VICKSBURG ONCOLOGY ASSOCIATES LLC


Address: 970 Lakeland Dr Ste 34, Jackson, MS 39216-4640
Phone: 6013620600

VICKSBURG ONCOLOGY ASSOCIATES LLC (NPI# 1174613830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174613830
Entity Type Organization
Organization Name VICKSBURG ONCOLOGY ASSOCIATES LLC
Practice Address 970 Lakeland Dr Ste 34
Jackson
MS 39216-4640
Mailing Address Po Box 4997
Jackson
MS 39296-4997
Practice Telephone 6013620600
Practice Fax Number 6016383227
Mailing Telephone 6013620600
Mailing Fax Number 6016383227
Enumeration Date 2006-10-13
Last Update Date 2019-01-11
Authorized Official Name STEVEN ZACHOW (PRESIDENT)
Authorized Official Telephone 6016383005
Authorized Official Credential MC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0001X Radiology
Specialization: Radiation Oncology
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
LA 1944653 05
MS BLUE CROSS ACH 91-066632 01
LA 1961817 05
LA 1961825 05
MS 09014095 05

Office Location

Street Address 970 LAKELAND DR STE 34
City JACKSON
State MS
Zip Code 39216-4640

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861011553 Ashley Melancon Prewitt Registered Nurse St. Dominic's North Campus, Behavioral Health, Jackson, MS 39216 2020-04-13
1194353391 Brianna Arrington Student in an Organized Health Care Education/Training Program Med/ Peds, 2500 N. State St., Jackson, MS 39216 2020-04-01
1720616485 Roshina Khalid Khan Student in an Organized Health Care Education/Training Program Department of Anesthesiology, Ummc, 2500 N. State St., Jackson, MS 39216 2020-03-30
1275183550 Amanda Lynn Morellato Dentist Ummc School of Dentistry, 2500 North State Street, Jackson, MS 39216 2019-09-18
1396305553 Abhishek Chhabra Student in an Organized Health Care Education/Training Program Lakeland Family Medicine Clinic, 878 Lakeland Dr., Jackson, MS 39216 2019-06-19
1427615996 Hometown Diagnostics Clinical Medical Laboratory Translational Research Center Tr311, 2500 North State Street, Jackson, MS 39216 2019-05-21
1346807773 Shukundala C Smith Behavior Technician New Learning Resources 2510 Lakeland Terrace, Jackson, MS 39216 2019-05-21
1063901098 G Eli Howell Md Pllc Plastic Surgery 971 Lakeland Dr Ste 225, Jackson, MS 39216 2018-05-04
1588168132 Caleb Zumbro Student in an Organized Health Care Education/Training Program Ummc Med/peds, 2500 N. State St., Jackson, MS 39216 2018-03-20
1639677230 Walgreen Co Pharmacy 971 Lakeland Dr Ste 101, Jackson, MS 39216 2018-01-29
Find all providers in zip 39216

Taxonomy Information

Taxonomy Code 2085R0001X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Radiation Oncology

Taxonomy Definition

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841224433 Regents of The University of Michigan Radiology 1102 East Michigan Ave, Jackson, MI 49201-0010 2006-07-10
1023072485 Paul D Koerner Radiology 322 Hosp Blvd, Cancer Care Center of Jackson, Jackson, TN 38305 2006-04-13
1184607210 Srinivasan Vijayakumar Radiology 350 W Woodrow Wilson Ave, Suite 16, Jackson, MS 39213-7681 2005-11-22
1013919216 Richard B Friedman Radiology 1225 N State St, Jackson, MS 39202-2064 2005-06-01
1518969724 Steven E Zachow Radiology 1850 Chadwick Dr, Jackson, MS 39204-3404 2005-06-01
1497757603 Sidney A Johnson Jr. Radiology 2969 Curran Dr N, Jackson, MS 39216-4121 2005-06-01
1144883620 W A Foote Memorial Hospital Inc Radiology 205 N East Ave, Jackson, MI 49201-1753 2019-04-19
1124584800 Teessa Perekattu Kuruvilla Radiology Department of Radiation Oncology, 350 Woodrow Wilson Dr, Jackson, MS 39216-4505 2019-02-18
1194245472 W. A. Foote Memorial Hospital, Inc Radiology 205 N East Ave, Jackson, MI 49201-1753 2017-06-27
1043743339 Hiba Ahmed Radiology 350 W Woodrow Wilson Ave Ste 1600, Jackson, MS 39213-7627 2017-04-04
Find all providers in JACKSON

Competitor

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City JACKSON
Zip Code 39216

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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