Neuromaxx Surgical, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

NEUROMAXX SURGICAL, INC

Practice address

3010 Lakeland CV
Suite L 1
Flowood, MS 39232-9784

Phone

(601) 939-3270

Fax

(601) 936-6675

NPI assigned

Oct 9, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Charles B Odom

Title

Principal

Phone

(601) 939-3270

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821185059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 LAKELAND CV",
            "address_2": "SUITE L 1",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329784",
            "telephone_number": "601-939-3270",
            "fax_number": "601-936-6675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 LAKELAND CV",
            "address_2": "SUITE L 1",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329784",
            "telephone_number": "601-939-3270",
            "fax_number": "601-936-6675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROMAXX SURGICAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ODOM",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "601-939-3270",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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.