Active NPI
North Mississippi Allergy and Asthma Center PLLC
Doing business as North Mississippi Allergy and Asthma Center of Starkville
- Allergy Physician
- Starkville, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy Physician
- Legal business name
- NORTH MISSISSIPPI ALLERGY AND ASTHMA CENTER PLLC
- Doing business as
- North Mississippi Allergy and Asthma Center of Starkville
- Practice address
- 501 Hospital Rd
Starkville, MS 39759-2158 - Phone
- (662) 377-0688
- Fax
- (662) 624-0684
- NPI assigned
- Jan 10, 2013
- Organization subpart
- Yes
- Parent organization
- NORTH MISSISSIPPI ALLERGY AND ASTHMA CENTER LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Matthew Oswalt
- Title
- Owner
- Phone
- (662) 324-0688
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy Physician | 207KA0200X | Primary |
Addresses
Primary practice location
501 Hospital Rd
Starkville, MS 39759-2158
Mailing address
501 Hospital Rd
Starkville, MS 39759-2158
Phone (662) 377-0688
Other names 1
- North Mississippi Allergy and Asthma Center of Starkville
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080828000366 | MS | Part B Supplier - Clinic/Group Practice | 6103992086 |
Receives reassigned benefits from 2 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Starkville, MS; Tupelo, MS |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba North Mississippi Allergy and Asthma Center
- Allergy Physician
- New Albany, MS
- NPI 1336648781
O20080828000366
-
- Allergy & Immunology Physician
- Tupelo, MS
- NPI 1699930339
O20080828000366
National Provider Directory
National Provider Directory- Tax ID family
- North Ms Allergy Asthma Ctr
- Part of
- North Ms Allergy Asthma Ctr
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Allergy & Immunology Physician
- Tupelo, MS
- NPI 1699930339
Locations
103 Doctors Park
Starkville, MS 39759
Phone (601) 323-2515
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.
-
- Allergy & Immunology Physician
- Tupelo, MS
- NPI 1699930339
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Allergy & Immunology Physician
- Tupelo, MS
- NPI 1679784599
-
- Allergy & Immunology Physician
- Tupelo, MS
- NPI 1114134863
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357776000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1669075200000",
"number": "1942547922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 HOSPITAL RD",
"city": "STARKVILLE",
"state": "MS",
"postal_code": "397592158",
"telephone_number": "662-377-0688",
"fax_number": "662-624-0684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 HOSPITAL RD",
"city": "STARKVILLE",
"state": "MS",
"postal_code": "397592158",
"telephone_number": "662-377-0688",
"fax_number": "662-624-0684"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH MISSISSIPPI ALLERGY AND ASTHMA CENTER PLLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NORTH MISSISSIPPI ALLERGY AND ASTHMA CENTER LLC",
"enumeration_date": "2013-01-10",
"last_updated": "2022-11-22",
"certification_date": "2022-11-22",
"status": "A",
"authorized_official_last_name": "OSWALT",
"authorized_official_first_name": "MATTHEW",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "662-324-0688"
},
"taxonomies": [
{
"code": "207KA0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Allergy & Immunology, Allergy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "North Mississippi Allergy and Asthma Center of Starkville",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "North Mississippi Allergy and Asthma Center of Starkville",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Starkville, MS
- Murphy Medical Supply LLC
- Monique Murry
- Jaylin Neal
- Courtney Gibson Nickels, N.P.
- Amelia Nolen, LCSW
- North Mississippi Clinics LLC (Cardiology Associates of North MS Clinic)
- North Mississippi Hematology & Oncology Associates
- North Mississippi Medcial Center, Inc. (North Mississippi Cancer Care Starkville)
- North Mississippi Medical Center Inc. (Cardiothoracic & Vascular Surgery Clinic)
- North Mississippi Medical Center Inc. (North Mississipi Retina Center Starkville)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; 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.