MERIDIAN OB/GYN, PLLC


Address: 1020 22nd Ave, Meridian, MS 39301-5001
Phone: 6015138630

MERIDIAN OB/GYN, PLLC (NPI# 1043578784) 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) 1043578784
Entity Type Organization
Organization Name MERIDIAN OB/GYN, PLLC
Practice Address 1020 22nd Ave
Meridian
MS 39301-5001
Practice Telephone 6015138630
Enumeration Date 2012-05-01
Last Update Date 2012-05-01
Authorized Official Name ELIZABETH TREST (OWNER)
Authorized Official Telephone 6015138630
Authorized Official Credential D.O.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207V00000X Obstetrics & Gynecology MS Allopathic & Osteopathic Physicians

Office Location

Street Address 1020 22ND AVE
City MERIDIAN
State MS
Zip Code 39301-5001

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NPI Name Taxonomy Address Enumeration
1407460439 Kayla Lee Monsour Pharmacist 1415 24th Avenue, Meridian, MS 39301 2020-09-08
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1912537317 Courtney M Hollie Counselor 1054 Ms-19, Meridian, MS 39301 2020-01-24
1932636495 Rcg Mississippi, Inc. Clinic/Center 1300 38th Ave E, Meridian, MS 39301 2017-05-16
1811428915 Tierria Mcglothin Nurse Practitioner 1054 Highway 19 S, Meridian, MS 39301 2017-03-21
1154869303 Lindsay Nemanich Physical Therapist 3716 Ms-39, Meridian, MS 39301 2017-02-08
1700323599 Wal-mart Stores East Lp Pharmacy 3310-a Highway 39 North, Meridian, MS 39301 2017-01-31
1972977460 Southeast Pharmacy LLC Pharmacy 2402 Long Creek Road, Meridian, MS 39301 2015-11-20
1235508342 East Mississippi Oral & Facial Surgery, LLC Clinic/Center 1212 24th Avenue, Meridian, MS 39301 2015-09-18
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Taxonomy Information

Taxonomy Code 207V00000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology

Taxonomy Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205064888 Seale Women's Care, LLC Obstetrics & Gynecology 1800 12th St Ste 4a, Meridian, MS 39301-4158 2009-06-23
1346481850 Rush Medical Group of Newton, Pa Obstetrics & Gynecology 2303 13th St, Meridian, MS 39301-3940 2009-03-12
1730341280 Ronnye D Purvis M.d. PC Obstetrics & Gynecology 2420 11th St, Meridian, MS 39301-5033 2008-06-26
1609934058 Meridian Hma Inc Obstetrics & Gynecology 1020 22nd Avenue, Ste A, Meridian, MS 39301 2006-12-05
1780784496 Elizabeth A. Trest Obstetrics & Gynecology 2401 16th St, Meridian, MS 39301-3950 2006-09-23
1598865206 James John Purdy Obstetrics & Gynecology 1221 24th Avenue, Meridian, MS 39301 2006-09-23
1851495295 Ronnye Dale Purvis Obstetrics & Gynecology 2420 11th Street, Meridian, MS 39301 2006-09-07
1144323387 Virginia Carney Nelson Obstetrics & Gynecology 1702 14th St, Meridian, MS 39301-4140 2006-09-06
1134160062 Marianne L. Zakarian Obstetrics & Gynecology 2536 N. Stokesberry Place, Meridian, ID 83646 2006-06-10
1861449084 Mary C Hafer Obstetrics & Gynecology 2971 E Copper Point Dr, Ste # 125, Meridian, ID 83642-5101 2006-05-31
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City MERIDIAN
Zip Code 39301

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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.

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