Active NPI
Michael Hogin Lovelace, M.D.
- Vascular Surgery Physician
- Oxford, MS
National Provider Identifier
1679504476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 09150
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00017593 | Medicaid | MS |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General 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
- Arden Home Health of North Mississippi, LLC
- Baptist Memorial Hospital North Ms
- Baptist Memorial Hospital Union County
- Yalobusha General Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 620 |
| Removal of skin lesions | 37 |
| Skin biopsy | 11 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09150 | MS | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Surgery Consultants of Oxford | Surgery | Current | Accepting new patients |
Locations
2169 S Lamar Blvd
Oxford, MS 38655
Phone (662) 234-1530
Interoperability endpoints
- 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.
-
- Vascular Surgery Physician
- Oxford, MS
- NPI 1124241401
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Oxford, MS
- NPI 1093555344
-
- General Acute Care Hospital
- Oxford, MS
- NPI 1053375576
-
- General Acute Care Hospital
- New Albany, MS
- NPI 1780648352
-
- Home Health Agency
- Batesville, MS
- NPI 1275068959
-
- General Acute Care Hospital
- Water Valley, MS
- NPI 1649397308
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.