DR. JOSE SANTIAGO SUBAUSTE M.D. NPI 1194758292

NPI Information

NPI: 1194758292
Provider Name: DR. JOSE SANTIAGO SUBAUSTE, M.D.
Classification: Internal Medicine - 207RE0101X
Entity Type: Individual

Specialization: Endocrinology, Diabetes & Metabolism

PECOS Registration: Yes

Address:
1500 E WOODROW WILSON AVE
R&E BUILDING (151) - VAMC
JACKSON, MS
ZIP 39216
Phone: (601) 362-4471
Get Directions

DR. Jose Santiago Subauste, M.D. is an endocrinology and diabetes and metabolism internal medicine in Jackson, MS with 37 years of experience. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. DR. Jose Santiago Subauste, M.D. NPI is 1194758292. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1500 E WOODROW WILSON AVE
R&E BUILDING (151) - VAMC
JACKSON, MS
ZIP 39216-116
Phone: (601) 362-4471
Fax: (601) 364-1390

The NPI 1194758292 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/9/2006 and was last updated on 6/15/2012.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RE0101X	Internal Medicine	Endocrinology, Diabetes & Metabolism	16940	MISSISSIPPI	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00122769	MEDICAID	MISSISSIPPI
2	302I467194	MEDICARE PIN	MISSISSIPPI
3	512I110033	OTHER	MISSISSIPPI	PTAN

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

NPI Synchronization or Removal

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