Organization Active NPI

McClanahan and Vallette Surgical Associates, PLLC

  • Surgery Physician
  • Columbus, MS
National Provider Identifier
1871540427
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
017780 Issued in LA
Legal business name
MCCLANAHAN AND VALLETTE SURGICAL ASSOCIATES, PLLC
Practice address
2600 5TH St N
Columbus, MS 39705-2010
Phone
(662) 241-4223
Fax
(662) 241-4460
NPI assigned
May 28, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Richard C Vallette, M.D.NPI 1891792586
Title
Partner
Phone
(662) 241-4223

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 017780 LA Primary

Addresses

Primary practice location

2600 5TH St N
Columbus, MS 39705-2010

Mailing address

2600 5TH St N
Columbus, MS 39705-2010
Phone (662) 241-4223

National Provider Directory

National Provider Directory

Locations

2600 5th St N
Columbus, MS 39705
Phone (662) 241-4223

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": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871540427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 5TH ST N",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397052010",
            "telephone_number": "662-241-4223",
            "fax_number": "662-241-4460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 5TH ST N",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397052010",
            "telephone_number": "662-241-4223",
            "fax_number": "662-241-4460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCLANAHAN AND VALLETTE SURGICAL ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VALLETTE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "662-241-4223",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "LA",
            "license": "017780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.