Organization Active NPI

Oxford Neuromuscular Associates, PLLC

Doing business as Oxford Neurology

  • Neuromusculoskeletal Medicine & OMM Physician
  • Oxford, MS
National Provider Identifier
1851486427
Registry record updated Oct 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
Legal business name
OXFORD NEUROMUSCULAR ASSOCIATES, PLLC
Doing business as
Oxford Neurology
Practice address
2908 South Lamar Blvd.
Suite 100
Oxford, MS 38655
Phone
(662) 281-0112
Fax
(662) 281-0943
NPI assigned
Oct 3, 2006
Last updated
Oct 16, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2014

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

Authorized official

Name
Don Humfeld
Title
General Manager
Phone
(901) 606-5239

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 18354 MS
Neuromusculoskeletal Medicine & OMM Physician 204D00000X MS Primary
Neurology Physician 2084N0400X MS

Addresses

Primary practice location

2908 South Lamar Blvd.
Suite 100
Oxford, MS 38655

Mailing address

2908 South Lamar Blvd
Suite 100
Oxford, MS 38655
Phone (662) 281-0112

Other identifiers 2

IdentifierTypeStateIssuer
04022240MedicaidMS
DD7493OtherMSRAILROAD MEDICARE

Other names 1

  • Oxford Neurology Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050520000567 MS Part B Supplier - Clinic/Group Practice 5193766079 Receives reassigned benefits from 5 practitioners
Practice locations: Oxford, MS

National Provider Directory

National Provider Directory

Locations

2168 S Lamar Blvd
Oxford, MS 38655
Phone (662) 234-1448

2908 S Lamar Blvd
Ste 100
Oxford, MS 38655
Phone (662) 281-0112

Practitioners & affiliated clinicians

Practitioners 5

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": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413417600000",
    "number": "1851486427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2908 SOUTH LAMAR BLVD",
            "address_2": "SUITE 100",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "38655",
            "telephone_number": "662-281-0112",
            "fax_number": "662-281-0943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2908 SOUTH LAMAR BLVD.",
            "address_2": "SUITE 100",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "38655",
            "telephone_number": "662-281-0112",
            "fax_number": "662-281-0943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OXFORD NEUROMUSCULAR ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2014-10-16",
        "status": "A",
        "authorized_official_last_name": "HUMFELD",
        "authorized_official_first_name": "DON",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "901-606-5239"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "MS",
            "license": "18354",
            "primary": false
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "MS",
            "license": null,
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MS",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04022240",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DD7493",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oxford Neurology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 16, 2014; 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.