NPIMap

Organization Active NPI

Mississippi Visiting Physicians, LLC

  • Family Medicine Physician
  • Cleveland, MS
National Provider Identifier
1679843676
Registry record updated Jan 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MISSISSIPPI VISITING PHYSICIANS, LLC
Practice address
103 S Court St
Suite 118
Cleveland, MS 38732-2651
Phone
(662) 843-6606
Fax
(662) 843-0002
NPI assigned
Jan 6, 2012
Last updated
Jan 6, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2012

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

Authorized official

Name
Mr. Zeyad KassemNPI 1790106870
Title
President
Phone
(248) 830-4662

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

103 S Court St
Suite 118
Cleveland, MS 38732-2651

Mailing address

311 N Berkshire Rd
Bloomfield Hills, MI 48302-0401
Phone (248) 830-4662

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1325808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325808000000",
    "number": "1679843676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 N BERKSHIRE RD",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020401",
            "telephone_number": "248-830-4662",
            "fax_number": "248-322-9972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 S COURT ST",
            "address_2": "SUITE 118",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387322651",
            "telephone_number": "662-843-6606",
            "fax_number": "662-843-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSISSIPPI VISITING PHYSICIANS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-06",
        "last_updated": "2012-01-06",
        "status": "A",
        "authorized_official_last_name": "KASSEM",
        "authorized_official_first_name": "ZEYAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-830-4662",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.