EAR NOSE AND THROAT SURGICAL GROUP
NPI 1174757017
Otolaryngology in Jackson, MS

Active since May 06, 2009
970 LAKELAND DR, SUITE 40, JACKSON, MS 39216(601) 200-4850(601) 200-4838 Get Directions Write a Review

NPPES record last updated: December 18, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ear Nose And Throat Surgical Group NPPES

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

EAR NOSE AND THROAT SURGICAL GROUP (NPI 1174757017) is a healthcare organization registered as an otolaryngology in Jackson, Mississippi and active in the NPI registry since May 2009. The organization lists Jennifer Sinclair, Vice President Of Finance, as its authorized official.

NPPES Registry Identity

NPI1174757017
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameST DOMINIC MEDICAL ASSOCIATES LLC
Location Address970 LAKELAND DR, SUITE 40Jackson, MS 39216-4635
Mailing AddressPo Box 23666Jackson, MS 39225-3666 · (601) 200-4749
Fax(601) 200-4838
Organization SubpartYesParent: St Dominic Jackson Memorial Hospital
Authorized OfficialJennifer SinclairVice President Of Finance · (601) 200-2000
Enumeration DateMay 6, 2009
Last NPPES UpdateDecember 18, 2013
NPI 1174757017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
970 LAKELAND DR, Jackson, MS 39216

Other Names 1

Doing Business AsEar Nose And Throat Surgical Group

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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.

Radiology (Radiation Oncology)
970 LAKELAND DR, SUITE 34
JACKSON, MS 39216
Nurse Practitioner (Acute Care)
970 LAKELAND DR, SUITE 61
JACKSON, MS 39216
Pain Medicine (Interventional Pain Medicine)
970 LAKELAND DR, SUITE 45
JACKSON, MS 39216
Obstetrics & Gynecology (Obstetrics)
970 LAKELAND DR, SUITE 43
JACKSON, MS 39216
Internal Medicine (Cardiovascular Disease)
970 LAKELAND DR, SUITE 61
JACKSON, MS 39216
Clinic/Center (Ambulatory Surgical)
970 LAKELAND DR, SUITE 15
JACKSON, MS 39216
Internal Medicine (Cardiovascular Disease)
970 LAKELAND DR, SUITE 61
JACKSON, MS 39216
Internal Medicine (Cardiovascular Disease)
970 LAKELAND DR, SUITE 61
JACKSON, MS 39216

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 St Dominic Medical Associates LLC's NPI number?

The NPI number for St Dominic Medical Associates LLC is 1174757017. It was assigned to this organization in the NPPES registry on May 6, 2009. The provider is doing business as Ear Nose And Throat Surgical Group.

Where is St Dominic Medical Associates LLC located?

St Dominic Medical Associates LLC is located at 970 Lakeland Dr Suite 40, Jackson, MS 39216. The listed phone number is (601) 200-4850.

What is St Dominic Medical Associates LLC's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

When was this NPI record last updated?

The NPPES record for St Dominic Medical Associates LLC was last updated on December 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.