AMORY HMA PHYSICIAN MGMT LLC (NPI# 1043536881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043536881 |
| Entity Type | Organization |
| Organization Name | AMORY HMA PHYSICIAN MGMT LLC |
| Other Organization Name | AMORY ENT AND ALLERGY PRACTICE |
| Practice Address |
1107 Earl Frye Blvd Suite 1 Amory MS 38821-5519 |
| Practice Telephone | 6622576792 |
| Practice Fax Number | 6622576795 |
| Mailing Telephone | 6622576792 |
| Mailing Fax Number | 6622576795 |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2010-04-19 |
| Authorized Official Name | KATHY LINLEY (ADMIN ASSISTANT) |
| Authorized Official Telephone | 6622567112 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0602X |
Otolaryngology Specialization: Otolaryngic Allergy |
20619 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 03439592 | 05 |
| Other Name | Type Code |
|---|---|
| Amory ENT and Allergy Practice | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912200460 | Amory Hma Physician Mgmt LLC | Clinic/Center | 607 Earl Frye Blvd # A, Amory, MS 38821-5503 | 2010-12-06 |
| 1720202450 | Amory Hma Physician Mgmt LLC | Internal Medicine | 1127 Earl Frye Blvd Ste A, Amory, MS 38821-5516 | 2007-04-12 |
| 1972819035 | Amory Hma Physician Mgmt LLC | Urology | 1127 Earl Frye Blvd, Suite B, Amory, MS 38821-5516 | 2010-08-27 |
| 1609090802 | Amory Hma Physician Mgmt LLC | Hospitalist | 1105 Earl Frye Blvd, Amory, MS 38821-5500 | 2007-04-12 |
| Street Address |
1107 EARL FRYE BLVD SUITE 1 |
| City | AMORY |
| State | MS |
| Zip Code | 38821-5519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083674378 | Vern M Christensen | Podiatrist | 1107 Earl Frye Blvd, Suite 1, Amory, MS 38821-5519 | 2006-03-23 |
| 1922544865 | Dvc Pharmacy LLC | Pharmacy | 1107 Earl Frye Blvd, Suite #1, Amory, MS 38821-5519 | 2017-01-17 |
| 1366886491 | Amory Hma Physician Management, LLC | Internal Medicine | 1107 Earl Frye Blvd, Amory, MS 38821-5519 | 2013-04-19 |
| 1295017317 | Christy F Jaggers | Nurse Practitioner | 1107 Earl Frye Blvd, Suite 5, Amory, MS 38821-5519 | 2011-09-14 |
| 1538459078 | Leaura Brooke Galbraith | Nurse Practitioner | 1107 Earl Frye Blvd, Amory, MS 38821-5519 | 2011-04-18 |
| 1376776435 | Vern M. Christensen, Dpm | Podiatrist | 1107 Earl Frye Blvd, Suite 1 and 2, Amory, MS 38821-5519 | 2009-08-24 |
| 1447379300 | Zhear Al-godi | Pediatrics | 1107 Earl Frye Blvd, Suite 5, Amory, MS 38821-5519 | 2007-03-29 |
| 1528075868 | Roger Ratliff | Internal Medicine | 1107 Earl Frye Blvd, Suite 6, Amory, MS 38821-5519 | 2006-08-01 |
| 1043235047 | William Dwight Mccomb | Internal Medicine | 1107 Earl Frye Blvd, Ste 6, Amory, MS 38821-5519 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235783127 | Elaina Ponder | Nurse Practitioner | 1506 U.S. 278 Suite A, Amory, MS 38821 | 2019-07-29 |
| 1447725221 | Family Care Pharmacy, LLC | Pharmacy | 60379 C Cotton Gin Port Rd, Amory, MS 38821 | 2018-10-09 |
| 1528547171 | Amory Medical Clinic, LLC | Family Medicine | 806 Earl Frye Blvd # B, Amory, MS 38821 | 2018-08-13 |
| 1558735738 | Speech Pathology Solutions, LLC | Speech-Language Pathologist | 1 Camellia Lane, Amory, MS 38821 | 2015-11-25 |
| 1851600811 | Tiffany W. Dean | Pharmacist | 905 Hwy 278 East, Amory, MS 38821 | 2010-09-24 |
| 1023349248 | Premier Respiratory Services LLC | Respiratory Therapist, Registered | 404 Gilmore Drive, Amory, MS 38821 | 2010-01-28 |
| 1245414820 | Mississippi Em-i Medical Services, PC | Emergency Medicine | 1105 Earl Frye Blvd., Amory, MS 38821 | 2007-12-19 |
| 1801088208 | West Amory Elementary School | Nursing Care | 704 111th St, Amory, MS 38821 | 2007-08-10 |
| 1720279482 | Amory Middle School | Nursing Care | 700 2nd Ave. N., Amory, MS 38821 | 2007-08-07 |
| 1215041652 | Robert A Dale Jr. | Specialist | 1105 Earl Frye Boulevard, Gilmore Memorial Hospital, Amory, MS 38821 | 2006-08-19 |
| Find all providers in zip 38821 | ||||
| Taxonomy Code | 207YX0602X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otolaryngic Allergy |
| An otolaryngologist who specializes in the diagnosis and treatment of otolaryngic allergies and other allergic diseases. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629249545 | Baptist Memorial Health Services Inc of Mississippi | Otolaryngology | 452 W Bankhead St, New Albany, MS 38652-3319 | 2008-03-19 |
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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.