St. Dominic Medical Associates Llc

LBN: St. Dominic Medical Associates Llc
St. Dominic Medical Associates Llc is an health care organization with primary practice located at 969 Lakeland Dr , Jackson MS 39216-4606. The organization recently has 10 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Neurological Surgery, Allopathic & Osteopathic Physicians / Gynecologic Oncology, Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Urology, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. St. Dominic Medical Associates Llc can be contacted via phone (601) 200-4749, or through Stuart, Danielle via phone (601) 200-4880.

Contact Information

Primary practice address
969 Lakeland Dr Jackson MS 39216-4606
Phone: (601) 200-4749
Fax: (601) 200-5929
Website:
Map and Directions
Authorized official contact:
Name: Stuart, Danielle
Phone: (601) 200-4880

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X
Allopathic & Osteopathic Physicians / Neurology 2084N0400X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X
Allopathic & Osteopathic Physicians / Urology 208800000X
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X

Profile Details

NPI number 1407920549
LBN Legal business name St. Dominic Medical Associates Llc
DBA Doing business as
Authorized official Stuart, Danielle
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 20th, 2006
Last updated Nov 18th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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