Individual provider Active NPI

Stephen B. Shoop, M.D.

  • Family Medicine Physician
  • Whitfield, MS
National Provider Identifier
1598700577
Registry record updated Dec 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
14597 Issued in MS
Practice address
3550 Highway 468 West
Whitfield, MS 39193-0157
Phone
(601) 351-8000
Fax
(601) 351-8301
NPI assigned
Jun 16, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mississippi State Hospital at Whitfield 34 clinicians

Practice addresses (Care Compare)

3550 Hwy 468 W
Whitfield, MS 39193-0157
Phone (601) 351-8000

Hospital & facility affiliations

  • Whitfield Medical Surgical Hospital Hospital, Whitfield, MS, CCN 250134
  • University of Mississippi Med Center Hospital, Jackson, MS, CCN 250001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040401000118 MS Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 5092707851 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mississippi State Hospital at Whitfield Current Accepting new patients
Mississippi State Hospital at Whitfield CurrentSince Aug 2, 2024 Accepting new patients
River Oaks Management Company LLC Family Medicine Past Accepting new patients
Mississippi State Hospital at Whitfield Past Accepting new patients
Jaquith Nursing Home - Madison Inn Past Accepting new patients
Jaquith Nursing Home - Jefferson Inn Past Accepting new patients

Locations

3550 Highway 468 W
Whitfield, MS 39193

3550 Highway 468 W
#B60
Whitfield, MS 39193

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 14597 MS Primary

Addresses

NPPES NPI Registry

Primary practice location

3550 Highway 468 West
Whitfield, MS 39193-0157

Mailing address

PO Box 157a
Whitfield, MS 39193-0157
Phone (601) 351-8000

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
00119492MedicaidMS

Other names 1

NPPES NPI Registry
  • Dr. Stephen Bernard Shoop Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 2, 2010.

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291248000000",
    "number": "1598700577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 157A",
            "city": "WHITFIELD",
            "state": "MS",
            "postal_code": "391930157",
            "telephone_number": "601-351-8000",
            "fax_number": "601-351-8301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 HIGHWAY 468 WEST",
            "city": "WHITFIELD",
            "state": "MS",
            "postal_code": "391930157",
            "telephone_number": "601-351-8000",
            "fax_number": "601-351-8301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOOP",
        "first_name": "STEPHEN",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2010-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "14597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00119492",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHEN",
            "last_name": "SHOOP",
            "middle_name": "BERNARD",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Whitfield, MS

Sources for this page

Verify at the official NPI Registry.