ST DOMINIC SURGICAL ONCOLOGY – NPI #1316361686
Obstetrics & Gynecology

An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.

Health Care Provider Taxonomy Code for Obstetrics & Gynecology

ST DOMINIC SURGICAL ONCOLOGY is a provider located in MADISON, MS. NPPES has assigned the NPI number 1316361686 to ST DOMINIC SURGICAL ONCOLOGY on February 07, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ST DOMINIC SURGICAL ONCOLOGY” is a dba name, the actual legal business name for this organization is ST DOMINIC MEDICAL ASSOCIATES LLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207VX0201X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology, specializing in Gynecologic Oncology

The NPI profile was previously updated about 12 years ago on Feb 13, 2014. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ST DOMINIC SURGICAL ONCOLOGY below.

NPI Profile for
ST DOMINIC MEDICAL ASSOCIATES LLC

NPI Number
1316361686
Enumeration Date

(more than 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ST DOMINIC MEDICAL ASSOCIATES LLC
Doing Business As (dba): ST DOMINIC SURGICAL ONCOLOGY
Primary location
106 HIGHLAND WAY
STE 200
MADISON, MS 39110-6929
Phone: (601) 200-7465 Fax: (601) 200-5929
Mailing address
PO BOX 23666
JACKSON, MS 39225-3666
Phone: (601) 200-4749 Fax: (601) 200-5929
Organization Subpart
Yes - ST DOMINIC SURGICAL ONCOLOGY is subpart of another organization.
Authorized Official
JENNIFER SINCLAIR
PRESIDENT OF SDMA
Phone: (601) 200-6955
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207VX0201X
- Obstetrics & Gynecology / Gynecologic Oncology (Primary)		 MS 14863
2086X0206X
- Surgery / Surgical Oncology		 MS 14786

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.