Magnolia Medical Center

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

16638 Issued in MS

Legal business name

MAGNOLIA MEDICAL CENTER

Practice address

3612 Groveland Rd
Ocean Springs, MS 39564

Phone

(228) 872-5551

NPI assigned

Jun 23, 2005

Last updated

Jul 10, 2007By 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

Evan L Summers, D.O.NPI 1922074384

Title

Owner

Phone

(228) 872-5551

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• Evan L. Summers, DO

  • Hospitalist Physician
  • Oxford, MS
  • NPI 1922074384

  Internal Medicine

  NPD (past) Authorized official
• Tricia K Aultman, M.D.

  • Internal Medicine Physician
  • Pascagoula, MS
  • NPI 1346322880
  NPD (past)

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184025600000",
    "number": "1588660674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1797",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395661797",
            "telephone_number": "228-872-5551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3612 GROVELAND RD",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "39564",
            "telephone_number": "228-872-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-23",
        "last_updated": "2007-07-10",
        "status": "A",
        "authorized_official_last_name": "SUMMERS",
        "authorized_official_first_name": "EVAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "228-872-5551",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "16638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09015939",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kayla Marie Lynch, RBT
• M Aftab Anwar
• Brian Curtis Maddox, D.O.
• Magnolia Counseling Center & Services, LLC
• Magnolia Imaging LLC
• Magnolia Psychiatric PA
• Magnolia Tides Counseling and Consulting
• Maitri Mental Health
• Rhyannen A Majo Smith
• Erum Zafar Malik, MD

• Internal Medicine Physician in Ocean Springs, MS
• Providers in Ocean Springs, MS by specialty
• Internal Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; 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.