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UPA PLLC HEMATOLOGY
NPI 1083767842
Pediatrics - Pediatric Hematology-Oncology in Jackson, MS

Active since January 18, 2007
2500 N STATE ST, JACKSON, MS 39216(601) 815-4249 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Upa Pllc Hematology NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

UPA PLLC HEMATOLOGY (NPI 1083767842) is a healthcare organization registered as a pediatric hematology-oncology in Jackson, Mississippi and active in the NPI registry since January 2007. The organization lists Owen B Evans, Manager, as its authorized official.

NPPES Registry Identity

NPI1083767842
Entity TypeOrganization
Primary Taxonomy2080P0207X
Legal Business NameUPA PLLC HEMATOLOGY
Location Address2500 N STATE STJackson, MS 39216-4500
Mailing Address2500 N State StJackson, MS 39216-4500 · (601) 815-4249
Phone(601) 815-4249
Organization SubpartNo
Authorized OfficialOwen B EvansManager · (601) 984-5214
Enumeration DateJanuary 18, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1083767842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0207X
Definition

A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

2500 N STATE ST, Jackson, MS 39216
Open in Google Maps ↗

Other Identifiers 1

Medicaid09014122MS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

UNIVERSITY OPHTHALMOLOGY ASSOCIATES
Ophthalmology
2500 N STATE ST, STE B329
JACKSON, MS 39216
Hinds County (601) 815-3931
STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
Rehabilitation Unit
2500 N STATE ST
JACKSON, MS 39216
Hinds County (866) 842-7574
DR. JEFFERY D CARRON MD
Otolaryngology
2500 N STATE ST, DEPARTMENT OF OTOLARYNGOLOGY
JACKSON, MS 39216
Hinds County (601) 984-5160
IRINA V BORISSOVA MD, PHD
Anesthesiology (Pediatric Anesthesiology)
2500 N STATE ST, DEPT. OF ANESTHESIOLOGY
JACKSON, MS 39216
Hinds County (601) 984-5900
DR. KEVIN DEL BEN PHD
Psychologist (Clinical)
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-5888
MS. VICKY DIANNE MINNINGER CFNP
Nurse Practitioner
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-6525
DOMENIC P ESPOSITO M.D.
Neurological Surgery
2500 N STATE ST, N703 NEUROSURGERY DEPARTMENT
JACKSON, MS 39216
Hinds County (601) 984-5706
DR. GRAYSON S NORQUIST M.D.
Psychiatry & Neurology (Psychiatry)
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-5888

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Upa PLLC Hematology's NPI number?

The NPI number for Upa PLLC Hematology is 1083767842. It was assigned to this organization in the NPPES registry on January 18, 2007.

Where is Upa PLLC Hematology located?

Upa PLLC Hematology is located at 2500 N State St, Jackson, MS 39216. The listed phone number is (601) 815-4249.

What is Upa PLLC Hematology's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

When was this NPI record last updated?

The NPPES record for Upa PLLC Hematology was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.