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MISSISSIPPI EAR NOSE AND THROAT SURGICAL ASSOCIATES NPI 1679617773


NPI Information

NPI: 1679617773
Provider Name: MISSISSIPPI EAR, NOSE AND THROAT SURGICAL ASSOCIATES
Classification: Otolaryngology - 207Y00000X
Entity Type: Organization
Address:
501 MARSHALL ST
SUITE 501
JACKSON, MS
ZIP 39202
Phone: (601) 709-7700
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MISSISSIPPI EAR, NOSE AND THROAT SURGICAL ASSOCIATES is an otolaryngology in Jackson, 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. MISSISSIPPI EAR, NOSE AND THROAT SURGICAL ASSOCIATES NPI is 1679617773. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

501 MARSHALL ST
SUITE 501
JACKSON, MS
ZIP 39202-651
Phone: (601) 709-7700
Fax: (601) 709-7701

The provider's authorized official is Clarence Michael Osborne .
The authorized official title is Physician and has the following contact phone number (601) 709-7700.

The enumeration date for this NPI number is 2/20/2007 and was last updated on 7/8/2010.


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
1207Y00000XOtolaryngologyMISSISSIPPIYes

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
1C03111MEDICARE ID-TYPE UNSPECIFIEDMISSISSIPPI
206420247MEDICAIDMISSISSIPPI

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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