NPIMap

Organization Active NPI

Premier Interventional Radiology Clinic

  • Vascular & Interventional Radiology Physician
  • Tupelo, MS
National Provider Identifier
1871838490
Registry record updated Feb 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
Legal business name
PREMIER INTERVENTIONAL RADIOLOGY CLINIC
Practice address
891 Mississippi Dr
Tupelo, MS 38804-0934
Phone
(662) 620-7111
Fax
(662) 377-7954
NPI assigned
Dec 7, 2012
Last updated
Feb 14, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
PREMIER RADIOLOGY, PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 14, 2017

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

Authorized official

Name
Mr. Vernon W Barrow III, MD
Title
President
Phone
(662) 842-1758

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X NU Primary

Addresses

Primary practice location

891 Mississippi Dr
Tupelo, MS 38804-0934

Mailing address

620 Crossover Road
Tupleo, MS 38801-4944
Phone (662) 842-1758

National Provider Directory

National Provider Directory
Tax ID family
Premier Interventional Radiology Clinic2 organizations share this tax ID, including this one
Part of
Premier Interventional Radiology Clinic

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 3

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": "1354838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487030400000",
    "number": "1871838490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 CROSSOVER ROAD",
            "city": "TUPLEO",
            "state": "MS",
            "postal_code": "388014944",
            "telephone_number": "662-842-1758",
            "fax_number": "662-844-8298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "891 MISSISSIPPI DR",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388040934",
            "telephone_number": "662-620-7111",
            "fax_number": "662-377-7954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER INTERVENTIONAL RADIOLOGY CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PREMIER RADIOLOGY, PA",
        "enumeration_date": "2012-12-07",
        "last_updated": "2017-02-14",
        "status": "A",
        "authorized_official_last_name": "BARROW",
        "authorized_official_first_name": "VERNON",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "662-842-1758",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; 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.