Active NPI
North Mississippi Hematology & Oncology Associates
- Durable Medical Equipment & Medical Supplies
- Starkville, MS
National Provider Identifier
1891923090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 17646
- Legal business name
- NORTH MISSISSIPPI HEMATOLOGY & ONCOLOGY ASSOCIATES
- Practice address
- 1205 Highway 182 West
Starkville, MS 39759 - Phone
- (662) 320-8545
- Fax
- (662) 320-8049
- NPI assigned
- Jun 25, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Denise C Walters
- Title
- Office Manager
- Phone
- (662) 844-9166
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 17646 | MS | Primary |
Addresses
Primary practice location
1205 Highway 182 West
Starkville, MS 39759
Mailing address
961 S Gloster St
Tupelo, MS 38801-6343
Phone (662) 844-9166
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09013493 | Medicaid | MS |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245888000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1349308800000",
"number": "1891923090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "961 S GLOSTER ST",
"city": "TUPELO",
"state": "MS",
"postal_code": "388016343",
"telephone_number": "662-844-9166",
"fax_number": "662-844-0170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1205 HIGHWAY 182 WEST",
"city": "STARKVILLE",
"state": "MS",
"postal_code": "39759",
"telephone_number": "662-320-8545",
"fax_number": "662-320-8049"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH MISSISSIPPI HEMATOLOGY & ONCOLOGY ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2009-06-25",
"last_updated": "2012-10-04",
"status": "A",
"authorized_official_last_name": "WALTERS",
"authorized_official_first_name": "DENISE",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "662-844-9166",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "MS",
"license": "17646",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "09013493",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Starkville, MS
- Jaylin Neal
- Courtney Gibson Nickels, N.P.
- Amelia Nolen, LCSW
- North Mississippi Allergy and Asthma Center PLLC
- North Mississippi Clinics LLC
- North Mississippi Medcial Center, Inc.
- North Mississippi Medical Center Inc.
- North Mississippi Medical Center Inc.
- North Mississippi Medical Center, Inc.
- North Mississippi Medical Center, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.