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MID SOUTH OTOLARYNGOLOGY ASSOCIATES P.C. NPI 1467511691


NPI Information

NPI: 1467511691
Provider Name: MID SOUTH OTOLARYNGOLOGY ASSOCIATES P.C.
Classification: Otolaryngology - 207Y00000X
Entity Type: Organization
Address:
6890 ELMORE RD
SUITE 2
SOUTHAVEN, MS
ZIP 38671
Phone: (662) 349-4250
Get Directions

MID SOUTH OTOLARYNGOLOGY ASSOCIATES P.C. is an otolaryngology in Southaven, MS. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. MID SOUTH OTOLARYNGOLOGY ASSOCIATES P.C. NPI is 1467511691. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6890 ELMORE RD
SUITE 2
SOUTHAVEN, MS
ZIP 38671-673
Phone: (662) 349-4250
Fax: (662) 349-4249

The provider's authorized official is Robert Moore Fisher .
The authorized official title is Owner and has the following contact phone number (662) 349-4250.

The enumeration date for this NPI number is 12/6/2006 and was last updated on 10/22/2010.


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
1207Y00000XOtolaryngology04813MISSISSIPPIYes

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
1B01485MEDICARE UPIN
2DB8666OTHERMISSISSIPPIRAILROAD MEDICARE
300018019MEDICAIDMISSISSIPPI
4C00974MEDICARE 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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