MADENA JANE GIBSON


Address: 1695 Moses Rd, Raymond, MS 39154-8766
Phone: (601) 857-8638

MADENA JANE GIBSON (NPI# 1013431519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013431519
Entity Type Individual
Full Name MADENA JANE GIBSON
Credential MD
Practice Address 1695 Moses Rd
Raymond
MS 39154-8766
Practice Telephone (601) 857-8638
Mailing Telephone 6018578638
Enumeration Date 2017-07-27
Last Update Date 2017-07-27
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice 07981 MS Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MS MS MEDICAL LICENSURE 07981 01

Office Location

Street Address 1695 MOSES RD
City RAYMOND
State MS
Zip Code 39154-8766

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649520446 Katherine Gaynell Garrison Nurse Anesthetist, Certified Registered 214 Port Gibson St, Raymond, MS 39154 2012-09-19
1194938126 Hiram Alfonso Gatewood Jr. Dentist 450 Main St., Raymond, MS 39154 2007-05-07
1275745432 Hinds County School District Registered Nurse 417 Palestine Road, Raymond, MS 39154 2007-05-03
1154418655 First Family Healthcare Center, Pllc Family Medicine 119 South Oak Street, Ste 2, Raymond, MS 39154 2006-10-06
1558503698 Martha Michelle Chambers Nurse Practitioner 119 South Oak Street, Suite 2, Raymond, MS 39154 2009-04-06
1225259583 Trucare Hospice, LLC Hospice Care, Community Based 120 West Main St, Suite B, Raymond, MS 39154 2007-05-02
1063593283 Tranquility Hospice Hospice Care, Community Based 120 West Main St, Raymond, MS 39154 2006-10-17
1932314192 Raymond Drug Store,inc. Pharmacy 112 W.main St., Raymond, MS 39154-1205 2007-05-11
1669575627 Minor Med Care, P.a. Clinic/Center 120 W Main St, Raymond, MS 39154-1223 2006-09-06
1548720568 First Choice Family Healthcare Clinic Pllc Clinic/Center 119 S Oak Ste 2, Raymond, MS 39154-4205 2019-03-25
Find all providers in zip 39154

Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033342720 Perry Joe Wise General Practice 723 Ballentine St, Raymond, WA 98577-3603 2009-08-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1487260329 Good Shepard LLC General Practice 632 Lakeland East Dr, Flowood, MS 39232-9565 2020-09-16
1518500677 Nettleton Medical Express Care LLC General Practice 7230 Highway 45 N Ste B, 32610 Hwy 45 N, Nettleton, MS 38858 2019-10-22
1780241729 Southeast Reginald Solutions,pllc General Practice 310 River Forest Ln, Brandon, MS 39047-7020 2019-05-24
1235601907 William Carey University General Practice 710 William Carey Pkwy, Hattiesburg, MS 39401-7842 2018-12-19
1770050908 Thompson Medical Service, LLC General Practice 1200 Hwy 15 North, Blue Mountain, MS 38610 2018-10-25
1790265932 Antonio Reyes Del Castillo Jr. General Practice 590 Parchman Road 12, Parchman, MS 38738-3001 2018-08-16
1700397239 Marysol Camejo Romero General Practice 728 Benwick Dr, Brandon, MS 39047-8111 2017-10-24
1942740188 Personalized Wellness General Practice 573 Highway 51 Ste D, Ridgeland, MS 39157-2605 2017-03-07
1366991523 Jackson State University General Practice 1400 Jr Lynch St, Jackson, MS 39217-0002 2016-09-29
1093263410 Natural Health Project LLC General Practice 555 Highway 51, Ridgeland, MS 39157 2016-09-14
Find all providers with the same taxonomy

Competitor

Search similar providers

City RAYMOND
Zip Code 39154

Improve Information

Please comment or provide details below to improve the information on MADENA JANE GIBSON.

Dataset Information

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.

Trending Searches