Active NPI
Maria Veronica Masilungan Valdez, M.D.
- Pediatrics Physician
- Tupelo, MS
National Provider Identifier
1679678312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 13813
- Practice address
- 1573 Medical Park Cir
Tupelo, MS 38801-6580 - Phone
- (662) 844-9885
- Fax
- (662) 842-1350
- NPI assigned
- Sep 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 13813 | MS | Primary |
Addresses
Primary practice location
1573 Medical Park Cir
Tupelo, MS 38801-6580
Mailing address
1573 Medical Park Cir
Tupelo, MS 38801-6580
Phone (662) 844-9885
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00113994 | Medicaid | MS |
Other names 1
- Dr. Veronica Valdez Wiseman
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13813 | MS | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Mississippi Medical Center Inc | Current | Accepting new patients | |
| North Mississippi Medical Center, Inc. | Current | Accepting new patients | |
| North Mississippi Medcial Center, Inc. | Current | Accepting new patients | |
| Pontotoc Health Services, Inc. | Current | Accepting new patients | |
| Pontotoc Health Services, Inc. | Current | Accepting new patients | |
| Pontotoc Health Services, Inc. | Current | Accepting new patients | |
| Amory Surgery Clinic, PLLC | Past | Accepting new patients |
Locations
202 Main St
Ecru, MS 38841
Phone (662) 489-4345
830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136
1573 Medical Park Cir
Tupelo, MS 38801
Phone (662) 419-2313
Interoperability endpoints
- mariavaldez@nmhs.medalliesdirect.net
Organizations & group practices 7
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.
-
- Psychologist
- Tupelo, MS
- NPI 1972608347
-
- Critical Access Hospital
- Pontotoc, MS
- NPI 1821103516
-
- Diagnostic Radiology Physician
- Tupelo, MS
- NPI 1902762487
-
- Neurology Physician
- Tupelo, MS
- NPI 1871101378
-
- Rural Health Clinic/Center
- Ecru, MS
- NPI 1053728139
-
- Critical Access Hospital
- Pontotoc, MS
- NPI 1962512871
-
- Surgery Physician
- Amory, MS
- NPI 1821441080
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250640000000",
"number": "1679678312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1573 MEDICAL PARK CIR",
"city": "TUPELO",
"state": "MS",
"postal_code": "388016580",
"telephone_number": "662-844-9885",
"fax_number": "662-842-1350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1573 MEDICAL PARK CIR",
"city": "TUPELO",
"state": "MS",
"postal_code": "388016580",
"telephone_number": "662-844-9885",
"fax_number": "662-842-1350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALDEZ",
"first_name": "MARIA VERONICA",
"middle_name": "MASILUNGAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-14",
"last_updated": "2009-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MS",
"license": "13813",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00113994",
"state": "MS"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "VERONICA",
"last_name": "WISEMAN",
"middle_name": "VALDEZ",
"prefix": "DR.",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Tupelo, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2009; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.