PLASTIC SURGERY OF NORTH MS., PA (NPI# 1023477841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023477841 |
| Entity Type | Organization |
| Organization Name | PLASTIC SURGERY OF NORTH MS., PA |
| Practice Address |
4248 S Eason Blvd Ste B Tupelo MS 38801-6549 |
| Practice Telephone | 6628428949 |
| Practice Fax Number | 6628428995 |
| Mailing Telephone | 6628428949 |
| Mailing Fax Number | 6628428995 |
| Enumeration Date | 2016-02-22 |
| Last Update Date | 2016-02-22 |
| Authorized Official Name | DR. DOUGLAS ALAN PRITCHARD (OWNER) |
| Authorized Official Telephone | 6628428949 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
12950 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00018072 | 05 |
| Street Address |
4248 S EASON BLVD STE B |
| City | TUPELO |
| State | MS |
| Zip Code | 38801-6549 |
| 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 | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164511374 | Suman Kumar Das | Surgery | 2629 Courthouse Cir, Flowood, MS 39232-9521 | 2006-10-12 |
| 1477568749 | Forrest Simpson Wells | Surgery | 4509 Gibson Rd, Ocean Springs, MS 39564-6026 | 2006-07-29 |
| 1043872948 | John Magruder Sullivan IIi | Surgery | 2500 N State St, Jackson, MS 39216-4500 | 2019-07-01 |
| 1508352196 | Katherine Christine Benedict | Surgery | 2500 N State St, Jackson, MS 39216-4500 | 2018-07-06 |
| 1184022485 | Mississippi Center for Plastic Surgery | Surgery | 200 W Jackson St, Suite 100, Ridgeland, MS 39157-2310 | 2014-12-18 |
| 1891087417 | William Darden North | Surgery | 1055 River Oaks Dr, Flowood, MS 39232-9595 | 2011-05-16 |
| 1841581352 | South Central Cinics, Inc | Surgery | 1410 Jefferson St, Laurel, MS 39440-4243 | 2011-05-02 |
| 1366604100 | Erica Hutcheson Bass | Surgery | 160 Fountains Blvd Ste B, Madison, MS 39110-6343 | 2008-07-01 |
| 1073770228 | Shell Plastic Surgery,pllc | Surgery | 1306 Belk Blvd, Oxford, MS 38655-5302 | 2008-05-16 |
| 1295927838 | John H Miller Md PC | Surgery | 2781 C T Switzer Sr Dr, Suite 306, Biloxi, MS 39531-4536 | 2007-08-17 |
| Find all providers with the same taxonomy | ||||
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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.