Organization Active NPI

North Mississippi Allergy and Asthma Center PLLC

Doing business as North Mississippi Allergy and Asthma Center of Starkville

  • Allergy Physician
  • Starkville, MS
National Provider Identifier
1942547922
Registry record updated Nov 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
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 LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 22, 2022

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

Authorized official

Name
Matthew OswaltNPI 1679784599
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)CodeLicenseStatePrimary
Allergy PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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.

National Provider Directory

National Provider Directory
Tax ID family
North Ms Allergy Asthma Ctr2 organizations share this tax ID, including this one
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.

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.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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

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.

Verify at the official NPI Registry.