DR. EVAN J. PICKUS (NPI# 1073545554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073545554 |
| Entity Type | Individual |
| Full Name | DR. EVAN J. PICKUS |
| Credential | M.D. |
| Practice Address |
310 Ellis St Carthage MS 39051-3809 |
| Mailing Address |
6424 Central City Blvd Apt 534 Galveston TX 77551-8007 |
| Practice Telephone | 6017402785 |
| Mailing Telephone | 6017402785 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2014-01-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 17806 | MS | Allopathic & Osteopathic Physicians |
| Y | 208200000X | Plastic Surgery | 17806 | MS | Allopathic & Osteopathic Physicians |
| Street Address |
310 ELLIS ST |
| City | CARTHAGE |
| State | MS |
| Zip Code | 39051-3809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831174804 | Leake County Board of Trustees | General Acute Care Hospital | 310 Ellis St, Carthage, MS 39051-3809 | 2005-12-13 |
| 1245684612 | Leake Ltc, LLC | Nursing Facility/Intermediate Care Facility | 310 Ellis St, Carthage, MS 39051-3809 | 2016-04-21 |
| 1720336126 | Baptist Medical Center -leake Inc | Hospitalist | 310 Ellis St, Carthage, MS 39051-3809 | 2012-08-16 |
| 1588940811 | Baptist-leake Extended Care Facility | Nursing Facility/Intermediate Care Facility | 310 Ellis St, Carthage, MS 39051-3809 | 2011-11-01 |
| 1891832747 | William D Logan Jr. | Emergency Medicine | 310 Ellis St, Carthage, MS 39051-3809 | 2007-01-31 |
| 1750456034 | Leake Extended Care Facility | Nursing Facility/Intermediate Care Facility | 310 Ellis St, Carthage, MS 39051-3809 | 2006-11-21 |
| 1023187689 | Tommie K Jones | Nurse Practitioner | 310 Ellis St, Carthage, MS 39051-3809 | 2006-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598275828 | Roots Healthcare and Homes, LLC | Meals | 292 Pickens Circle, Carthage, MS 39051 | 2017-09-30 |
| 1427575505 | Trend Health and Rehab of Carthage | Skilled Nursing Facility | 1101 E. Franklin Street, Carthage, MS 39051 | 2017-08-29 |
| 1750738415 | Telehealthone LLC | Nurse Practitioner | 300 South Pearl Street, Carthage, MS 39051 | 2016-05-23 |
| 1316297575 | Silver Lining Adult Daycare, LLC | Respite Care | 531 Highway 35 North, Carthage, MS 39051 | 2012-09-14 |
| 1508179888 | Mississippi Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 205 Highway 16 West, Carthage, MS 39051 | 2010-07-15 |
| 1376725754 | Amye L Shamburger | Dentist | 101 S. Pearl Street, Carthage, MS 39051 | 2007-11-28 |
| 1770786188 | Carthage Eye Clinic Pa | Optometrist | 201 Hwy 16 East, Carthage, MS 39051 | 2007-06-06 |
| 1265553762 | David C Henderson | Dentist | 113 North Pearl St, Carthage, MS 39051 | 2007-04-02 |
| 1780722280 | Linda N Roland | Nurse Practitioner | 204 Chipley St., Carthage, MS 39051 | 2007-02-05 |
| 1205914298 | William M Myers II | Dentist | 12646 Hwy 488, Carthage, MS 39051 | 2006-11-01 |
| Find all providers in zip 39051 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730665209 | Michael Diaz Md PC | Plastic Surgery | 936 Tommy Munro Dr, Biloxi, MS 39532-2130 | 2018-07-17 |
| 1063901098 | G Eli Howell Md Pllc | Plastic Surgery | 971 Lakeland Dr Ste 225, Jackson, MS 39216 | 2018-05-04 |
| 1821351107 | Sana L Bhatti | Plastic Surgery | 7730 Old Canton Rd Bldg A, Madison, MS 39110-9299 | 2012-06-21 |
| 1639320864 | Mississippi Premier Plastic Surgery, Pllc | Plastic Surgery | 160 Fountains Blvd, Suite B, Madison, MS 39110-4643 | 2008-10-07 |
| 1467626390 | Douglas Alan Pritchard | Plastic Surgery | 4248 S Eason Blvd. Suite B, Tupelo, MS 38801 | 2008-04-22 |
| 1346424298 | Rs Runnels Jr. M.d. Pllc | Plastic Surgery | 1055 River Oaks Dr, Flowood, MS 39232-9595 | 2007-12-27 |
| 1003006602 | Hossein Nasajpour | Plastic Surgery | 1410 Jefferson St, Laurel, MS 39440-4243 | 2007-07-30 |
| 1023224250 | Daniel Huff Shell Iv | Plastic Surgery | 2716 W Oxford Loop, Suite 171, Oxford, MS 38655-5714 | 2007-05-15 |
| 1639221179 | Rudolph Scott Runnels Jr. | Plastic Surgery | 1055 River Oaks Drive, Flowood, MS 39232-9595 | 2007-01-17 |
| 1578631248 | Suman K. Das Md Pa | Plastic Surgery | 2629 Courthouse Crl, Flowood, MS 39232-9521 | 2006-12-01 |
| 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.