Individual provider Active NPI

Michael Hogin Lovelace, M.D.

  • Vascular Surgery Physician
  • Oxford, MS
National Provider Identifier
1679504476
Registry record updated Mar 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
09150 Issued in MS
Practice address
2169 S Lamar Blvd
Oxford, MS 38655-5223
Phone
(662) 234-1530
Fax
(662) 236-0028
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 09150 MS Primary
Surgery Physician 208600000X 09150 MS
Colon & Rectal Surgery Physician 208C00000X 09150 MS

Addresses

Primary practice location

2169 S Lamar Blvd
Oxford, MS 38655-5223

Mailing address

2169 S Lamar Blvd
Oxford, MS 38655-5223
Phone (662) 234-1530

Other identifiers 1

IdentifierTypeStateIssuer
00017593MedicaidMS

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
I20100915000917 MS Practitioner - General SurgeryPractitioner - Vascular Surgery 5092814558 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Vascular Surgery
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2169 S Lamar Blvd
Oxford, MS 38655-5223
Phone (662) 234-1530

Hospital & facility affiliations

  • Baptist Home Care and Hospice North Mississippi Home health agency, Batesville, MS, CCN 257114
  • Arden Home Health of North Mississippi, LLC Home health agency, Oxford, MS, CCN 257311
  • Baptist Memorial Hospital North Ms Hospital, Oxford, MS, CCN 250034
  • Baptist Memorial Hospital Union County Hospital, New Albany, MS, CCN 250006
  • Yalobusha General Hospital Hospital, Water Valley, MS, CCN 250061

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue620
Removal of skin lesions37
Skin biopsy11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
09150MSMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Surgery Consultants of Oxford Surgery CurrentSince Feb 1, 1988 Accepting new patients

Locations

2169 S Lamar Blvd
Oxford, MS 38655
Phone (662) 234-1530

Interoperability endpoints

  • Direct secure messaging: mlovelace13190@direct.bmhcc.org

Organizations & group practices 1

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 5

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

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206576000000",
    "number": "1679504476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2169 S LAMAR BLVD",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555223",
            "telephone_number": "662-234-1530",
            "fax_number": "662-236-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2169 S LAMAR BLVD",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555223",
            "telephone_number": "662-234-1530",
            "fax_number": "662-236-0028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVELACE",
        "first_name": "MICHAEL",
        "middle_name": "HOGIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2008-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MS",
            "license": "09150",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MS",
            "license": "09150",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "MS",
            "license": "09150",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00017593",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, MS

Sources for this page

Verify at the official NPI Registry.