Active NPI
Mid-South Neurosurgery, Inc.
- Neurological Surgery Physician
- Jonesboro, AR
National Provider Identifier
1518920404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- Legal business name
- MID-SOUTH NEUROSURGERY, INC.
- Practice address
- 800 S. Church
Suite 203
Jonesboro, AR 72401 - Phone
- (870) 932-3850
- Fax
- (870) 932-5699
- NPI assigned
- Apr 11, 2006
- Last updated
- Aug 22, 2020
- 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
- Mr. J Matt Parker
- Title
- President
- Phone
- (870) 932-7024
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | NU | Primary |
Addresses
Primary practice location
800 S. Church
Suite 203
Jonesboro, AR 72401
Mailing address
P.O. Box 6004
Jonesboro, AR 72403
Phone (870) 932-3850
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC9398 | Other | AR | RAILROAD |
National Provider Directory
National Provider DirectoryLocations
800 S Church St
Fl 2
Jonesboro, AR 72401
Phone (870) 879-2431
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Physician
- Rogers, AR
- NPI 1346297488
-
- Neurological Surgery Physician
- Traverse City, MI
- NPI 1427153329
-
- Neurological Surgery Physician
- Topeka, KS
- NPI 1598728826
-
- Neurological Surgery Physician
- Albuquerque, NM
- NPI 1679526933
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144713600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1518920404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 6004",
"city": "JONESBORO",
"state": "AR",
"postal_code": "72403",
"telephone_number": "870-932-3850",
"fax_number": "870-932-5699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 S. CHURCH",
"address_2": "SUITE 203",
"city": "JONESBORO",
"state": "AR",
"postal_code": "72401",
"telephone_number": "870-932-3850",
"fax_number": "870-932-5699"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MID-SOUTH NEUROSURGERY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-11",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PARKER",
"authorized_official_first_name": "J",
"authorized_official_middle_name": "MATT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "870-932-7024",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "DC9398",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jonesboro, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.