Active NPI
Parkway Family Medicine
- Primary Care Clinic/Center
- Ridgeland, MS
National Provider Identifier
1528291341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 16022
- Legal business name
- PARKWAY FAMILY MEDICINE
- Practice address
- 100 Business Park Dr Ste a
Ridgeland, MS 39157-6015 - Phone
- (601) 991-3040
- Fax
- (601) 991-3399
- NPI assigned
- Aug 27, 2009
- 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
- Joyce Olutade, M.D.
- Title
- Physician
- Phone
- (601) 991-3040
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 16022 | MS | Primary |
Addresses
Primary practice location
100 Business Park Dr Ste a
Ridgeland, MS 39157-6015
Mailing address
100 Business Park Dr Ste a
Ridgeland, MS 39157-6015
Phone (601) 991-3040
National Provider Directory
National Provider DirectoryLocations
100 Business Park Dr
Ste Ab
Ridgeland, MS 39157
Phone (601) 991-3040
100 Business Park Dr
Ridgeland, MS 39157
Phone (601) 956-6228
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251331200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1251331200000",
"number": "1528291341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 BUSINESS PARK DR STE A",
"city": "RIDGELAND",
"state": "MS",
"postal_code": "391576015",
"telephone_number": "601-991-3040",
"fax_number": "601-991-3399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 BUSINESS PARK DR STE A",
"city": "RIDGELAND",
"state": "MS",
"postal_code": "391576015",
"telephone_number": "601-991-3040",
"fax_number": "601-991-3399"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARKWAY FAMILY MEDICINE",
"organizational_subpart": "NO",
"enumeration_date": "2009-08-27",
"last_updated": "2009-08-27",
"status": "A",
"authorized_official_last_name": "OLUTADE",
"authorized_official_first_name": "JOYCE",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "601-991-3040",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "MS",
"license": "16022",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ridgeland, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.