Provider Demographics
NPI:1891724035
Name:NORTH MS EMERGENCY PHYSICIANS
Entity Type:Organization
Organization Name:NORTH MS EMERGENCY PHYSICIANS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRIMARY ED PHYSICIAN CONTACT
Authorized Official - Prefix:
Authorized Official - First Name:BUFORD
Authorized Official - Middle Name:LEWAYNE
Authorized Official - Last Name:LAMBERT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:662-842-7432
Mailing Address - Street 1:PO BOX 3079
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39207-3079
Mailing Address - Country:US
Mailing Address - Phone:866-754-3852
Mailing Address - Fax:205-313-5245
Practice Address - Street 1:830 S GLOSTER ST
Practice Address - Street 2:
Practice Address - City:TUPELO
Practice Address - State:MS
Practice Address - Zip Code:38801-4934
Practice Address - Country:US
Practice Address - Phone:866-754-3852
Practice Address - Fax:205-313-5245
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS05352303Medicaid
MS=========OtherBCBS GROUP #
MS=========OtherBCBS GROUP #