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RIVER OAKS MANAGEMENT COMPANY LLC NPI 1134465172


NPI Information

NPI: 1134465172
Provider Name: RIVER OAKS MANAGEMENT COMPANY LLC

Doing Business As: CARDIOVASCULAR SERVICES RIVER OAKS

Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
Entity Type: Organization

CLIA Number: 25D2119245

Address:
1020 RIVER OAKS DR
SUITE 400
FLOWOOD, MS
ZIP 39232
Phone: (601) 376-1394
Get Directions

RIVER OAKS MANAGEMENT COMPANY LLC is a thoracic surgery cardiothoracic vascular surgery in Flowood, MS. The provider is a thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. RIVER OAKS MANAGEMENT COMPANY LLC NPI is 1134465172. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Cardiovascular Services River Oaks.

The provider's business location address is:

1020 RIVER OAKS DR
SUITE 400
FLOWOOD, MS
ZIP 39232-500
Phone: (601) 376-1394
Fax: (601) 376-1390

The provider's authorized official is Michael L Gingras .
The authorized official title is Vice President and has the following contact phone number (239) 598-3131.

The CLIA number assigned to this NPI record is 25D2119245 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/19/2012 and was last updated on 12/19/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular DiseaseNo
2208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1C02454MEDICARE 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: 11/14/2023

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