Organization Active NPI

Oxford Urocare PLLC

  • Ambulatory Surgical Clinic/Center
  • Oxford, MS
National Provider Identifier
1831413772
Registry record updated Mar 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
OXFORD UROCARE PLLC
Practice address
1201 Medical Park Dr Ste 101
Oxford, MS 38655-5327
Phone
(662) 234-3448
Fax
(662) 234-1490
NPI assigned
Mar 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2010

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

Authorized official

Name
Wanda L Sockwell
Title
Office Manager
Phone
(662) 234-3448

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

1201 Medical Park Dr Ste 101
Oxford, MS 38655-5327

Mailing address

PO Box 1013
Oxford, MS 38655-1013
Phone (662) 234-3448

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110323000476 MS Part B Supplier - Ambulatory Surgical Center 1951584309 Practice locations: Oxford, MS

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Oxford Urocare PLLCCCN 25C0001079
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
25D2017103Oxford Urocare PLLC1201 Medical Park Drive Suite 101, Oxford, MS 38655Certificate of waiverDec 2, 2026

National Provider Directory

National Provider Directory

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": "1269216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269216000000",
    "number": "1831413772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1013",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386551013",
            "telephone_number": "662-234-3448",
            "fax_number": "662-234-1490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 MEDICAL PARK DR STE 101",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555327",
            "telephone_number": "662-234-3448",
            "fax_number": "662-234-1490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OXFORD UROCARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-22",
        "last_updated": "2010-03-22",
        "status": "A",
        "authorized_official_last_name": "SOCKWELL",
        "authorized_official_first_name": "WANDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "662-234-3448"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.