Saul Dermatology PA

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

22764 Issued in MS

Legal business name

SAUL DERMATOLOGY PA

Practice address

5002 Highway 39 N BLDG a
Meridian, MS 39301-1078

Phone

(601) 512-0500

Fax

(601) 512-0505

NPI assigned

Apr 22, 2016

Last updated

Sep 28, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kenneth Daniel Saul, M.D.NPI 1295022861

Title

Physician

Phone

(601) 512-0500

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

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.

• Kenneth Daniel Saul, M.D.

  • Dermatology Physician
  • Meridian, MS
  • NPI 1295022861
  Medicare reassignment Care Compare group NPD Authorized official
• Auburn Berry Kidd, MSN, FNP

  • Family Nurse Practitioner
  • Meridian, MS
  • NPI 1780141200
  Medicare reassignment Care Compare group NPD
• Donald S Davis, M.D.

  • Specialist
  • Meridian, MS
  • NPI 1306819297
  NPD (past)

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

{
    "created_epoch": "1461283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475020800000",
    "number": "1932553245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5002 HIGHWAY 39 N BLDG A",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393011078",
            "telephone_number": "601-512-0500",
            "fax_number": "601-512-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5002 HIGHWAY 39 N BLDG A",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393011078",
            "telephone_number": "601-512-0500",
            "fax_number": "601-512-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAUL DERMATOLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-22",
        "last_updated": "2016-09-28",
        "status": "A",
        "authorized_official_last_name": "SAUL",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "601-512-0500",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MS",
            "license": "22764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF ALABAMA",
            "identifier": "73025117",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dennis Sanders Jr., MD
• Mark Lewis Sanders
• Patricia M Sandusky, PH.D
• Amanda Satcher, PHARMD
• Logan Rae Satterfield
• Kenneth Daniel Saul, M.D.
• Christy L Savell, NP
• Joseph T Sayers, CRNA
• Mary Alice Schaefer, D.O.
• Caleb Schedule, DO

• Medical Specialty Clinic/Center in Meridian, MS
• Providers in Meridian, MS by specialty
• Medical Specialty Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.