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MERIDIAN ONCOLOGY ASSOCIATES PLLC NPI 1164433678


NPI Information

NPI: 1164433678
Provider Name: MERIDIAN ONCOLOGY ASSOCIATES PLLC

Other Name: MATTHEW CASSELL, MD

Classification: Non-Pharmacy Dispensing Site - 332900000X
Entity Type: Organization

CLIA Number: 25D0964681

Address:
1704 23RD AVE
2ND FLR
MERIDIAN, MS
ZIP 39301
Phone: (601) 482-1555
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MERIDIAN ONCOLOGY ASSOCIATES PLLC is a non pharmacy dispensing site in Meridian, MS. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) MERIDIAN ONCOLOGY ASSOCIATES PLLC NPI is 1164433678. The provider is registered as an organization entity type.
The provider Other Name Is Matthew Cassell, Md.

The provider's business location address is:

1704 23RD AVE
2ND FLR
MERIDIAN, MS
ZIP 39301-103
Phone: (601) 482-1555
Fax: (601) 696-4611

The provider's authorized official is Wendy Turner .
The authorized official title is Clinic Manager and has the following contact phone number (601) 482-1555.

The CLIA number assigned to this NPI record is 25D0964681 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 8/10/2006 and was last updated on 9/11/2017.


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
1332900000XNon-Pharmacy Dispensing Site20329MISSISSIPPIYes

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
12586610OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
2CF9149OTHERMISSISSIPPIRAILROAD GROUP #
35939260001OTHERMISSISSIPPIPTAN
42586610OTHEROTHER ID NUMBER

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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