Organization Active NPI

Oxford Cardiovascular Physicians, PA

  • Cardiovascular Disease Physician
  • Oxford, MS
National Provider Identifier
1568519957
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
OXFORD CARDIOVASCULAR PHYSICIANS, PA
Practice address
551 Azalea Dr
Oxford, MS 38655-7900
Phone
(662) 234-0332
Fax
(662) 234-2891
NPI assigned
Jan 5, 2007
Last updated
Jun 21, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Ms. Laura Fowlkes, M.D.
Title
Physician
Phone
(662) 234-0332

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X Primary

Addresses

Primary practice location

551 Azalea Dr
Oxford, MS 38655-7900

Mailing address

551 Azalea Dr
Oxford, MS 38655-7900
Phone (662) 234-0332

Other identifiers 2

IdentifierTypeStateIssuer
116108MedicaidMS
60000407OtherMSMEDICARE UNSPECIFIED

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1568519957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 AZALEA DR",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386557900",
            "telephone_number": "662-234-0332",
            "fax_number": "662-234-2891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 AZALEA DR",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386557900",
            "telephone_number": "662-234-0332",
            "fax_number": "662-234-2891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OXFORD CARDIOVASCULAR PHYSICIANS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "FOWLKES",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "662-234-0332",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116108",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE UNSPECIFIED",
            "identifier": "60000407",
            "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 Jun 21, 2018; 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.