MADISON RADIOLOGY ASSOCIATES PA NPI 1003968595

NPI Information

  • NPI: 1003968595
  • Provider Name: MADISON RADIOLOGY ASSOCIATES, PA
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Address: 161 RIVER OAKS DR
    CANTON, MS
    ZIP 39046
  • Phone: (601) 855-4000

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NPI Details

MADISON RADIOLOGY ASSOCIATES, PA is a diagnostic radiology radiology in Canton, MS. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. MADISON RADIOLOGY ASSOCIATES, PA NPI is 1003968595. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

161 RIVER OAKS DR
CANTON, MS
ZIP 39046-375
Phone: (601) 855-4000
Fax: (601) 855-4330

The provider's authorized official is Joseph A Oliver .
The authorized official title is President and has the following contact phone number (601) 855-4000.

The enumeration date for this NPI number is 1/17/2007 and was last updated on 8/29/2011.

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
12085R0202XRadiologyDiagnostic RadiologyYes

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
108103711MEDICAIDMISSISSIPPI
2C03120MEDICARE ID-TYPE UNSPECIFIEDMISSISSIPPI

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: 3/30/2025

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