River Oaks Management Company, Inc

Organization Active NPI Obstetrics & Gynecology Physician · Jackson, MS

NPI 1376795344 · NPPES record last updated Feb 11, 2015

Key facts

NPI
1376795344
Entity type
Organization (NPI type 2)
Primary specialty
Obstetrics & Gynecology Physician 207V00000X
License
14713 (MS)
Legal business name
RIVER OAKS MANAGEMENT COMPANY, INC
Practice address
1860 Chadwick Dr
Suite 105
Jackson, MS 39204-3463
Phone
(601) 376-2192
Fax
(601) 376-2193
NPI assigned
Oct 21, 2008
Organization subpart
Yes
Parent organization (as reported)
HEALTH MANAGEMENT ASSOCIATES, INC.

Authorized official

Name
Mr. James P Wright
Title
Sr. Director
Phone
(615) 465-7587

Other NPIs on the same Medicare enrollment 22

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Practitioners 1

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MS

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040407000093 MS Part B Supplier - Clinic/Group Practice 0345233110 Receives reassigned benefits from 75 practitioners
22 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Natchez, MS; Jackson, MS; Magee, MS; Madison, MS; Liberty, MS; Kosciusko, MS; Pearl, MS; Port Gibson, MS…

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207V00000X 14713 MS Yes

Addresses

Primary practice location

1860 Chadwick Dr
Suite 105
Jackson, MS 39204-3463

Mailing address

PO Box 689022
Franklin, TN 37068-9022
Phone (615) 465-7000

Other names

  • Elizabeth Trest, D.O. Obstetrics and Gynecology Doing business as

Other providers in Jackson, MS

All providers in Jackson, MS · Obstetrics & Gynecology Physician in Mississippi

Sources for this page

Verify at the official NPI Registry.