SAUL DERMATOLOGY PA NPI 1932553245

NPI Information

  • NPI: 1932553245
  • Provider Name: SAUL DERMATOLOGY PA
  • Classification: Clinic/Center - 261QM2500X
  • Specialization: Medical Specialty
  • Entity Type: Organization
  • CLIA Number: 25D2137451
  • Address: 5002 HIGHWAY 39 N BLDG A
    MERIDIAN, MS
    ZIP 39301
  • Phone: (601) 512-0500

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NPI Details

SAUL DERMATOLOGY PA is a medical specialty clinic center in Meridian, MS. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). SAUL DERMATOLOGY PA NPI is 1932553245. The provider is registered as an organization entity type.

The provider's business location address is:

5002 HIGHWAY 39 N BLDG A
MERIDIAN, MS
ZIP 39301-078
Phone: (601) 512-0500
Fax: (601) 512-0505

The provider's authorized official is Kenneth Daniel Saul .
The authorized official title is Physician and has the following contact phone number (601) 512-0500.

The CLIA number assigned to this NPI record is 25D2137451 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 4/22/2016 and was last updated on 9/28/2016.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM2500XClinic/CenterMedical Specialty22764MISSISSIPPIYes

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
173025117OTHERMISSISSIPPIBLUE CROSS OF ALABAMA
2497602MEDICARE PINMISSISSIPPI

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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