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ST DOMINIC MEDICAL ASSOCIATES NPI 1114205010


NPI Information

NPI: 1114205010
Provider Name: ST DOMINIC MEDICAL ASSOCIATES

Doing Business As: ST DOMINIC INFECTIOUS DISEASE GROUP

Classification: Internal Medicine - 207RI0200X
Entity Type: Organization

Specialization: Infectious Disease

Address:
971 LAKELAND DR STE 954
JACKSON, MS
ZIP 39216
Phone: (601) 200-4714
Get Directions

ST DOMINIC MEDICAL ASSOCIATES is an infectious disease internal medicine in Jackson, MS. The provider is an internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. ST DOMINIC MEDICAL ASSOCIATES NPI is 1114205010. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As St Dominic Infectious Disease Group.

The provider's business location address is:

971 LAKELAND DR STE 954
JACKSON, MS
ZIP 39216-609
Phone: (601) 200-4714
Fax: (601) 200-4718

The provider's authorized official is Jennifer Sinclair .
The authorized official title is Vp Of Finance and has the following contact phone number (601) 200-2000.

The enumeration date for this NPI number is 7/26/2011 and was last updated on 6/17/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RI0200XInternal MedicineInfectious DiseaseYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
102122371MEDICAIDMISSISSIPPI
2302G700675MEDICARE PINMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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