Healthcare Provider Details

I. General information

NPI: 1497730469
Provider Name (Legal Business Name): JAMES A YORK MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/13/2005
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6051 U S HIGHWAY 49
HATTIESBURG MS
39401-7200
US

IV. Provider business mailing address

5000 W 4TH ST
HATTIESBURG MS
39402-1000
US

V. Phone/Fax

Practice location:
  • Phone: 800-494-8260
  • Fax:
Mailing address:
  • Phone: 800-494-8260
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number049371
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number049371
License Number StateGA
# 3
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number24412
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: