NPIMap

Organization Active NPI

Pioneer Health Services of Monroe County, Inc.

Doing business as Pioneer Surgical Clinic of Aberdeen

  • Clinic/Center
  • Aberdeen, MS
National Provider Identifier
1760880785
Registry record updated Nov 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
16230 Issued in MS
Legal business name
PIONEER HEALTH SERVICES OF MONROE COUNTY, INC.
Doing business as
Pioneer Surgical Clinic of Aberdeen
Practice address
502 S Chestnut St
Aberdeen, MS 39730-3337
Phone
(662) 369-9501
NPI assigned
Dec 8, 2014
Last updated
Nov 16, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
PIONEER HEALTH SERVICES OF MONROE COUNTY, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 16, 2015

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

Authorized official

Name
Joseph S McNulty III
Title
Ceo
Phone
(601) 849-6440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 16230 MS Primary

Addresses

Primary practice location

502 S Chestnut St
Aberdeen, MS 39730-3337

Mailing address

502 S Chestnut St
Aberdeen, MS 39730-3337
Phone (662) 369-9501

Other names 1

  • Pioneer Surgical Clinic of Aberdeen Doing business as

National Provider Directory

National Provider Directory
Part of
Pioneer Family Pharmacy

Locations

403 S Chestnut St
Aberdeen, MS 39730
Phone (662) 369-9500

405 S Chestnut St
Aberdeen, MS 39730
Phone (601) 319-2000

Practitioners & affiliated clinicians

Practitioners 1

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": "1417996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447632000000",
    "number": "1760880785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 S CHESTNUT ST",
            "city": "ABERDEEN",
            "state": "MS",
            "postal_code": "397303337",
            "telephone_number": "662-369-9501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 S CHESTNUT ST",
            "city": "ABERDEEN",
            "state": "MS",
            "postal_code": "397303337",
            "telephone_number": "662-369-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER HEALTH SERVICES OF MONROE COUNTY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PIONEER HEALTH SERVICES OF MONROE COUNTY, INC.",
        "enumeration_date": "2014-12-08",
        "last_updated": "2015-11-16",
        "status": "A",
        "authorized_official_last_name": "MCNULTY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "601-849-6440",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MS",
            "license": "16230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pioneer Surgical Clinic of Aberdeen",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aberdeen, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2015; 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.