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

Q: What is the provider's specialty?

The provider's specialty is Pediatrics with taxonomy code 2080P0207X and a focus in Pediatric Hematology-Oncology.

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.

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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

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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