINIC
Practice address
517 Center Ave N
Philadelphia, MS 39350-2552
Phone
(601) 656-1440
Fax
(601) 656-8510
NPI assigned
Jun 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Authorized official

Name
Dr. Augustus P Soriano, M.D.
Title
M.D.
Phone
(601) 656-1440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 06089 MS Primary

Addresses

Primary practice location

517 Center Ave N
Philadelphia, MS 39350-2552

Mailing address

517 Center Ave N
Philadelphia, MS 39350-2552
Phone (601) 656-1440

Other identifiers 1

IdentifierTypeStateIssuer
00486391MedicaidMS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1356502157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 CENTER AVE N",
            "city": "PHILADELPHIA",
            "state": "MS",
            "postal_code": "393502552",
            "telephone_number": "601-656-1440",
            "fax_number": "601-656-8510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 CENTER AVE N",
            "city": "PHILADELPHIA",
            "state": "MS",
            "postal_code": "393502552",
            "telephone_number": "601-656-1440",
            "fax_number": "601-656-8510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL SURGICAL ARTS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-24",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "SORIANO",
        "authorized_official_first_name": "AUGUSTUS",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "601-656-1440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "MS",
            "license": "06089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00486391",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.