Otolaryngology Associates of the Midsouth

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

OTOLARYNGOLOGY ASSOCIATES OF THE MIDSOUTH

Practice address

975 Swinnea Ridge
Suite 1
Southaven, MS 38671

Phone

(662) 349-0448

Fax

(662) 349-7984

NPI assigned

May 4, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Angelia Isabell

Title

Administrator

Phone

(901) 521-6407

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Lawrence Gale Gardner, M.D.

  • Otology & Neurotology Physician
  • Shreveport, LA
  • NPI 1215911516
  NPD (past)

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578775573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 SWINNEA RIDGE",
            "address_2": "SUITE 1",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "38671",
            "telephone_number": "662-349-0448",
            "fax_number": "662-349-7984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 SWINNEA RIDGE",
            "address_2": "SUITE 1",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "38671",
            "telephone_number": "662-349-0448",
            "fax_number": "662-349-7984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTOLARYNGOLOGY ASSOCIATES OF THE MIDSOUTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ISABELL",
        "authorized_official_first_name": "ANGELIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "901-521-6407"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric John Ormseth, M.D.
• Jodie Orr, DPT
• Ortho Express Holding Company, LLC (OrthoXpress of Southaven)
• Ortho Sport & Spine Physicians Southhaven
• Debra Ann Oswalt, CRNA
• Debra Ann Ottens, PT
• Hannah Elizabeth Owens
• Steven Keith Owens, CRNA
• Oxford Outpatient Center, LLC (Oxford Outpatient Center Southaven)
• John C Page, D.D.S., M.S.

• Specialist in Southaven, MS
• Providers in Southaven, MS by specialty
• Specialist in Mississippi

• 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.

Verify at the official NPI Registry.