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MISSISSIPPI UROLOGY CLINIC PLLC NPI 1902837313


NPI Information

NPI: 1902837313
Provider Name: MISSISSIPPI UROLOGY CLINIC, PLLC
Classification: Urology - 208800000X
Entity Type: Organization

CLIA Number: 25D0317977

Address:
501 MARHSALL ST
SUITE 301
JACKSON, MS
ZIP 39202
Phone: (601) 353-9900
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MISSISSIPPI UROLOGY CLINIC, PLLC is an urology in Jackson, MS. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. MISSISSIPPI UROLOGY CLINIC, PLLC NPI is 1902837313. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

501 MARHSALL ST
SUITE 301
JACKSON, MS
ZIP 39202
Phone: (601) 353-9900
Fax: (601) 985-3199

The provider's authorized official is Jerry Kempf Poole .
The authorized official title is Chief Administrative Officer and has the following contact phone number (601) 985-3169.

The CLIA number assigned to this NPI record is 25D0317977 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 7/5/2006 and was last updated on 10/11/2018.


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
1208800000XUrologyYes

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
1=========OTHERMISSISSIPPIBCBS OF MS
2CD5655OTHERMISSISSIPPIMEDICARE RR

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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