Dermatology Center of North Ms PA
NPI 1053491605ActiveOrganization· Dermatology· Tupelo, MS
Dermatology in Tupelo, Mississippi, registered in NPPES in October 2006. The authorized official on file is John D. Burk, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1053491605 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 17, 2006 |
| Last updated in NPPES | Mar 26, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | 7919 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MS) |
|---|
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