NPIMap

Organization Active NPI

Natchez Thoracic,Vascular and Surgery Clinic

Doing business as Natchez Regional Medical Center

  • Specialist
  • Natchez, MS
National Provider Identifier
1821204108
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
19606 Issued in MS
Legal business name
NATCHEZ THORACIC,VASCULAR AND SURGERY CLINIC
Doing business as
Natchez Regional Medical Center
Practice address
46 Sergeant Prentiss Dr
Suite 203
Natchez, MS 39120-4792
Phone
(601) 446-6068
Fax
(601) 446-9990
NPI assigned
May 15, 2007
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Forrest Scot Rubenstein, M.D.,F.A.C.S
Title
Surgeon
Phone
(601) 446-6068

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 19606 MS Primary

Addresses

Primary practice location

46 Sergeant Prentiss Dr
Suite 203
Natchez, MS 39120-4792

Mailing address

PO Box 14149
Baton Rouge, LA 70898-4149
Phone (225) 924-9827

Other identifiers 1

IdentifierTypeStateIssuer
1548281926OtherNPI

Other names 1

  • NATCHEZ REGIONAL MEDICAL CENTER Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Natchez Regional Med Ce6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

46 Sgt Prentiss Dr
#7
Natchez, MS 39120
Phone (601) 442-3690

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": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1821204108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14149",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708984149",
            "telephone_number": "225-924-9827",
            "fax_number": "225-924-9829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 SERGEANT PRENTISS DR",
            "address_2": "SUITE 203",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391204792",
            "telephone_number": "601-446-6068",
            "fax_number": "601-446-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATCHEZ THORACIC,VASCULAR AND SURGERY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "RUBENSTEIN",
        "authorized_official_first_name": "FORREST",
        "authorized_official_middle_name": "SCOT",
        "authorized_official_title_or_position": "SURGEON",
        "authorized_official_telephone_number": "601-446-6068",
        "authorized_official_credential": "M.D.,F.A.C.S"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MS",
            "license": "19606",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1548281926",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NATCHEZ REGIONAL MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Natchez, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.