National Provider Identifier Database

PHYLLIS R BISHOP, MD – NPI #1174567465
Pediatric Gastroenterology

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.


Contact Information

PHYLLIS R BISHOP, MD
2500 N STATE ST
JACKSON, MS39216-4500
Phone: 601-984-5232
Fax:
Website:
Specialty Taxonomy Code
* Pediatric Gastroenterology 2080P0206X

* Indicates primary specialty

NPI Profile & details for PHYLLIS R BISHOP

NPI Number 1174567465
Credentials MD
Entity Individual
Enumeration date 06/16/2006
Last updated 06/14/2012 - About 14 years ago
Sole proprietor1 No
Identifiers
  • MS License #: 12091
  • LA Medicaid: 1541168
  • MS Medicaid: 00119588
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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