DR. SCOTT L. HAMBLETON (NPI# 1003955626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003955626 |
Entity Type | Individual |
Full Name | DR. SCOTT L. HAMBLETON |
Credential | M.D. |
Practice Address |
7048 Old Canton Road Suite 2001 Ridgeland MS 39157 |
Practice Telephone | 6018509220 |
Practice Fax Number | 6012552606 |
Mailing Telephone | 6018509220 |
Mailing Fax Number | 6012552606 |
Enumeration Date | 2007-02-06 |
Last Update Date | 2015-08-24 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
20010 | MS | Allopathic & Osteopathic Physicians |
Street Address |
7048 OLD CANTON ROAD SUITE 2001 |
City | RIDGELAND |
State | MS |
Zip Code | 39157 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124631023 | Mychell Thomas | Licensed Practical Nurse | 199 Charmant Place, Ridgeland, MS 39157 | 2020-08-28 |
1225680945 | Verthena Edwards | Home Health | 301 Pinehurst Cir, N/a, Ridgeland, MS 39157 | 2019-07-12 |
1730663469 | Essential Touchtones | Psychologist | 210 W. Jackson Street, Ridgeland, MS 39157 | 2018-09-19 |
1841786365 | Whitney Paige Crum | Speech-Language Pathologist | Laskin Therapy Group Pa, 207 W Jackson St, Ridgeland, MS 39157 | 2018-07-09 |
1811487002 | Camille Brockett | Social Worker | 270 Trace Colony Park Dr Ste B, Ridgeland, MS 39157 | 2018-05-14 |
1588171177 | Layson Counseling Group, Pllc | Counselor | 573 Hwy 51 Suite B, Ridgeland, MS 39157 | 2018-01-04 |
1407376452 | Mobility Rehab LLC | Clinic/Center | 745 S Pear Orchard Road, Apt 335, Ridgeland, MS 39157 | 2017-06-21 |
1184165102 | Sinus and Allergy Institute Pllc | Otolaryngology | 1115 Highland Colony Parkway, Suite C, Ridgeland, MS 39157 | 2017-03-09 |
1093263410 | Natural Health Project LLC | General Practice | 555 Highway 51, Ridgeland, MS 39157 | 2016-09-14 |
1851755714 | Jerlunda Lynn Dudley | Social Worker | 511 Clark Street, Rosedale, MS 39157 | 2016-04-07 |
Find all providers in zip 39157 |
Taxonomy Code | 2084A0401X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Addiction Medicine |
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437327830 | River Oaks Management Company, LLC | Psychiatry & Neurology | 207 W Jackson St, Suite 1, Ridgeland, MS 39157-2311 | 2008-02-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578709713 | Holloway Psychiatric Services, Inc. | Psychiatry & Neurology | 742d Magnolia St, Madison, MS 39110-8903 | 2008-12-17 |
1558379263 | Kevin Mark Passer | Psychiatry & Neurology | 5317-4 Old Highway 11, Hattiesburg, MS 39402 | 2006-08-04 |
1023034758 | Elizabeth Connell Henderson | Psychiatry & Neurology | 3848 County Road 24, Hickory, MS 39332-2630 | 2006-07-14 |
1659990075 | Addiction Campuses Professional Services of Mississippi, LLC | Psychiatry & Neurology | 340 Stateline Rd W, Southaven, MS 38671-1610 | 2020-04-15 |
1477180958 | Wright and Associates Medical Logistics LLC | Psychiatry & Neurology | 1403 43rd Ave, Gulfport, MS 39501-2545 | 2020-03-25 |
1952940454 | Magnolia Counseling Clinic | Psychiatry & Neurology | 590 Highway 6 E, Batesville, MS 38606-3002 | 2019-12-31 |
1497103469 | Sharmayn Sayers-erfourth | Psychiatry & Neurology | 129 E Starling St Ste A, Greenville, MS 38701-4725 | 2016-05-31 |
1972642585 | Randall L Sherman | Psychiatry & Neurology | 1 Lincoln Pkwy Ste 202, Hattiesburg, MS 39402-3261 | 2007-02-06 |
1922101328 | Sreedhar Rao Rayudu | Psychiatry & Neurology | 590 Hwy 6 East, Batesville, MS 38606 | 2006-09-07 |
1477582096 | Joseph A. Kwentus | Psychiatry & Neurology | 3450 Highway 80 W, Jackson, MS 39209-7201 | 2006-07-03 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.