Organization Active NPI

Baptist and Physicians Outpatient Surgery Center of North Ms, LP

  • Specialist
  • Oxford, MS
National Provider Identifier
1871741736
Registry record updated Sep 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
BAPTIST AND PHYSICIANS OUTPATIENT SURGERY CENTER OF NORTH MS, LP
Practice address
499 Azalea Dr
Oxford, MS 38655-7901
Phone
(334) 386-2053
Fax
(334) 244-1830
NPI assigned
Sep 4, 2008
Last updated
Sep 4, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
BAPTIST AND PHYSICIANS OUTPATIENT SURGERY CENTER, LPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 4, 2008

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

Authorized official

Name
Kerrye Allen
Title
Billing Manager
Phone
(662) 234-7979

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

499 Azalea Dr
Oxford, MS 38655-7901

Mailing address

PO Box 3488
Dept 05-003
Tupelo, MS 38803
Phone (334) 386-2053

Other identifiers 2

IdentifierTypeStateIssuer
DF8526OtherMSRAILROAD MEDICARE
09016218MedicaidMS

National Provider Directory

National Provider Directory
Part of
Baptist and Physicians Outpatient Surgery Center of North Ms LP

NPI Registry JSON

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220486400000",
    "number": "1871741736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3488",
            "address_2": "DEPT 05-003",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "38803",
            "telephone_number": "334-386-2053",
            "fax_number": "334-244-1830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 AZALEA DR",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386557901",
            "telephone_number": "334-386-2053",
            "fax_number": "334-244-1830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAPTIST AND PHYSICIANS OUTPATIENT SURGERY CENTER OF NORTH MS, LP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BAPTIST AND PHYSICIANS OUTPATIENT SURGERY CENTER, LP",
        "enumeration_date": "2008-09-04",
        "last_updated": "2008-09-04",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "KERRYE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "662-234-7979"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DF8526",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09016218",
            "state": "MS"
        }
    ],
    "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 Sep 4, 2008; 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.