Eze PS Family Medical Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

EZE PS FAMILY MEDICAL CLINIC

Practice address

900 Stark Road
Starkville, MS 39759

Phone

(662) 323-4400

Fax

(662) 323-4409

NPI assigned

Apr 17, 2007

Organization subpart

No

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

Authorized official

Name

Placid M Eze, MD

Title

Physician Owner

Phone

(662) 323-4400

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• EZE P'S MEDICAL SUPPLY Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Athelia Balams Eze, PHARM.D.

  • Pharmacist
  • Starkville, MS
  • NPI 1316954001
  NPD

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527033600000",
    "number": "1780809251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 STARK ROAD",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "39759",
            "telephone_number": "662-323-4400",
            "fax_number": "662-323-4409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 STARK ROAD",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "39759",
            "telephone_number": "662-323-4400",
            "fax_number": "662-323-4409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EZE PS FAMILY MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2018-05-23",
        "status": "A",
        "authorized_official_last_name": "EZE",
        "authorized_official_first_name": "PLACID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN  OWNER",
        "authorized_official_telephone_number": "662-323-4400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09728046",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1776696",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DB6431",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EZE P'S MEDICAL SUPPLY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Every Heart Matters, LLC
• Amanda N Ewing
• Eye & Laser Center of Starkville PLLC
• Eyedeal Optical Outlet Inc.
• Eze PS Family Medical Clinic
• Athelia Balams Eze, PHARM.D.
• Placid M Eze, M. D.
• Maggie Martin Fair, F.N.P.
• Families First Home Care Services LLC
• Catherine Randall Fandel, DPT

• Family Medicine Physician in Starkville, MS
• Providers in Starkville, MS by specialty
• Family Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2018; 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.