ST DOMINIC MEDICAL ASSOCIATES LLC NPI 1316361686

NPI Information

NPI: 1316361686
Provider Name: ST DOMINIC MEDICAL ASSOCIATES LLC

Doing Business As: ST DOMINIC SURGICAL ONCOLOGY

Classification: Obstetrics & Gynecology - 207VX0201X
Entity Type: Organization

Specialization: Gynecologic Oncology

Address:
106 HIGHLAND WAY
STE 200
MADISON, MS
ZIP 39110
Phone: (601) 200-7465
Get Directions

ST DOMINIC MEDICAL ASSOCIATES LLC is a gynecologic oncology obstetrics gynecology in Madison, MS. The provider is an obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. ST DOMINIC MEDICAL ASSOCIATES LLC NPI is 1316361686. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As St Dominic Surgical Oncology.

The provider's business location address is:

106 HIGHLAND WAY
STE 200
MADISON, MS
ZIP 39110-929
Phone: (601) 200-7465
Fax: (601) 200-5929

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 2/7/2014 and was last updated on 2/13/2014.

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	2086X0206X	Surgery	Surgical Oncology	14786	MISSISSIPPI	No
2	207VX0201X	Obstetrics & Gynecology	Gynecologic Oncology	14863	MISSISSIPPI	Yes

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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