MADISON PHYSICIAN SURGERY CENTER, LLC (NPI# 1073946216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073946216 |
| Entity Type | Organization |
| Organization Name | MADISON PHYSICIAN SURGERY CENTER, LLC |
| Other Organization Name | MADISON PHYSICIANS SURGERY CENTER, LLC |
| Practice Address |
4510 Lakeland Dr Flowood MS 39232-9583 |
| Practice Telephone | 6019441717 |
| Practice Fax Number | 6019449780 |
| Mailing Telephone | 6016055393 |
| Mailing Fax Number | 6016056393 |
| Enumeration Date | 2013-08-12 |
| Last Update Date | 2019-06-26 |
| Authorized Official Name | MEREDITH GORE WARF (ADMINISTRATOR) |
| Authorized Official Telephone | 6016055393 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 04024064 | 05 |
| Other Name | Type Code |
|---|---|
| Madison Physicians Surgery Center, LLC | Former Legal Business Name - Organization |
| Street Address |
4510 LAKELAND DR |
| City | FLOWOOD |
| State | MS |
| Zip Code | 39232-9583 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699760 | Heather M Frith | Registered Nurse | 4510 Lakeland Dr, Flowood, MS 39232-9583 | 2020-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164071775 | Leanna Nicole Howard | Social Worker | 2945 Layfair Drive, Apt. 1621, Flowood, MS 39232 | 2019-09-06 |
| 1104395565 | Patriot Healthcare of Mississippi, LLC | Family Medicine | 4800 Lakeland Drive, Flowood, MS 39232 | 2018-11-15 |
| 1285101816 | Magnolia Anesthesia Consultants LLC | Anesthesiology | 4209 Lakeland Dr #252, Flowood, MS 39232 | 2018-11-01 |
| 1528543592 | Matthew T Armstrong | Physical Therapist | 104 Burney Drive, Flowood, MS 39232 | 2018-09-26 |
| 1790265627 | Mississippi Brain and Spine, Pllc | Non-Pharmacy Dispensing Site | 1 Layfair Drive, Ste 120, Flowood, MS 39232 | 2018-08-20 |
| 1629574918 | Billy Clifton Osbon Jr. | Pharmacist | 2506 Lakeland Drive, Suite 201, Flowood, MS 39232 | 2018-04-04 |
| 1356851752 | Oakdale Family Dentistry | Clinic/Center | 2139 Hwy 471, Flowood, MS 39232 | 2017-10-11 |
| 1992227177 | Charisma T. Cummings | Nurse Practitioner | 102 Riverview Drive, Suite A, Flowood, MS 39232 | 2017-07-10 |
| 1508398983 | Charles Pearson | Student in an Organized Health Care Education/Training Program | 764 Flowood Dr, Flowood, MS 39232 | 2017-04-03 |
| 1396288197 | Mary Claire Ponder | Nurse Practitioner | 151 E Metro Dr Ste 103, Flowood, MS 39232 | 2016-11-28 |
| Find all providers in zip 39232 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588224802 | Flowood Surgery Center LLC | Clinic/Center | 120 Stone Creek Blvd Ste 400, Flowood, MS 39232-8210 | 2019-06-18 |
| 1518246081 | The Surgery Center LLC | Clinic/Center | 2466 Flowood Dr Ste A, Flowood, MS 39232 | 2011-08-15 |
| 1275780660 | Runnels Plastic Surgery Center LLC | Clinic/Center | 1057 River Oaks Drive, Flowood, MS 39232-9595 | 2008-08-27 |
| 1508847690 | Plastic Surgical Center of Mississippi | Clinic/Center | 2550 Flowood Dr Ste 101, Flowood, MS 39232-9304 | 2005-11-07 |
| 1386104685 | Nichols Outpatient Facial Surgery | Clinic/Center | 266 Katherine Dr, Flowood, MS 39232-8801 | 2019-03-22 |
| 1710425913 | Flowood Vascular Access Asc LLC | Clinic/Center | 1010 Lakeland Square Ext, Suite B, Flowood, MS 39232-7607 | 2017-02-08 |
| 1932207669 | Eye Surgical Center of Mississippi | Clinic/Center | 1053 River Oaks Dr, Flowood, MS 39232-9595 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497391619 | Madison Spine Surgery Center, LLC | Clinic/Center | 160 Fountains Blvd Ste C, Madison, MS 39110-6380 | 2019-11-22 |
| 1912480070 | Sog Surgery Center LLC | Clinic/Center | 1211 S Gloster St Ste B, Tupelo, MS 38801-6535 | 2018-09-13 |
| 1942793823 | Starkville Surgery Center LLC | Clinic/Center | 110 Walker Way, Starkville, MS 39759-6607 | 2018-06-14 |
| 1194214510 | Specialty Surgery & Laser Center | Clinic/Center | 306 Bradley Rd Ste A, Corinth, MS 38834-7047 | 2018-05-02 |
| 1154867562 | Urologic Ambulatory Surgery Center, LLC | Clinic/Center | 3353 N Gloster Street, Suite 300, Tupelo, MS 38804 | 2017-01-09 |
| 1205218690 | Nurse Practitioner Professionals, Pllc | Clinic/Center | 427 Highway 51 Se, Kings Daughters Medical Center-wound Healing Center, Brookhaven, MS 39601 | 2015-06-23 |
| 1093121196 | Gulf Coast Outpatient Surgery Center, LLC | Clinic/Center | 2781 Ct Senior Switzer Drive, Suite 101, Biloxi, MS 39531 | 2014-07-09 |
| 1487094058 | Comprehensive Pain Center for Surgery | Clinic/Center | 129 Fountains Blvd., Madison, MS 39110 | 2013-06-27 |
| 1821336371 | Eyecare Surgery Center, LLC | Clinic/Center | 1501 Lakeland Dr Ste 101, Jackson, MS 39216-4839 | 2013-01-17 |
| 1831413772 | Oxford Urocare Pllc | Clinic/Center | 1201 Medical Park Dr Ste 101, Oxford, MS 38655-5327 | 2010-03-22 |
| 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.