Organization Active NPI

Oxford Clinic for Women

  • Specialist
  • Oxford, MS
National Provider Identifier
1508999871
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
OXFORD CLINIC FOR WOMEN
Practice address
2610 S. Lamar Blvd
Oxford, MS 38655-5243
Phone
(662) 234-1731
Fax
(662) 236-2392
NPI assigned
Mar 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ronald Blake Smith, MD
Title
Owner
Phone
(662) 234-1731

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X MS
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X MS Primary

Addresses

Primary practice location

2610 S. Lamar Blvd
Oxford, MS 38655-5243

Mailing address

2610 S. Lamar Blvd
Oxford, MS 38655-5243
Phone (662) 234-1731

Other identifiers 2

IdentifierTypeStateIssuer
09011044OtherGROUP # CAID
09011044MedicaidMS

National Provider Directory

National Provider Directory

Locations

2200 S Lamar Blvd
#C
Oxford, MS 38655
Phone (662) 234-1731

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.95004

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1508999871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2610 S. LAMAR BLVD",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555243",
            "telephone_number": "662-234-1731",
            "fax_number": "662-236-2392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2610 S. LAMAR BLVD",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555243",
            "telephone_number": "662-234-1731",
            "fax_number": "662-236-2392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OXFORD CLINIC FOR WOMEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2022-07-21",
        "certification_date": "2020-04-03",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "BLAKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-234-1731",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "MS",
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP # CAID",
            "identifier": "09011044",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09011044",
            "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 Jul 21, 2022; 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.