Organization Active NPI

Amory Surgery Clinic, PLLC

Doing business as Amory Surgery Clinic

  • Surgery Physician
  • Amory, MS
National Provider Identifier
1821441080
Registry record updated Jul 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
16728 Issued in MS
Legal business name
AMORY SURGERY CLINIC, PLLC
Doing business as
Amory Surgery Clinic
Practice address
1127 Earl Frye Blvd
Suite B
Amory, MS 38821-5516
Phone
(662) 256-3333
Fax
(662) 256-5166
NPI assigned
Jul 22, 2016
Last updated
Jul 25, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2016

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

Authorized official

Name
Dr. Hoat M Hoang, M.D.NPI 1114008703
Title
Partner
Phone
(662) 256-3333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 16728 MS Primary

Addresses

Primary practice location

1127 Earl Frye Blvd
Suite B
Amory, MS 38821-5516

Mailing address

1127 Earl Frye Blvd
Suite B
Amory, MS 38821-5516
Phone (662) 256-3333

Other names 1

  • Amory Surgery Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170112000791 MS Part B Supplier - Clinic/Group Practice 8628350311 Receives reassigned benefits from 2 practitioners
Practice locations: Amory, MS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1469145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469404800000",
    "number": "1821441080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 EARL FRYE BLVD",
            "address_2": "SUITE B",
            "city": "AMORY",
            "state": "MS",
            "postal_code": "388215516",
            "telephone_number": "662-256-3333",
            "fax_number": "662-256-5166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 EARL FRYE BLVD",
            "address_2": "SUITE B",
            "city": "AMORY",
            "state": "MS",
            "postal_code": "388215516",
            "telephone_number": "662-256-3333",
            "fax_number": "662-256-5166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMORY SURGERY CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-22",
        "last_updated": "2016-07-25",
        "status": "A",
        "authorized_official_last_name": "HOANG",
        "authorized_official_first_name": "HOAT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "662-256-3333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MS",
            "license": "16728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amory Surgery Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Amory, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.