Mississippi Surgical Center LP

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

007 Issued in MS

Legal business name

MISSISSIPPI SURGICAL CENTER LP

Doing business as

Mississippi Surgical Center

Practice address

1421 N State St
Jackson, MS 39202-1658

Phone

(601) 353-8000

Fax

(601) 948-2507

NPI assigned

Nov 9, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Richard L Sharff Jr.

Title

Vice President

Phone

(205) 545-2572

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mississippi Surgical Center Doing business as

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282780800000",
    "number": "1396726097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 N STATE ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392021658",
            "telephone_number": "601-353-8000",
            "fax_number": "601-948-2507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 N STATE ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392021658",
            "telephone_number": "601-353-8000",
            "fax_number": "601-948-2507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSISSIPPI SURGICAL CENTER LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-09",
        "last_updated": "2010-08-26",
        "status": "A",
        "authorized_official_last_name": "SHARFF",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "205-545-2572",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MS",
            "license": "007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00074065",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mississippi Surgical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mississippi State Department of Health (S B H - Dental Clinic)
• Mississippi State Department of Health
• Mississippi State Department of Health
• Mississippi State Hospital (Lighthouse Medical Clinic)
• Mississippi State Hospital at Whitfield (Mississippi State Hospital Community Services Mental Health)
• Mississippi Urology Clinic, PLLC
• Mississippi Urology Outpatient Surgery Center, LLC
• Mississippi Vascular Center, PLLC
• Mississippi Vision Center
• Mitchell Myers, M.D. (Mississippi Headache Center)

• Ambulatory Surgical Clinic/Center in Jackson, MS
• Providers in Jackson, 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 26, 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.