Organization Active NPI

Leflore Obstetric Clinic PLLC

  • Specialist
  • Greenwood, MS
National Provider Identifier
1801965298
Registry record updated Apr 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
06657 Issued in MS
Legal business name
LEFLORE OBSTETRIC CLINIC PLLC
Practice address
1313 River Rd
Greenwood, MS 38930-4029
Phone
(662) 455-9697
Fax
(662) 455-9698
NPI assigned
Nov 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2008

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

Authorized official

Name
Edwin M Meek Jr., MD
Title
Owner Doctor
Phone
(662) 455-9697

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 06657 MS Primary

Addresses

Primary practice location

1313 River Rd
Greenwood, MS 38930-4029

Mailing address

Res 4 Rosemary Lane
Greenwood, MS 38930
Phone (662) 455-9697

Other identifiers 1

IdentifierTypeStateIssuer
03300237MedicaidMS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1801965298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RES 4 ROSEMARY LANE",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "38930",
            "telephone_number": "662-455-9697",
            "fax_number": "662-455-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 RIVER RD",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389304029",
            "telephone_number": "662-455-9697",
            "fax_number": "662-455-9698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEFLORE OBSTETRIC CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "MEEK",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "662-455-9697",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MS",
            "license": "06657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03300237",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; 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.