Healthcare Provider Details

I. General information

NPI: 1972324309
Provider Name (Legal Business Name): URGENT SPECIALTY ASSOCIATES OF MISSISSIPPI PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2024
Last Update Date: 04/01/2025
Certification Date: 04/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

830 S GLOSTER ST
TUPELO MS
38801-4934
US

IV. Provider business mailing address

9635 MAROON CIR STE 410
ENGLEWOOD CO
80112-5927
US

V. Phone/Fax

Practice location:
  • Phone: 855-495-1400
  • Fax:
Mailing address:
  • Phone: 817-856-0655
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JOHN JOSEPHS
Title or Position: PRESIDENT
Credential: MD
Phone: 469-766-8747