Spine Medical Center of Jackson

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

10893 Issued in MS

Legal business name

SPINE MEDICAL CENTER OF JACKSON

Practice address

1151 N State St
Suite 508
Jackson, MS 39202-2407

Phone

(601) 948-8293

Fax

(601) 948-8296

NPI assigned

Apr 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Howard Tuck Katz, M.D.

Title

Dr.

Phone

(601) 948-8293

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780804351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2156",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395052156",
            "telephone_number": "228-865-4731",
            "fax_number": "228-863-5616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 N STATE ST",
            "address_2": "SUITE 508",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392022407",
            "telephone_number": "601-948-8293",
            "fax_number": "601-948-8296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE MEDICAL CENTER OF JACKSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KATZ",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "TUCK",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "601-948-8293",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MS",
            "license": "10893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessie Moorefield Spencer, M.D.
• Latasha Spencer
• Lisa Spencer
• Teresa Spencer, CFNP
• Beverly L. Spicer, MSN, ACNP, CPNP
• Brandi Spires
• Matthew Spitchley, MD
• Shanesse Spratt, MD
• Bailey Sprowles, FNP
• Carson Spruiell

• Physical Medicine & Rehabilitation Physician in Jackson, MS
• Providers in Jackson, MS by specialty
• Physical Medicine & Rehabilitation Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.