DR. HENRY MANLEY WADSWORTH JR. (NPI# 1093742538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093742538 |
| Entity Type | Individual |
| Full Name | DR. HENRY MANLEY WADSWORTH JR. |
| Credential | M. D. |
| Practice Address |
2240 Highway 51 S Hernando MS 38632-1737 |
| Practice Telephone | 6624295231 |
| Practice Fax Number | 6624294922 |
| Mailing Telephone | 6624295231 |
| Mailing Fax Number | 6624294922 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 4751 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 0011359 | 05 |
| Street Address |
2240 HIGHWAY 51 S |
| City | HERNANDO |
| State | MS |
| Zip Code | 38632-1737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689861478 | Wadsworth Clinic, P. A. | Family Medicine | 2240 Highway 51 S, Hernando, MS 38632-1737 | 2007-09-26 |
| 1194750653 | William Manley Wadsworth | Family Medicine | 2240 Highway 51 S, Hernando, MS 38632-1737 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275042335 | Dominic Lashay Freeman | Case Management | 2744 Hwy 51 South, Hernando, MS 38632 | 2017-09-21 |
| 1851814875 | Staci Lea Hudson | Nurse Practitioner | 2705 Hwy 51 South, Hernando, MS 38632 | 2017-07-21 |
| 1629425517 | Jamieka Harris | Counselor | 2705 Hwy 51 S, Hernando, MS 38632 | 2016-05-20 |
| 1215302476 | Elizabeth Claire Corban | Counselor | 2725 Highway 51 S., Hernando, MS 38632 | 2015-12-14 |
| 1669850004 | Jcc, LLC | Dentist | 1150 Monteith Avenue, Suite 102, Hernando, MS 38632 | 2015-05-18 |
| 1053701995 | Leigh Houston | Registered Nurse | 3104 Stonehenge Dr, Hernando, MS 38632 | 2015-01-30 |
| 1871831552 | Hernando Dental Group Incorporated | Dentist | 2264 Mcingvale Rd., Hernando, MS 38632 | 2013-01-30 |
| 1255677001 | Midsouth Medical Specialties, LLC | Pharmacy | 2260 Highway 515 South, Hernando, MS 38632 | 2012-12-26 |
| 1447506514 | Surgical First Assist, LLC | Specialist/Technologist, Other | 8921 Black Panther Cove, Herenando, MS 38632 | 2012-07-26 |
| 1629348396 | Stacy Riddle-mattox | Counselor | 2725 Highway 51 South, Hernando, MS 38632 | 2012-01-11 |
| Find all providers in zip 38632 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851902860 | Jasmine Lester | Family Medicine | 538 Getwell Rd S, Hernando, MS 38632-9585 | 2020-08-12 |
| 1922420256 | Henry Health & Wellness, LLC | Family Medicine | 2620 Highway 51 S, Hernando, MS 38632-2137 | 2014-01-06 |
| 1194052266 | Preeti Lekhra | Family Medicine | 2400 N Essex Ave, Hernando, FL 34442-5320 | 2009-11-11 |
| 1164642948 | Charles Robert Clark | Family Medicine | 1725 N Sky Glen Path, Hernando, FL 34442-6187 | 2007-04-26 |
| 1366540502 | Shiriskumar G Patel | Family Medicine | 2669 N. Florida Ave., Hernando, FL 34442 | 2006-09-20 |
| 1861969552 | Monyetta S Everett | Family Medicine | 900 E Commerce St, Hernando, MS 38632-2433 | 2018-10-31 |
| 1649781352 | Desaraju and Kompella Mds Pa | Family Medicine | 2484 N Essex Ave, Hernando, FL 34442-5321 | 2017-10-20 |
| 1851547285 | West Florida Medical Associates, Pa | Family Medicine | 2669 N Florida Ave, Hernando, FL 34442-4331 | 2008-08-18 |
| 1689861478 | Wadsworth Clinic, P. A. | Family Medicine | 2240 Highway 51 S, Hernando, MS 38632-1737 | 2007-09-26 |
| 1669573457 | Bradley H Ruben | Family Medicine | 2484 N Essex Ave, Hernando, FL 34442 | 2006-09-26 |
| Find all providers in HERNANDO | ||||
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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.