Madison Hma Physician Management, LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

MADISON HMA PHYSICIAN MANAGEMENT, LLC

Practice address

276 Nissan Pkwy
Building #, Suite 100
Canton, MS 39046-7006

Phone

(601) 855-4880

Fax

(601) 859-2995

NPI assigned

Dec 2, 2011

Organization subpart

Yes

Parent organization

HEALTH MANAGEMENT ASSOCIATESAs reported in NPPES

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

Authorized official

Name

Mr. Michael L Gingras

Title

Vice President

Phone

(239) 598-3131

Specialties & licenses 1

Addresses

Other names 1

• Hicks Healthcare for Women Doing business as

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

{
    "created_epoch": "1322784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322784000000",
    "number": "1962770164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5811 PELICAN BAY BLVD",
            "address_2": "SUITE 500",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341082733",
            "telephone_number": "239-598-3131",
            "fax_number": "239-592-0438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "276 NISSAN PKWY",
            "address_2": "BUILDING #, SUITE 100",
            "city": "CANTON",
            "state": "MS",
            "postal_code": "390467006",
            "telephone_number": "601-855-4880",
            "fax_number": "601-859-2995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON HMA PHYSICIAN MANAGEMENT, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALTH MANAGEMENT ASSOCIATES",
        "enumeration_date": "2011-12-02",
        "last_updated": "2011-12-02",
        "status": "A",
        "authorized_official_last_name": "GINGRAS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "239-598-3131",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hicks Healthcare for Women",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Madison Hma Physician Management, Inc.-Surgery
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• All providers in Canton, MS
• Obstetrics & Gynecology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2011; 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.