Organization Active NPI

Anderson Physician Alliance, Inc

Doing business as Urology Clinic of Meridian

  • Urology Physician
  • Meridian, MS
National Provider Identifier
1831497940
Registry record updated Mar 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
ANDERSON PHYSICIAN ALLIANCE, INC
Doing business as
Urology Clinic of Meridian
Practice address
1302 20TH Ave
Meridian, MS 39301-4120
Phone
(601) 693-1055
Fax
(601) 482-5312
NPI assigned
Mar 14, 2011
Last updated
Mar 14, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2011

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

Authorized official

Name
Mr. Anthony Rispoli
Title
Cfo
Phone
(601) 553-6118

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

1302 20TH Ave
Meridian, MS 39301-4120

Mailing address

1302 20TH Ave
Meridian, MS 39301-4120
Phone (601) 693-1055

Other names 1

  • Urology Clinic of Meridian Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101102000877 MS Part B Supplier - Clinic/Group Practice 3274727318 Receives reassigned benefits from 168 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Meridian, MS; Newton, MS; Philadelphia, MS; Quitman, MS; Collinsville, MS; De Kalb, MS

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

1302 20th Ave
Meridian, MS 39301
Phone (601) 693-1055

NPI Registry JSON

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

{
    "created_epoch": "1300060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300060800000",
    "number": "1831497940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 20TH AVE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393014120",
            "telephone_number": "601-693-1055",
            "fax_number": "601-482-5312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 20TH AVE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393014120",
            "telephone_number": "601-693-1055",
            "fax_number": "601-482-5312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON PHYSICIAN ALLIANCE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-14",
        "last_updated": "2011-03-14",
        "status": "A",
        "authorized_official_last_name": "RISPOLI",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "601-553-6118",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Urology Clinic of Meridian",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Meridian, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2011; 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.