University Sports Medicine PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

13319 Issued in MS

Legal business name

UNIVERSITY SPORTS MEDICINE PLLC

Practice address

2401 Professional Dr
Oxford, MS 38655-5374

Phone

(662) 234-0424

Fax

(662) 234-0485

NPI assigned

Apr 1, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Vicki G Ferguson

Title

Clinic Administrator

Phone

(662) 234-0424

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245801600000",
    "number": "1962674739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 PROFESSIONAL DR",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555374",
            "telephone_number": "662-234-0424",
            "fax_number": "662-234-0485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 PROFESSIONAL DR",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555374",
            "telephone_number": "662-234-0424",
            "fax_number": "662-234-0485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY SPORTS MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-01",
        "last_updated": "2009-06-24",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "VICKI",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CLINIC ADMINISTRATOR",
        "authorized_official_telephone_number": "662-234-0424",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MS",
            "license": "13319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00118675",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cady Ujvari, MA
• Sami Ullah
• Dana Brooke Underwood
• University of Mississippi
• University of Mississippi Counseling Center
• Sharon C Upton, ACNP
• Urgent Care Clinic of Oxford
• Urology of Oxford
• Urology of Oxford, PLLC
• Melinda Wells Valliant, PHD, RDN, CSSD, LDN

• Specialist in Oxford, MS
• Providers in Oxford, MS by specialty
• Specialist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.