DR. VIRGIL ISAAC AULTMAN MD NPI 1922006279

NPI Information

NPI: 1922006279
Provider Name: DR. VIRGIL ISAAC AULTMAN, MD
Classification: Family Medicine - 207QA0505X
Entity Type: Individual

Specialization: Adult Medicine

Address:
2747 OLD CANTON RD
JACKSON, MS
ZIP 39216
Phone: (601) 366-6452
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DR. Virgil Isaac Aultman, MD is an adult medicine family medicine in Jackson, MS. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. DR. Virgil Isaac Aultman, MD NPI is 1922006279. 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:

2747 OLD CANTON RD
JACKSON, MS
ZIP 39216-308
Phone: (601) 366-6452
Fax: (601) 366-6488

The enumeration date for this NPI number is 7/11/2005 and was last updated on 3/15/2010.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207QA0505X	Family Medicine	Adult Medicine	06153	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
1	D75235	MEDICARE UPIN	MISSISSIPPI
2	081945377	MEDICARE ID-TYPE UNSPECIFIED	MISSISSIPPI
3	00013576	MEDICAID	MISSISSIPPI

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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