NPIMap

Organization Active NPI

Oxford Lung Physicians, P.a.

  • Pulmonary Disease Physician
  • Oxford, MS
National Provider Identifier
1508914102
Registry record updated Sep 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
12109,17162,R862053 Issued in MS
Legal business name
OXFORD LUNG PHYSICIANS, P.A.
Practice address
2301 S Lamar Blvd Ste 100
2301 S Lamar Blvd Ste 100
Oxford, MS 38655-5373
Phone
(662) 234-0119
Fax
(662) 234-0090
NPI assigned
Jan 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2007

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

Authorized official

Name
Dr. Jeffrey N EvansNPI 1053414326
Title
President Owner
Phone
(662) 234-0119

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X 12109,17162,R862053 MS Primary

Addresses

Primary practice location

2301 S Lamar Blvd Ste 100
2301 S Lamar Blvd Ste 100
Oxford, MS 38655-5373

Mailing address

PO Box 768
2301 S Lamar Blvd. Ste 100
Oxford, MS 38655-0768
Phone (662) 234-0119

Other identifiers 5

IdentifierTypeStateIssuer
07906092MedicaidMS
00115527MedicaidMS
P00239013OtherMSMCR UNITED HEALTHCARE
05132705MedicaidMS
P00143146OtherMSMCR UNITED HEALTHCARE

National Provider Directory

National Provider Directory

Locations

1203 Belk Blvd
Ste 100
Oxford, MS 38655
Phone (601) 234-0119

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188950400000",
    "number": "1508914102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 768",
            "address_2": "2301 S LAMAR BLVD. STE 100",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386550768",
            "telephone_number": "662-234-0119",
            "fax_number": "662-234-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 S LAMAR BLVD STE 100",
            "address_2": "2301 S LAMAR BLVD STE 100",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555373",
            "telephone_number": "662-234-0119",
            "fax_number": "662-234-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OXFORD LUNG PHYSICIANS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-09-05",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT  OWNER",
        "authorized_official_telephone_number": "662-234-0119",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MS",
            "license": "12109,17162,R862053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07906092",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00115527",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCR UNITED HEALTHCARE",
            "identifier": "P00239013",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05132705",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCR UNITED HEALTHCARE",
            "identifier": "P00143146",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2007; 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.