Organization Active NPI

Singing River Radiology Group, PA

  • Diagnostic Radiology Physician
  • Pascagoula, MS
National Provider Identifier
1396762209
Registry record updated Jun 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
SINGING RIVER RADIOLOGY GROUP, PA
Practice address
2809 Denny Ave
Pascagoula, MS 39581-5301
Phone
(228) 762-1353
NPI assigned
Jul 16, 2006
Last updated
Jun 22, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2017

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

Authorized official

Name
Mrs. Lujean Trumble
Title
Business Manager
Phone
(228) 762-1353

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X
Diagnostic Radiology Physician 2085R0202X Primary

Addresses

Primary practice location

2809 Denny Ave
Pascagoula, MS 39581-5301

Mailing address

1365 Market St
Pascagoula, MS 39567-6604
Phone (228) 762-1353

Other identifiers 2

IdentifierTypeStateIssuer
000020543MedicaidAL
09014278MedicaidMS

National Provider Directory

National Provider Directory

Locations

1500 1st Ave N
Ste R112
Birmingham, AL 35203
Phone (205) 802-5455

3535 Bienville Blvd
Ocean Springs, MS 39564
Phone (228) 818-1111

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498089600000",
    "number": "1396762209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1365 MARKET ST",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395676604",
            "telephone_number": "228-762-1353",
            "fax_number": "228-762-1359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2809 DENNY AVE",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395815301",
            "telephone_number": "228-762-1353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SINGING RIVER RADIOLOGY GROUP, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2017-06-22",
        "status": "A",
        "authorized_official_last_name": "TRUMBLE",
        "authorized_official_first_name": "LUJEAN",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "228-762-1353",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000020543",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09014278",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pascagoula, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2017; 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.