Active NPI
Anderson Physician Alliance, Inc
Doing business as Urology Clinic of Meridian
- Urology Physician
- Meridian, MS
National Provider Identifier
1831497940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- 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, 2011
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
-
dba Anderson Infectious Disease Center
- Infectious Disease Physician
- Meridian, MS
- NPI 1164721296
O20101102000877
-
dba Anderson Arthritis and Rheumatology Center
- Rheumatology Physician
- Meridian, MS
- NPI 1669770772
O20101102000877
-
dba Anderson Family Medical Center - Enterprise
- Family Medicine Physician
- Enterprise, MS
- NPI 1750671665
O20101102000877
-
dba Baptist Medical Group-Anderson Physician Alliance
- Multi-Specialty Clinic/Center
- Meridian, MS
- NPI 1760798227
O20101102000877
National Provider Directory
National Provider DirectoryLocations
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
- Karlyna L. D. Andersen, MD
- Anderson Anesthesia Providers
- Anderson Hospital Providers Inc
- Anderson Physician Alliance, Inc (Anderson Infectious Disease Center)
- Anderson Physician Alliance, Inc (Anderson Arthritis and Rheumatology Center)
- Anderson Physician Alliance, Inc. (Baptist Medical Group-Anderson Physician Alliance)
- Anderson Physician Alliance, Inc. (Anderson Women's Health Clinic)
- Anderson Physician Alliance, Inc. (Anderson Family Medical Center - Riverbirch)
- Anderson Regional Medical Center (Baptist Anderson Professional Services)
- Anderson Regional Medical Center
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.