Ostranderson Medical PLLC

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

Legal business name

OSTRANDERSON MEDICAL PLLC

Doing business as

Bespoke Medical

Practice address

2411 South Lamar Blvd
Suite a
Oxford, MS 38655

Phone

(662) 202-7964

NPI assigned

Mar 23, 2022

Organization subpart

Yes

Parent organization

BESPOKE MEDICALAs reported in NPPES

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

Authorized official

Name

Mr. Doug Anderson

Title

Owner

Phone

(662) 202-7964

Specialties & licenses 1

Addresses

Other names 1

• Bespoke Medical Doing business as

Part of

Ostranderson Medical PLLC

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Douglas Porter Anderson, P.A.

  • Physician Assistant
  • Ripley, MS
  • NPI 1235676792
  NPD

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

{
    "created_epoch": "1647993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647993600000",
    "number": "1639828981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 SOUTH LAMAR BLVD",
            "address_2": "SUITE A",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "38655",
            "telephone_number": "662-202-7964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 SOUTH LAMAR BLVD",
            "address_2": "SUITE A",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "38655",
            "telephone_number": "662-202-7964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSTRANDERSON MEDICAL PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BESPOKE MEDICAL",
        "enumeration_date": "2022-03-23",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-21",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-202-7964",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bespoke Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Grace Orman, PHARMD
• Claire Harris Orr
• Orthopaedic Specialists of Mississippi LLC
• Orthoxpress Holdings, LLC
• Shelly Osborn, D.M.D.
• Sonquanetta Long Owens, APN
• Oxford After Hours Clinic, LLC
• Oxford Anesthesia Group
• Oxford Bariatric, General & Metabolic Surgery, PLLC
• Oxford Cardiovascular Physicians, PA

• Addiction Medicine (Family Medicine) Physician in Oxford, MS
• Providers in Oxford, MS by specialty
• Addiction Medicine (Family Medicine) Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; 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.