St Dominic Medical Associates LLC
NPI 1174757017ActiveOrganization· Otolaryngology· Jackson, MS
Otolaryngology in Jackson, Mississippi, registered in NPPES in May 2009, part of St Dominic Jackson Memorial Hospital. The authorized official on file is Jennifer Sinclair, Vice President Of Finance.
Overview
| NPI | 1174757017 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | St Dominic Jackson Memorial Hospital |
| NPI issued | May 6, 2009 |
| Last updated in NPPES | Dec 18, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Otolaryngology Primary | 207Y00000X | — | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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