Active NPI
Matthew Aaron Ward, D.O.
- Family Medicine Physician
- Meridian, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- T-3254
- Practice address
- 2514 67TH Avenue Loop
Suite 112
Meridian, MS 39307-7259 - Phone
- (601) 482-4955
- NPI assigned
- Jun 16, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | T-3254 | MS | |
| Family Medicine Physician | 207Q00000X | T-3254 | MS | Primary |
Addresses
Primary practice location
2514 67TH Avenue Loop
Suite 112
Meridian, MS 39307-7259
Mailing address
2514 67TH Avenue Loop
Suite 112
Meridian, MS 39307-7259
Phone (601) 482-4955
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T-3254 | MS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neshoba County General Hospital | Current | Accepting new patients | |
| Mississippi Band of Choctaw Indians | Current | Accepting new patients | |
| Mississippi Band of Choctaw Indians | Current | Accepting new patients | |
| Mississippi Band of Choctaw Indians | Current | Accepting new patients | |
| Neshoba County General Hospital | Current | Accepting new patients | |
| Mississippi Band of Choctaw Indians | Current | Accepting new patients | |
| Neshoba County General Hospital | Current | Accepting new patients | |
| Leake Emergency Group, LLC | Current | Accepting new patients | |
| Mississippi Band of Choctaw Indians | Current | Accepting new patients |
Locations
1100 Highway 16 E
Carthage, MS 39051
Phone (601) 267-1100
1930 N Pearl St
Carthage, MS 39051
Phone (601) 287-6639
210 Hospital Cir
Choctaw, MS 39350
Phone (601) 389-4500
376 Campus Rd
Conehatta, MS 39057
Phone (601) 389-4500
124 Big Creek Cir
Philadelphia, MS 39350
Phone (601) 389-4500
1001 Holland Ave
Philadelphia, MS 39350
Phone (601) 663-1200
Interoperability endpoints
- matthew.ward.1@18357.direct.athenahealth.com
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Carthage, MS
- NPI 1669028130
-
- Certified Registered Nurse Anesthetist
- Philadelphia, MS
- NPI 1114057247
-
- Federal Public Health Clinic/Center
- Conehatta, MS
- NPI 1013092600
-
- Federal Public Health Clinic/Center
- Philadelphia, MS
- NPI 1144305731
-
- Federal Public Health Clinic/Center
- Carthage, MS
- NPI 1275611543
-
- Ambulance
- Choctaw, MS
- NPI 1548358153
-
- Emergency Medical Services (Emergency Medicine) Physician
- Philadelphia, MS
- NPI 1003946138
-
- Critical Access Hospital
- Philadelphia, MS
- NPI 1083659734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470268800000",
"number": "1457701864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2514 67TH AVENUE LOOP",
"address_2": "SUITE 112",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393077259",
"telephone_number": "601-482-4955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2514 67TH AVENUE LOOP",
"address_2": "SUITE 112",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393077259",
"telephone_number": "601-482-4955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARD",
"first_name": "MATTHEW",
"middle_name": "AARON",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-06-16",
"last_updated": "2016-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MS",
"license": "T-3254",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MS",
"license": "T-3254",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Meridian, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.