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OBSTETRICS GYNECOLOGY ASSOCIATES PA NPI 1750352894


NPI Information

NPI: 1750352894
Provider Name: OBSTETRICS GYNECOLOGY ASSOCIATES PA
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 25D0316931

Address:
1793 CLIFF GOOKIN BLVD
TUPELO, MS
ZIP 38801
Phone: (662) 842-1161
Get Directions

OBSTETRICS GYNECOLOGY ASSOCIATES PA is an obstetrics gynecology in Tupelo, MS. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. OBSTETRICS GYNECOLOGY ASSOCIATES PA NPI is 1750352894. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1793 CLIFF GOOKIN BLVD
TUPELO, MS
ZIP 38801-723
Phone: (662) 842-1161
Fax: (662) 844-4107

The provider's authorized official is Sherri Hodges .
The authorized official title is Administrator and has the following contact phone number (662) 842-7080.

The CLIA number assigned to this NPI record is 25D0316931 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/27/2006 and was last updated on 1/30/2008.


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
1207V00000XObstetrics & GynecologyYes

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
1C00469MEDICARE ID-TYPE UNSPECIFIEDMISSISSIPPI
209014159MEDICAIDMISSISSIPPI
3CM7073OTHERMISSISSIPPIRAILROAD MEDICARE GROUP

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: 5/5/2024

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