Organization Active NPI

Maxem Health Urgent Care Pearl

  • Urgent Care Clinic/Center
  • Pearl, MS
National Provider Identifier
1437662327
Registry record updated Nov 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
MAXEM HEALTH URGENT CARE PEARL
Doing business as
Pearl Urgent Care
Practice address
2917 Highway 80 E
Pearl, MS 39208-3410
Phone
(228) 223-1927
Fax
(228) 223-1927
NPI assigned
Nov 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2017

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

Authorized official

Name
Ronnie Ali, DO
Title
Owner
Phone
(228) 223-1927

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

2917 Highway 80 E
Pearl, MS 39208-3410

Mailing address

PO Box 1248
Ocean Springs, MS 39566-1248

Other names 1

  • Pearl Urgent Care Doing business as

National Provider Directory

National Provider Directory

Locations

2917 Highway 80 E
Pearl, MS 39208

NPI Registry JSON

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

{
    "created_epoch": "1510617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510617600000",
    "number": "1437662327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1248",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395661248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2917 HIGHWAY 80 E",
            "city": "PEARL",
            "state": "MS",
            "postal_code": "392083410",
            "telephone_number": "228-223-1927",
            "fax_number": "228-223-1927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXEM HEALTH URGENT CARE PEARL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-14",
        "last_updated": "2017-11-14",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "RONNIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "228-223-1927",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearl Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pearl, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.