ST Dominic Medical Associates LLC

Organization Active
NPI 1689063067
Urology Physician Jackson, MS

ST Dominic Medical Associates LLC holds NPI 1689063067, with a primary taxonomy of urology physician and a practice location in Jackson, MS. The number was issued on January 22, 2015 and the NPPES record was last updated on June 17, 2016. The record lists 3 taxonomy codes.

This record hasn't been updated in NPPES since 2016. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Urology Physician Primary 208800000X 13524 (MS)
Urology Physician 208800000X 11495 (MS)
Urology Physician 208800000X 09524 (MS)

Practice location

971 Lakeland Dr
Suite 360
Jackson, MS 39216-4643
Phone: (601) 200-4370

Local context

Active NPPES records list 37 providers with urology physician as the primary taxonomy within 25 miles of this practice location's ZIP code, 36 of them within 10 miles.

The same primary taxonomy is listed by 152 in Mississippi and 19,306 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Status
Active
NPI issued
Last updated in NPPES

Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.

NPPES data as of · Source: CMS NPPES

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