Delta Physician Practices in Jackson - Vascular Surgery
Delta Physician Practices - NPI 1477672442
Delta Physician Practices is a Vascular Surgery in Jackson, Mississippi. Delta Physician Practices practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Delta Physician Practices is 1477672442. The last update date is 2022-11-14.
Delta Physician Practices's current location address is Po Box 23998, Jackson, Mississippi. You can contact this provider via phone number 6627252749 and fax number 6627252741. The mailing address for Delta Physician Practices is Po Box 23998, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Delta Physician Practices |
---|---|
Address | Po Box 23998, Jackson, Mississippi |
Phone Number | 6627252749 |
Fax Number | 6627252741 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | CEO |
---|---|
Authorized Official Name | Stacker Iris |
Telephone Number | 6623783783 |
NPI Number Detail
NPI Number | 1477672442 |
---|---|
Provider Enumeration Date | 2007-03-28 |
Last Updated Date | 2022-11-14 |
Provider Mailing Address Detail
Address | Po Box 23998 |
---|---|
City | Jackson |
State | Mississippi (MS) |
Post Code | 392253998 |
Phone Number | 6627252749 |
Fax Number | 6627252741 |
Provider's Primary Taxonomy Detail
Speciality | Vascular Surgery |
---|---|
Taxonomy | 2086S0129X |
Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
156272002 | AR | -- | |
9015100 | MS | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Delta Physician Practices by the Centers for Medicare & Medicaid Services (CMS)?
The Delta Physician Practices has been assigned the NPI (National Provider Identifier) 1477672442. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Delta Physician Practices's physical address?
The Delta Physician Practices is physically located at Po Box 23998, in the city of Jackson, MS, with the postal code 392253998.
What is Delta Physician Practices's specialized field of practice, and what is the corresponding taxonomy classification code?
The Delta Physician Practices's area of specialization is Vascular Surgery, and the corresponding taxonomy code that categorizes this field of practice is 2086S0129X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1477672442 to Delta Physician Practices?
The Centers for Medicare & Medicaid Services originally issued the 1477672442 to Delta Physician Practices on 2007-03-28.
As of what date was the information regarding Delta Physician Practices, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Delta Physician Practices, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-11-14.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC
NPI Number: 1245233493
Address: 108 W Market St, Bloomington, IL