Active NPI
Patrick K Oquinn
- Driver
- Jackson, MS
National Provider Identifier
1891566543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- 802105722
- Practice address
- 505 Dryden Avenue
Jackson, MS 39209 - Phone
- (601) 259-9902
- NPI assigned
- Jan 11, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | 802105722 | MS | Primary |
Addresses
Primary practice location
505 Dryden Avenue
Jackson, MS 39209
Mailing address
505 Dryden Avenue
Jackson, MS 39209
Phone (601) 259-9902
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 802105722 | MS | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704931200000",
"number": "1891566543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 DRYDEN AVENUE",
"city": "JACKSON",
"state": "MS",
"postal_code": "39209",
"telephone_number": "601-259-9902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 DRYDEN AVENUE",
"city": "JACKSON",
"state": "MS",
"postal_code": "39209",
"telephone_number": "601-259-9902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OQUINN",
"first_name": "PATRICK",
"middle_name": "K",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-01-11",
"last_updated": "2024-01-11",
"certification_date": "2024-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "MS",
"license": "802105722",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.