ALAN WHITFIELD (NPI# 1053334896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053334896 |
| Entity Type | Individual |
| Full Name | ALAN WHITFIELD |
| Credential | PT |
| Practice Address |
1325 E Fortification St Jackson MS 39202-2442 |
| Practice Telephone | 6019499110 |
| Practice Fax Number | 6019499113 |
| Mailing Telephone | 6019499110 |
| Mailing Fax Number | 6019499113 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2011-11-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
PT1717 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 07430508 | 05 | |
| MS | MEDICARE RR | P00350407 | 01 |
| Street Address |
1325 E FORTIFICATION ST |
| City | JACKSON |
| State | MS |
| Zip Code | 39202-2442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386632560 | Chris Phillip Ethridge | Orthopaedic Surgery | 1325 E Fortification St, Jackson, MS 39202-2442 | 2005-10-11 |
| 1144832130 | Georgiana Ogletree | Occupational Therapist | 1325 E Fortification St, Jackson, MS 39202-2442 | 2020-08-20 |
| 1972133353 | Justin Bryant Schopp | Physician Assistant | 1325 E Fortification St, Jackson, MS 39202-2442 | 2020-01-24 |
| 1154951739 | Hailey Daniels Kelly | Physician Assistant | 1325 E Fortification St, Jackson, MS 39202-2442 | 2020-01-22 |
| 1356903520 | James Logan Ferrell | Occupational Therapist | 1325 E Fortification St, Jackson, MS 39202-2442 | 2019-07-08 |
| 1184185472 | Jamie Jackson Garrett | Physician Assistant | 1325 E Fortification St, Jackson, MS 39202-2442 | 2019-03-28 |
| 1114494754 | Charles Taylor Knapp | Nurse Practitioner | 1325 E Fortification St, Jackson, MS 39202-2442 | 2018-11-01 |
| 1477078277 | Leah Winstead West | Physical Medicine & Rehabilitation | 1325 E Fortification St, Jackson, MS 39202-2442 | 2017-08-14 |
| 1700309374 | Van Treece Woodall | Specialist/Technologist | 1325 E Fortification St, Jackson, MS 39202-2442 | 2017-07-25 |
| 1346760220 | Megan Wallace Tyson | Nurse Practitioner | 1325 E Fortification St, Jackson, MS 39202-2442 | 2017-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982234183 | Eva Mackenzie Carmody | Physician Assistant | 1190 N State St Suite 502, Jackson, MS 39202 | 2020-01-16 |
| 1750868691 | Katherine Walters | Nurse Practitioner | 501 Marshall St., Suite 400, Jackson, MS 39202 | 2018-07-24 |
| 1932638749 | Tylan Lee | Social Worker | 860 East River Place Suite 100, Jackson, MS 39202 | 2017-06-06 |
| 1417314725 | Euna Jyles | Counselor | 860 E River Pl, Jackson, MS 39202 | 2016-01-19 |
| 1255712048 | Edward Jonathan Breight | Specialist/Technologist | 1325 East Fortication Street, Jackson, MS 39202 | 2015-06-17 |
| 1881037703 | Kara Spinks Logan | Surgery | 1190 N State St Ste 502, Jackson, MS 39202 | 2013-04-10 |
| 1477876530 | Mick Inc. | Technician | 334 Josanna Street, Suite #209, Jackson, MS 39202 | 2010-03-03 |
| 1073724910 | Paul Frederic Dare | Anesthesiology | 1151 North State St., Suite 311, Jackson Anesthesia Associates, Jackson, MS 39202 | 2007-05-24 |
| 1225247703 | Lynn Kincannon Holland | Counselor | 911 Manship Street, Unit A, Jackson, MS 39202 | 2007-05-22 |
| 1457568149 | Incare Inc | Pulmonary Function Technologist | 1151 North State St, Suite 406, Jackson, MS 39202 | 2007-05-16 |
| Find all providers in zip 39202 | ||||
| Taxonomy Code | 2081S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Sports Medicine |
| A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. |
| Notes: Source: American Board of Medical Specialties, 2009. www.abms.org [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891349270 | Georgia Katherine Hopkins | Physical Medicine & Rehabilitation | 25 Buckthorn Cv, Jackson, TN 38305-6653 | 2019-07-24 |
| 1467789404 | Meredith Gore Warf | Physical Medicine & Rehabilitation | 1325 E Fortification St, Jackson, MS 39202-2442 | 2009-11-12 |
| 1437310448 | Joseph Jimenez | Physical Medicine & Rehabilitation | 2080 W County Line Rd, Jackson, NJ 08527-2009 | 2008-06-23 |
| 1700809514 | Sarah Reynolds Foster | Physical Medicine & Rehabilitation | 1325 E Fortification St, Jackson, MS 39202-2442 | 2006-07-25 |
| 1932122769 | Pam Joyner | Physical Medicine & Rehabilitation | 1325 E Fortification St, Jackson, MS 39202-2442 | 2006-07-25 |
| 1992725444 | Stephanie Gorrell | Physical Medicine & Rehabilitation | 1325 E Fortification St, Jackson, MS 39202-2442 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821273491 | Oxford Physical Medicine | Physical Medicine & Rehabilitation | 703 N Lamar Blvd, Oxford, MS 38655-3242 | 2008-01-02 |
| 1053936138 | Sam Jackson Dunnam | Physical Medicine & Rehabilitation | 206b Oxford Rd, New Albany, MS 38652-3115 | 2020-06-15 |
| 1285142935 | Cassandra Alexis Deforrest | Physical Medicine & Rehabilitation | 2015 Highpointe Dr, Brandon, MS 39042-3169 | 2018-01-16 |
| 1124383377 | Bulldog Phyisical Therapy and Sports Medicine | Physical Medicine & Rehabilitation | 500 Russell St, 32, Starkville, MS 39759-3413 | 2012-07-12 |
| 1518271634 | Kirk Emick | Physical Medicine & Rehabilitation | 1810 Manning Way, University, MS 38677-9985 | 2010-07-30 |
| 1144464074 | Roseworks Inc | Physical Medicine & Rehabilitation | 111 Colony Crossing Way, Suite 250, Madison, MS 39110-7778 | 2009-04-22 |
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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.