DOYLE LAND RENFROE (NPI# 1073682035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073682035 |
| Entity Type | Individual |
| Full Name | DOYLE LAND RENFROE |
| Credential | M. D. |
| Practice Address |
1201 Medical Park Dr Oxford MS 38655-5327 |
| Mailing Address |
Po Box 1013 Oxford MS 38655-1013 |
| Practice Telephone | 6622341448 |
| Practice Fax Number | 6622341103 |
| Mailing Telephone | 6622341448 |
| Mailing Fax Number | 6622341103 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2008-08-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 13909 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00120826 | 05 |
| Street Address |
1201 MEDICAL PARK DR |
| City | OXFORD |
| State | MS |
| Zip Code | 38655-5327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982258265 | Jonathan Edgar Davis | Specialist/Technologist, Other | 1201 Medical Park Dr, Oxford, MS 38655-5327 | 2019-07-25 |
| 1598921892 | Brent Montague Hardin | Urology | 1201 Medical Park Dr, Oxford, MS 38655-5327 | 2008-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619585809 | Oxford Treatment Center, LLC | Substance Abuse Rehabilitation Facility | 616 Commerce Parkway, Oxford, MS 38655 | 2020-07-14 |
| 1760044465 | Lindsay Low Beauchamp | Speech-Language Pathologist | 169 Ms-6 #102, Oxford, MS 38655 | 2019-07-02 |
| 1861058075 | Tomiko D Mackey | Social Worker | 100 Carriage Cove, Oxford, MS 38655 | 2019-05-13 |
| 1174090039 | Derionne Brooks | Specialist/Technologist | 972 Hathorn Road, University, MS 38655 | 2018-10-30 |
| 1497236327 | Providence Companion Care | Nurse's Aide | 317 Heritage Dr Ste 3b, Oxford, MS 38655 | 2018-08-28 |
| 1255817292 | Marcela Caroline Weber | Counselor | 152 Mississippi 7 South, Oxford, MS 38655 | 2018-07-12 |
| 1649775123 | Oxford Outpatient Center, LLC | Clinic/Center | 611 Commerce Pkwy, Oxford, MS 38655 | 2018-03-27 |
| 1073039962 | Sharon Yvette Holloway | Social Worker | 152 Hwy and South, Oxford, Ms 38655, Oxford, MS 38655 | 2017-08-22 |
| 1447774682 | Courtney M Purvis | Physical Therapist | 300 Enterprise Dr Ste B, Oxford, MS 38655 | 2017-07-31 |
| 1649716580 | Taylor Lynn Smith | Counselor | 152 Ms-7, Oxford, MS 38655 | 2017-01-17 |
| Find all providers in zip 38655 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588766125 | Richard M Roach | Urology | 12109 County Road 103 Ste 2, Oxford, FL 34484 | 2006-09-03 |
| 1023447935 | Advanced Urology Institute, LLC | Urology | 12109 County Road 103, Oxford, FL 34484-2951 | 2013-11-01 |
| 1336380708 | Granville Health Inc | Urology | 102 Professional Park, Suite C, Oxford, NC 27565-2501 | 2009-03-16 |
| 1598921892 | Brent Montague Hardin | Urology | 1201 Medical Park Dr, Oxford, MS 38655-5327 | 2008-08-06 |
| 1508032517 | Urology of Oxford | Urology | 2166 S Lamar Blvd, Oxford, MS 38655-5224 | 2008-04-30 |
| 1053599696 | Central Florida Urology Specialists | Urology | 12109 Cr 103, Oxford, FL 34484-2967 | 2008-02-06 |
| 1790973915 | Joseph Charles Zola Jr. | Urology | 102 Professional Park, Suite C, Oxford, NC 27565-2501 | 2007-10-12 |
| 1770771743 | Joshua Grant Griffin | Urology | 2168 S Lamar Blvd, Oxford, MS 38655-5224 | 2007-10-04 |
| 1013100700 | Tri State Urologic Services Psc Inc | Urology | 110 N Poplar St, Oxford, OH 45056-1204 | 2007-08-25 |
| 1376747162 | Saumilkumar S. Karavadia | Urology | 12109 Cr 103, Oxford, FL 34484 | 2007-06-13 |
| Find all providers in OXFORD | ||||
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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.