Upa Pllc Emergency Med in Jackson - Pediatric Emergency Medicine
Upa Pllc Emergency Med - NPI 1134272909
Upa Pllc Emergency Med is a Pediatric Emergency Medicine in Jackson, Mississippi. Upa Pllc Emergency Med practices all healthcare services and medical treatments related to Pediatric Emergency Medicine. The NPI Number for Upa Pllc Emergency Med is 1134272909. The last update date is 2020-08-22.
Upa Pllc Emergency Med's current location address is 2500 N State St, Jackson, Mississippi. You can contact this provider via phone number 6019845298. The mailing address for Upa Pllc Emergency Med is 2500 N State St, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Upa Pllc Emergency Med |
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Address | 2500 N State St, Jackson, Mississippi |
Phone Number | 6019845298 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | MANAGER |
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Authorized Official Name | Evans B Owen |
Credentials | M.D. |
Telephone Number | 6019845214 |
NPI Number Detail
NPI Number | 1134272909 |
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Provider Enumeration Date | 2007-01-18 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 2500 N State St |
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City | Jackson |
State | Mississippi (MS) |
Post Code | 392164500 |
Phone Number | 6019845298 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Pediatric Emergency Medicine |
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Taxonomy | 2080P0204X |
Definition: A pediatrician who has special qualifications to manage emergencies in infants and children. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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9014198 | MS | -- |
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What is the unique 10-digit identification code issued to Upa Pllc Emergency Med by the Centers for Medicare & Medicaid Services?
The Upa Pllc Emergency Med has been assigned the NPI (National Provider Identifier) 1134272909 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Upa Pllc Emergency Med's physical address?
The Upa Pllc Emergency Med is physically located at 2500 N State St, in the city of Jackson, MS, with the postal code 392164500.
What is Upa Pllc Emergency Med's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Upa Pllc Emergency Med is Pediatric Emergency Medicine, and the taxonomy code that categorizes this field of expertise is 2080P0204X.
On what date did Upa Pllc Emergency Med receive its 1134272909 assignment from the Centers for Medicare & Medicaid Services?
The Upa Pllc Emergency Med was assigned its 1134272909 on 2007-01-18, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Upa Pllc Emergency Med last refreshed?
The information related to the Upa Pllc Emergency Med, including its address, specialty, and other relevant details, was last updated on 2020-08-22.