ST DOMINIC'S GYNECOLOGIC ONCOLOGY – NPI #1346510559
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'S GYNECOLOGIC ONCOLOGY is a provider located in JACKSON, MS. NPPES has assigned the NPI number 1346510559 to ST DOMINIC'S GYNECOLOGIC ONCOLOGY on January 04, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ST DOMINIC'S GYNECOLOGIC ONCOLOGY” is a dba name, the actual legal business name for this organization is ST DOMINIC MEDICAL ASSOCIATES. 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 5 years ago on Mar 16, 2021. 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'S GYNECOLOGIC ONCOLOGY below.

NPI Profile for
ST DOMINIC MEDICAL ASSOCIATES

NPI Number
1346510559
Enumeration Date

(more than 14 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
Doing Business As (dba): ST DOMINIC'S GYNECOLOGIC ONCOLOGY
Primary location
971 LAKELAND DR
SUITE 750
JACKSON, MS 39216-4643
Phone: (601) 200-4970 Fax: (601) 200-5943
Mailing address
PO BOX 23666
JACKSON, MS 39225-3666
Phone: (601) 200-4749 Fax: (601) 200-5929
Organization Subpart
Yes - ST DOMINIC'S GYNECOLOGIC ONCOLOGY is subpart of another organization.
Authorized Official
DANIELLE STUART
CREDENTIALING SPECIALIST
Phone: (601) 200-4880
Updated
Certification Date
Mar 16, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for ST DOMINIC'S GYNECOLOGIC ONCOLOGY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMS01652268
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)

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.