NPIMap

Organization Active NPI

Hospitalist Services of Meridian PA

  • Hospitalist Physician
  • Meridian, MS
National Provider Identifier
1639629777
Registry record updated Jan 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
Legal business name
HOSPITALIST SERVICES OF MERIDIAN PA
Practice address
2124 14TH St
Meridian, MS 39301-4040
Phone
(601) 553-6000
Fax
(901) 795-6060
NPI assigned
Oct 13, 2016
Last updated
Jan 6, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2022

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

Authorized official

Name
Sanford Glantz, MD
Title
Owner
Phone
(901) 795-3600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208M00000X Primary

Addresses

Primary practice location

2124 14TH St
Meridian, MS 39301-4040

Mailing address

1201 W Swann Ave
Tampa, FL 33606-2639
Phone (813) 253-5400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170316002383 MS Part B Supplier - Clinic/Group Practice 3274818042 Receives reassigned benefits from 92 practitioners
Practice locations: Meridian, MS

National Provider Directory

National Provider Directory

Locations

4728 Spottswood Ave
Memphis, TN 38117
Phone (901) 203-0080

Practitioners & affiliated clinicians

Practitioners 92

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.

View all 92

NPI Registry JSON

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

{
    "created_epoch": "1476316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641427200000",
    "number": "1639629777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 W SWANN AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336062639",
            "telephone_number": "813-253-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2124 14TH ST",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393014040",
            "telephone_number": "601-553-6000",
            "fax_number": "901-795-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPITALIST SERVICES OF MERIDIAN PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-13",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A",
        "authorized_official_last_name": "GLANTZ",
        "authorized_official_first_name": "SANFORD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-795-3600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.