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RADIATION ONCOLOGY OF MISSISSIPPI PA NPI 1003905266


NPI Information

NPI: 1003905266
Provider Name: RADIATION ONCOLOGY OF MISSISSIPPI PA
Classification: Radiology - 2085R0001X
Entity Type: Organization

Specialization: Radiation Oncology

Address:
970 LAKELAND DR
SUITE 34
JACKSON, MS
ZIP 39216
Phone: (601) 362-0600
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RADIATION ONCOLOGY OF MISSISSIPPI PA is a radiation oncology radiology in Jackson, MS. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. RADIATION ONCOLOGY OF MISSISSIPPI PA NPI is 1003905266. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

970 LAKELAND DR
SUITE 34
JACKSON, MS
ZIP 39216-635
Phone: (601) 362-0600
Fax: (601) 362-1186

The provider's authorized official is Steven E Zachow .
The authorized official title is President and has the following contact phone number (601) 376-2074.

The enumeration date for this NPI number is 10/12/2006 and was last updated on 2/14/2023.


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
12085R0001XRadiologyRadiation OncologyYes

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
109012235MEDICAIDMISSISSIPPI
2009012235MEDICAIDMISSISSIPPI
391-066530OTHERMISSISSIPPIBLUE CROSS ACH

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.