Dr. Alexander Vortmeyer, M.D.
Pathology, Neuropathology in Jackson, MS. Individual provider (NPI-1).
NPI number1124265665
StatusActive
Last updated in NPPESJan 5, 2024
Details
- NPI
- 1124265665
- Entity type
- Individual (NPI-1)
- Name
- Dr. Alexander Vortmeyer
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 20, 2009
- Certification date
- Jan 5, 2024
- Last updated
- Jan 5, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Part B No · DME Yes · Home health No · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207ZN0500X | Pathology, Neuropathology | 31757 | MS | Yes |
| 207ZN0500X | Pathology, Neuropathology | 047068 | CT |
Other names
- Alexander O. Vortmeyer (Other Name)
Practice location
2500 N State StJackson, MS 39216-4500
Phone 601-984-1530 · Fax 601-984-1531
Mailing address
504 Clinton Center Dr Ste 4300Clinton, MS 39056-5610
Phone 601-815-2005 · Fax 601-815-0434
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