SAM JACKSON DUNNAM (NPI# 1053936138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053936138 |
| Entity Type | Individual |
| Full Name | SAM JACKSON DUNNAM |
| Practice Address |
206b Oxford Rd New Albany MS 38652-3115 |
| Practice Telephone | 6625344445 |
| Enumeration Date | 2020-06-15 |
| Last Update Date | 2020-06-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
6889 | MS | Allopathic & Osteopathic Physicians |
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
6889 | MS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
206B OXFORD RD |
| City | NEW ALBANY |
| State | MS |
| Zip Code | 38652-3115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598851222 | Crossroads Rehabilitation Services, Inc | Clinic/Center | 206b Oxford Rd, New Albany, MS 38652-3115 | 2006-10-04 |
| 1427523901 | Robyn Mackenzie Taylor | Physical Therapist | 206b Oxford Rd, New Albany, MS 38652-3115 | 2018-10-10 |
| 1285155176 | Mitchell Eugene Huelsing | Physical Medicine & Rehabilitation | 206b Oxford Rd, New Albany, MS 38652-3115 | 2017-06-29 |
| 1265704498 | Crossroads Rehabilitation Services | Durable Medical Equipment & Medical Supplies | 206b Oxford Rd, New Albany, MS 38652-3115 | 2012-02-03 |
| 1386936268 | Mika W Brown | Physical Therapist | 206b Oxford Rd, New Albany, MS 38652-3115 | 2011-05-10 |
| 1972660405 | William Benjamin Coker | Physical Therapist | 206b Oxford Rd, New Albany, MS 38652-3115 | 2007-01-03 |
| 1215004965 | Kevin Alan Park | Occupational Therapist | 206b Oxford Rd, New Albany, MS 38652-3115 | 2006-11-29 |
| 1811063019 | Joseph Chadwick Brown | Physical Therapist | 206b Oxford Rd, New Albany, MS 38652-3115 | 2006-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427657592 | Bradford Keith Goodwin | Pharmacist | 225 Hwy 30 W, New Albany, MS 38652 | 2020-10-20 |
| 1093228553 | Warren Pharmacy Enterprise, LLC | Pharmacist | 140 Fairfield Dr, New Albany, MS 38652 | 2017-11-07 |
| 1649798877 | Mary Ray Craig | Pharmacist | Fred's Pharmacy 126 W. Main St., New Albany, MS 38652 | 2017-09-08 |
| 1497299135 | Trina Health of New Albany, Inc | Clinic/Center | 608 West Bankhead Street, New Albany, MS 38652 | 2016-12-15 |
| 1386046472 | Renal Care Group Tupelo, LLC | Clinic/Center | 925 Denmill Rd., New Albany, MS 38652 | 2014-09-19 |
| 1104231695 | Kyle Kimbrough | Physician Assistant | 1568 Hwy 178 E, New Albany, MS 38652 | 2014-06-24 |
| 1073883062 | Reeda Greer Lyons | General Practice | 1009 County Road 341, New Albany, MS 38652 | 2012-01-06 |
| 1558670802 | West Union Family Clinic | Clinic/Center | 1561 St Hwy 30 W, New Albany, MS 38652 | 2010-10-05 |
| 1629240437 | Dr. Terry M. Joslin | Optometrist | 103 East Bankhead St., New Albany, MS 38652 | 2008-04-01 |
| 1326253725 | Ronald L Rossetti | Dentist | 110 N Camp Ave, New Albany, MS 38652 | 2007-05-11 |
| Find all providers in zip 38652 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427523901 | Robyn Mackenzie Taylor | Physical Therapist | 206b Oxford Rd, New Albany, MS 38652-3115 | 2018-10-10 |
| 1134645708 | Kelly Pester | Physical Therapist | 5040 Forest Dr, New Albany, OH 43054-8167 | 2017-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245754092 | Ryan Steven Clayton | Physical Therapist | 90a Clark St, Tupelo, MS 38804-4812 | 2017-08-02 |
| 1467835686 | James Fehrenbacher | Physical Therapist | 702 Treeline Dr, Brandon, MS 39042-4036 | 2015-07-07 |
| 1790109080 | Richard Dymond Jr. | Physical Therapist | 2781 Ct Switzer Rd., Biloxi, MS 39531 | 2014-02-07 |
| 1932362324 | Family Physical Therapy of South Ms LLC | Physical Therapist | 100-a La Rosa Rd, Long Beach, MS 39560 | 2008-07-07 |
| 1205914009 | Joe Gregg Jones | Physical Therapist | 1702 Highway 11 N Ste B, Picayune, MS 39466-2016 | 2006-11-01 |
| 1619051315 | Vincent E Cheshire | Physical Therapist | 1702 Highway 11 N, Suite B, Picayune, MS 39466-2016 | 2006-10-25 |
| 1811514599 | Steven Cialone | Physical Therapist | 2470 Flowood Dr, Flowood, MS 39232-9019 | 2020-06-29 |
| 1225403579 | Jodie Orr | Physical Therapist | 401 Southcrest Cir, Southaven, MS 38671-6726 | 2015-12-10 |
| 1821474438 | John Horlock | Physical Therapist | 1325 E Fortification St, Po Drawer 16870, Jackson, MS 39202-2442 | 2015-08-05 |
| 1083023675 | Jerrica Thomas | Physical Therapist | 7545 Airways Blvd, Southaven, MS 38671-5806 | 2014-08-07 |
| Find all providers with the same taxonomy | ||||
| City | NEW ALBANY |
| Zip Code | 38652 |
Please comment or provide details below to improve the information on SAM JACKSON DUNNAM.
| 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.