R ANDREW PACKARD MD PC NPI 1902984966

NPI Information

  • NPI: 1902984966
  • Provider Name: R ANDREW PACKARD MD PC
  • Classification: Internal Medicine - 207RG0100X
  • Specialization: Gastroenterology
  • Entity Type: Organization
  • Address: 785 OHIO AVE STE 1F
    CLARKSDALE, MS
    ZIP 38614
  • Phone: (662) 627-2027

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NPI Details

R ANDREW PACKARD MD PC is a gastroenterology internal medicine in Clarksdale, MS. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. R ANDREW PACKARD MD PC NPI is 1902984966. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

785 OHIO AVE STE 1F
CLARKSDALE, MS
ZIP 38614-213
Phone: (662) 627-2027
Fax: (662) 627-3424

The provider's authorized official is Richard Andrew Packard .
The authorized official title is President and has the following contact phone number (662) 624-2027.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 10/3/2007.

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
1207RG0100XInternal MedicineGastroenterology19744MISSISSIPPIYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1C04536OTHERMISSISSIPPIMEDICARE GROUP NUMBER
2A61231MEDICARE UPINNEW YORK

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: 11/21/2025

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