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DESOTO OSTEOPATHIC
NPI 1558382200
Internal Medicine in Southaven, MS

Active since July 21, 2006
187 STATELINE RD E, SUITE #10, SOUTHAVEN, MS 38671(662) 342-5353(662) 393-9753 Get Directions Write a Review

NPPES record last updated: October 22, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Desoto Osteopathic NPPES

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

DESOTO OSTEOPATHIC (NPI 1558382200) is a healthcare organization registered as an internal medicine in Southaven, Mississippi and active in the NPI registry since July 2006. The organization lists Debbie Clark, Biller, as its authorized official.

NPPES Registry Identity

NPI1558382200
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameDESOTO OSTEOPATHIC
Location Address187 STATELINE RD E, SUITE #10Southaven, MS 38671-1704
Mailing Address187 Stateline Rd E, Suite #10Southaven, MS 38671-1704 · (662) 342-5353 · Fax (662) 393-9753
Phone(662) 342-5353
Fax(662) 393-9753
Organization SubpartNo
Authorized OfficialDebbie ClarkBiller · (662) 429-5221
Enumeration DateJuly 21, 2006
Last NPPES UpdateOctober 22, 2007
✔ NPI 1558382200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MS · 15380
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
187 STATELINE RD E, Southaven, MS 38671
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Other Identifiers 3

Medicare UPING52317MS
Medicaid0118418MS
Other4031960TN · Blue Cross Of Tennessee

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 3

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

DR. GINA VICK BRAY DO
Internal Medicine
187 STATELINE RD E, SUITE 10
SOUTHAVEN, MS 38671
Desoto County (662) 342-5353
DESOTO FAMILY COUNSELING CENTER, PLLC
Counselor (Professional)
187 STATELINE RD E, SUITE 17
SOUTHAVEN, MS 38671
Desoto County (662) 342-2700
DR. RUTH OUZTS CASH PH.D., NCC, LPC
Counselor (Professional)
187 STATELINE RD E, SUITE 17
SOUTHAVEN, MS 38671
Desoto County (662) 342-2700

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 Desoto Osteopathic's NPI number?

The NPI number for Desoto Osteopathic is 1558382200. It was assigned to this organization in the NPPES registry on July 21, 2006.

Where is Desoto Osteopathic located?

Desoto Osteopathic is located at 187 Stateline Rd E Suite #10, Southaven, MS 38671. The listed phone number is (662) 342-5353.

What is Desoto Osteopathic's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Desoto Osteopathic was last updated on October 22, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.