Active NPI
Radiology Associates of Oxford - PA
- Diagnostic Radiology Physician
- Oxford, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- RADIOLOGY ASSOCIATES OF OXFORD - PA
- Practice address
- 2301 S Lamar Blvd
Oxford, MS 38655-5373 - Phone
- (662) 232-8100
- Fax
- (901) 753-2896
- NPI assigned
- May 26, 2006
- Last updated
- Dec 10, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stuart Todd Roth
- Title
- MD
- Phone
- (662) 232-8158
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | NU | Primary |
Addresses
Primary practice location
2301 S Lamar Blvd
Oxford, MS 38655-5373
Mailing address
791 Walnut Knoll LN
2ND FL
Cordova, TN 38018-8839
Phone (901) 755-7001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00115759 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, GA, DC, FL, IL, LA, AR, VA, CA, PA, NV
Enrollment records 11
National Provider Directory
National Provider DirectoryLocations
1202 Office Park Dr
Ste B
Oxford, MS 38655
Phone (662) 234-5545
791 Walnut Knoll Ln
Ste 2
Cordova, TN 38018
Phone (800) 274-7777
Practitioners & affiliated clinicians
Practitioners 29
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.
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- Diagnostic Radiology Physician
- Oxford, MS
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- Diagnostic Radiology Physician
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- Diagnostic Radiology Physician
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- Diagnostic Radiology Physician
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- Vascular & Interventional Radiology Physician
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Diagnostic Radiology
-
- Diagnostic Radiology Physician
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- Diagnostic Radiology Physician
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- Diagnostic Radiology Physician
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- Diagnostic Radiology Physician
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1639094400000",
"number": "1750337143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "791 WALNUT KNOLL LN",
"address_2": "2ND FL",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380188839",
"telephone_number": "901-755-7001",
"fax_number": "901-753-2896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 S LAMAR BLVD",
"city": "OXFORD",
"state": "MS",
"postal_code": "386555373",
"telephone_number": "662-232-8100",
"fax_number": "901-753-2896"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RADIOLOGY ASSOCIATES OF OXFORD - PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-26",
"last_updated": "2021-12-10",
"certification_date": "2021-12-10",
"status": "A",
"authorized_official_last_name": "ROTH",
"authorized_official_first_name": "STUART",
"authorized_official_middle_name": "TODD",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "662-232-8158"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00115759",
"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 Dec 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.