Active NPI
Jeanette Zurawski, M.D. PA
- Physical Medicine & Rehabilitation Physician
- Tupelo, MS
National Provider Identifier
1427209733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 12070
- Legal business name
- JEANETTE ZURAWSKI, M.D. PA
- Practice address
- 637 W Main St
Tupelo, MS 38804-3732 - Phone
- (662) 680-6475
- Fax
- (662) 680-8607
- NPI assigned
- Oct 6, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jeanette Zurawski, M.D.
- Title
- President
- Phone
- (662) 680-6475
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 12070 | MS | Primary |
Addresses
Primary practice location
637 W Main St
Tupelo, MS 38804-3732
Mailing address
637 W Main St
Tupelo, MS 38804-3732
Phone (662) 680-6475
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04837767 | Medicaid | MS | |
| 390561728 | Other | MS | BLUE CROSS/BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
637 W Main St
Tupelo, MS 38804
Phone (662) 680-6475
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223251200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1223251200000",
"number": "1427209733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "637 W MAIN ST",
"city": "TUPELO",
"state": "MS",
"postal_code": "388043732",
"telephone_number": "662-680-6475",
"fax_number": "662-680-8607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "637 W MAIN ST",
"city": "TUPELO",
"state": "MS",
"postal_code": "388043732",
"telephone_number": "662-680-6475",
"fax_number": "662-680-8607"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEANETTE ZURAWSKI, M.D. PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-06",
"last_updated": "2008-10-06",
"status": "A",
"authorized_official_last_name": "ZURAWSKI",
"authorized_official_first_name": "JEANETTE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "662-680-6475",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "MS",
"license": "12070",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04837767",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "390561728",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tupelo, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.