Active NPI
Flowood Medical Management LLC
- Vascular Surgery Physician
- Flowood, MS
National Provider Identifier
1457714172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- Legal business name
- FLOWOOD MEDICAL MANAGEMENT LLC
- Practice address
- 4800 Lakeland Dr
Flowood, MS 39232-8694 - Phone
- (601) 953-5256
- NPI assigned
- Mar 30, 2016
- 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
- Shane Tapper
- Title
- Owner
- Phone
- (601) 953-5256
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | Primary |
Addresses
Primary practice location
4800 Lakeland Dr
Flowood, MS 39232-8694
Mailing address
111 Belle Meade PT Ste B
Flowood, MS 39232-3337
Other names 1
- Evexia Vein Center
National Provider Directory
National Provider DirectoryLocations
111 Belle Meade Pt
Ste B
Flowood, MS 39232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459296000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1459296000000",
"number": "1457714172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 BELLE MEADE PT STE B",
"city": "FLOWOOD",
"state": "MS",
"postal_code": "392323337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4800 LAKELAND DR",
"city": "FLOWOOD",
"state": "MS",
"postal_code": "392328694",
"telephone_number": "601-953-5256"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FLOWOOD MEDICAL MANAGEMENT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-30",
"last_updated": "2016-03-30",
"status": "A",
"authorized_official_last_name": "TAPPER",
"authorized_official_first_name": "SHANE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "601-953-5256"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Vascular Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Evexia Vein Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Flowood, MS
- William Craig Flowers, M.D.
- Flowood Drug Company, LLC
- Flowood Drug Company, LLC
- Flowood Family Medicine, PLLC
- Flowood HB Medical Services LLC
- Flowood Mississippi Imaging LLC
- Flowood Pain Center, LLC
- Flowood River Oaks Hma Medical Group, LLC
- Flowood River Oaks Hma Medical Group, LLC
- Flowood River Oaks Hma Medical Group, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.