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ST. DOMINIC MEDICAL ASSOCIATES LLC NPI 1174686182


NPI Information

NPI: 1174686182
Provider Name: ST. DOMINIC MEDICAL ASSOCIATES LLC

Doing Business As: NEUROSURGERY ASSOCIATES

Classification: Neurological Surgery - 207T00000X
Entity Type: Organization
Address:
971 LAKELAND DR. SUITE 1250
JACKSON, MS
ZIP 39216
Phone: (601) 200-5955
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ST. DOMINIC MEDICAL ASSOCIATES LLC is a neurological surgery in Jackson, MS. The provider is a neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. ST. DOMINIC MEDICAL ASSOCIATES LLC NPI is 1174686182. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Neurosurgery Associates.

The provider's business location address is:

971 LAKELAND DR. SUITE 1250
JACKSON, MS
ZIP 39216-000
Phone: (601) 200-5955
Fax: (601) 200-5943

The provider's authorized official is Jennifer Sinclair .
The authorized official title is President Of Sdma and has the following contact phone number (601) 200-6955.

The enumeration date for this NPI number is 12/19/2006 and was last updated on 6/28/2016.


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
1207T00000XNeurological SurgeryYes

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
1C03349MEDICARE ID-TYPE UNSPECIFIEDMISSISSIPPI
201600341MEDICAIDMISSISSIPPI

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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