Organization Active NPI

Jeanette Zurawski, M.D. PA

  • Physical Medicine & Rehabilitation Physician
  • Tupelo, MS
National Provider Identifier
1427209733
Registry record updated Oct 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
12070 Issued in MS
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

Updated by the provider on Oct 6, 2008

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)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
04837767MedicaidMS
390561728OtherMSBLUE CROSS/BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.