Desoto Heart Clinic, PC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

16862 Issued in MS

Legal business name

DESOTO HEART CLINIC, PC

Practice address

391 Southcrest Cir
Suite 209
Southaven, MS 38671-6730

Phone

(662) 536-3610

NPI assigned

Apr 2, 2012

Organization subpart

No

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

Authorized official

Name

Edward M Evans, MD

Title

Owner/President

Phone

(662) 536-3610

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1333324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335830400000",
    "number": "1649536889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "391 SOUTHCREST CIR",
            "address_2": "SUITE 209",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386716730",
            "telephone_number": "662-536-3610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 SOUTHCREST CIR",
            "address_2": "SUITE 209",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386716730",
            "telephone_number": "662-536-3610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESOTO HEART CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-02",
        "last_updated": "2012-05-01",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "662-536-3610",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MS",
            "license": "16862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desoto Family Medical Center
• Desoto Family Vision PLLC
• Desoto Family Wellness Center, LLC
• Desoto Familycounseling Center
• Desoto Healthcare Inc
• Desoto Osteopathic
• Desoto Surgery Clinic LLC
• Desoto Therapy, Inc.
• Desoto Thyroid and Endocrinology
• Desoto Urgent Care Clinic, LLC

• All providers in Southaven, MS
• Cardiovascular Disease Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2012; 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.