Desoto Surgery Clinic LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

DESOTO SURGERY CLINIC LLC

Practice address

7580 Clarington CV
Southaven, MS 38671

Phone

(662) 536-1545

Fax

(662) 536-8220

NPI assigned

Aug 1, 2006

Organization subpart

No

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

Authorized official

Name

Michael E Foster, MDNPI 1447397427

Title

Medical Director

Phone

(662) 536-1545

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Michael E. Foster, M.D.

  • Surgery Physician
  • Olive Branch, MS
  • NPI 1447397427
  NPD (past) Authorized official

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205452800000",
    "number": "1528074184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7580 CLARINGTON CV",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "38671",
            "telephone_number": "662-536-1545",
            "fax_number": "662-536-8220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7580 CLARINGTON CV",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "38671",
            "telephone_number": "662-536-1545",
            "fax_number": "662-536-8220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESOTO SURGERY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2008-03-14",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "662-536-1545",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08232036",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Desoto Family Wellness Center, LLC
• Desoto Familycounseling Center
• Desoto Healthcare Inc
• Desoto Heart Clinic, PC
• Desoto Osteopathic
• Desoto Therapy, Inc.
• Desoto Thyroid and Endocrinology
• Desoto Urgent Care Clinic, LLC
• Desoto Wellness Clinic LLC
• Desoto Womens Care Center, PLLC

• All providers in Southaven, MS
• Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2008; 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.