Pediatrix Medical Group Of Mississippi, Inc.

LBN: Pediatrix Medical Group Of Mississippi, Inc.
Pediatrix Medical Group Of Mississippi, Inc. is an health care organization with primary practice located at 4566 S Eason Blvd , Tupelo MS 38801-6540. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as the primary health care specialty. Pediatrix Medical Group Of Mississippi, Inc. can be contacted via phone (662) 377-4905, or through Mason, Eric via phone (800) 243-3839.

Contact Information

Primary practice address
4566 S Eason Blvd Tupelo MS 38801-6540
Phone: (662) 377-4905
Fax: (662) 377-4906
Website:
Map and Directions
Authorized official contact:
Name: Mason, Eric Doctor of Medicine (MD)
Phone: (800) 243-3839

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X

Profile Details

NPI number 1902949803
LBN Legal business name Pediatrix Medical Group Of Mississippi, Inc.
DBA Doing business as
Authorized official Mason, Eric Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 14th, 2007
Last updated Aug 12th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1902949803 NPPES
Mississippi MEDICAID 09014844

Popular Providers