THE WOMAN'S CLINIC OF TUPELO (NPI# 1013994060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013994060 |
| Entity Type | Organization |
| Organization Name | THE WOMAN'S CLINIC OF TUPELO |
| Practice Address |
1512 Medical Park Cir Tupelo MS 38801-6560 |
| Practice Telephone | 6628440867 |
| Practice Fax Number | 6628447086 |
| Mailing Telephone | 6628440867 |
| Mailing Fax Number | 6628447086 |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. LAURA J CRECELIUS (OBGYN M.D.) |
| Authorized Official Telephone | 6628440867 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | ========= | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00117464 | 05 | |
| MS | 00019541 | 05 | |
| MS | 00126770 | 05 |
| Street Address |
1512 MEDICAL PARK CIR |
| City | TUPELO |
| State | MS |
| Zip Code | 38801-6560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194339275 | Friendship, LLC | Pharmacy | 4123 W Main St, Tupelo, MS 38801 | 2020-09-04 |
| 1003443458 | Nicole Sherice Taylor | Nurse Practitioner | 845 South Gloster Street, Tupelo, MS 38801 | 2020-03-25 |
| 1821556838 | Wilco Healthcare of North Mississippi, Pllc | Point of Service | 1514 Co Rd 41, Tupelo, MS 38801 | 2019-03-08 |
| 1821565235 | Stephanie K Cagle | Nurse Practitioner | 218 S Thomas St Ste 120-121, Tupelo, MS 38801 | 2018-10-24 |
| 1073092326 | Lauren Parrish | Nurse Practitioner | 1573 Medical Park Circle, Tupelo, MS 38801 | 2018-08-08 |
| 1467948687 | North Mississippi Medcial Center, Inc. | Nurse Practitioner | 990 S Madison St Ste 2, Tupelo, MS 38801 | 2018-07-11 |
| 1043700933 | Hooks Diabetes & Medicine Clinic | Non-Pharmacy Dispensing Site | 2610 Traceland Drive, Ste A, Tupelo, MS 38801 | 2018-05-16 |
| 1073035903 | Annette C Riddle | Counselor | 1004 Eisenhower Drive, Tupelo, MS 38801 | 2017-07-12 |
| 1548709678 | Jaime Summers | Nurse Practitioner | 2780 West Jackson St, Tupelo, MS 38801 | 2017-02-22 |
| 1073975611 | Heath Bryan Coleman, Dds of Mississippi II, Pllc | Dentist | 1168 Cross Creek Drive, Tupelo, MS 38801 | 2016-03-23 |
| Find all providers in zip 38801 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841639648 | Ageless Men's Health, LLC | Specialist | 1022 Common Wealth Blvd, Tupelo, MS 38801 | 2013-06-14 |
| 1952617722 | Lenora Lee Grayson | Specialist | 208 Ridgelake Dr, Tupelo, MS 38801-8887 | 2010-08-31 |
| 1962718759 | Stephanie Quinn Walker | Specialist | 2260 Camelot Cir, Tupelo, MS 38804-6000 | 2010-08-31 |
| 1083804819 | Toni R Hill | Specialist | 505 Barnes St, Tupelo, MS 38804-2137 | 2007-07-27 |
| 1679690101 | Charles Edward Bouldin | Specialist | 4749 S Eason Blvd, Suite A, Tupelo, MS 38801-6547 | 2007-03-22 |
| 1407867807 | Heritage Obstetrics & Gynecolgy Clinic of Nm Pa | Specialist | 606 Brunson Dr, Tupelo, MS 38801-4947 | 2006-08-10 |
| 1699768754 | Walter W Eckman | Specialist | 408 Council Cir, Tupelo, MS 38801-4949 | 2005-08-24 |
| 1922585629 | Michael E Steuer Md PC | Specialist | 609 Brunson Dr, Tupelo, MS 38801-4948 | 2018-07-25 |
| 1063536126 | Kenneth A Grinspun, M.d. P.a. | Specialist | 1464 Medical Park Cir, Tupelo, MS 38801-6595 | 2007-03-16 |
| 1700914579 | Cardiology Associates of North Ms, Pa | Specialist | 830 S Gloster St, 3rd Floor East Tower, Tupelo, MS 38801-4934 | 2007-03-01 |
| Find all providers in TUPELO | ||||
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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.