CENTRAL MS PEDIATRIC ENDOCRINOLOGY (NPI# 1114118940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114118940 |
| Entity Type | Organization |
| Organization Name | CENTRAL MS PEDIATRIC ENDOCRINOLOGY |
| Practice Address |
1860 Chadwick Dr Suite 206 Jackson MS 39204-3463 |
| Practice Telephone | 6013761517 |
| Practice Fax Number | 6013761546 |
| Mailing Telephone | 6013761517 |
| Mailing Fax Number | 6013761546 |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2007-08-07 |
| Authorized Official Name | BRAD SINCLAIR (REGIONAL MANAGER) |
| Authorized Official Telephone | 6019363102 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians |
| Street Address |
1860 CHADWICK DR SUITE 206 |
| City | JACKSON |
| State | MS |
| Zip Code | 39204-3463 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891792842 | Eric L Rushing | Radiology | 1860 Chadwick Dr, Suite B, Jackson, MS 39204-3463 | 2005-07-06 |
| 1750735452 | Connie Williams | Nurse Practitioner | 1860 Chadwick Dr, Suite 256, Jackson, MS 39204-3463 | 2016-04-19 |
| 1346634888 | Dawn Taylor Joiner | Nurse Practitioner | 1860 Chadwick Dr, Jackson, MS 39204-3463 | 2015-03-23 |
| 1295125813 | Jennifer Easley | Nurse Practitioner | 1860 Chadwick Dr, Suite 205, Jackson, MS 39204-3463 | 2015-02-03 |
| 1689077919 | Anna Cline | Counselor | 1860 Chadwick Dr, Suite 305, Jackson, MS 39204-3463 | 2014-10-01 |
| 1659618106 | Central Mississippi Civic Improvement Association, Inc. | Community Health Worker | 1860 Chadwick Dr, Jackson, MS 39204-3463 | 2013-01-03 |
| 1902140635 | Cardiovascular Institute of Mississippi, LLC | Internal Medicine | 1860 Chadwick Dr, Suite 256, Jackson, MS 39204-3463 | 2012-11-19 |
| 1811244593 | Megan Egbert Slade | Nurse Practitioner | 1860 Chadwick Dr, Suite 256, Jackson, MS 39204-3463 | 2012-08-13 |
| 1437416351 | Vicksburg Hma Physician Management LLC | Family Medicine | 1860 Chadwick Dr, Jackson, MS 39204-3463 | 2012-04-17 |
| 1548539117 | Mall Services, LLC | Clinic/Center | 1860 Chadwick Dr, Suite 305, Jackson, MS 39204-3463 | 2011-12-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639797442 | Walk By Faith Not By Sight Homecare | Student in an Organized Health Care Education/Training Program | 2310 Us-80 West, Suite F 1154, Jackson, MS 39204 | 2020-07-08 |
| 1427593888 | Care First Home Care Agency, Inc | In Home Supportive Care | 931 Hwy 80 Suite 2 B-9, Jackson, MS 39204 | 2016-12-21 |
| 1134678808 | Yolonda Kinzie | Registered Nurse | 1134 Winter St., Jackson, MS 39204 | 2016-09-23 |
| 1578983938 | Seaneather Arline Mcgill | Nurse's Aide | 2024 Shady Lane Dr, Jackson, MS 39204 | 2014-04-23 |
| 1942591128 | Real Solutilons, LLC | Exclusive Provider Organization | 831 Hwy 80 W., Jackson, MS 39204 | 2011-04-22 |
| 1548405236 | Visions Physical Therapy | Specialist/Technologist | 4700 Robinson Rd, Jackson, MS 39204 | 2008-12-09 |
| 1588759393 | Donald H Butts | Specialist | 1920 Chadwick Drive, Suite 109, Jackson, MS 39204 | 2006-10-04 |
| 1003907460 | Patrick E Weldon | Psychiatry & Neurology | 1860 Chadwick Drive, Suite 258, Jackson, MS 39204 | 2006-09-28 |
| 1922117662 | Elgin Kenneth Walley | Dentist | 2174 Henry Hill Drive, Jackson, MS 39204 | 2006-08-29 |
| 1376555045 | Linda Nell Hunter | Nurse Practitioner | 1860 Chadwick Dr Ste 150a, Jackson, MS 39204 | 2006-08-12 |
| Find all providers in zip 39204 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740549864 | Soemiwati Weidris Holland | Internal Medicine | 27 S Cooks Bridge Rd Ste 2-5, Jackson, NJ 08527-2524 | 2012-05-09 |
| 1275543175 | Clemente V. Zulueta, Jr., Md, Pllc | Internal Medicine | 95 Jackson Hts, Ste 201, Jackson, KY 41339-6500 | 2006-08-09 |
| 1477563104 | Amanda Reagan Schiefer | Internal Medicine | 971 Lakeland Drive, Jackson, MS 39126 | 2006-08-08 |
| 1790222651 | W.a. Foote Memorial Hospital, Inc | Internal Medicine | 205 N. East Ave, Jackson, MI 49201 | 2017-01-30 |
| 1134671787 | Jackson Thyroid & Endocrine Clinic Pllc | Internal Medicine | 971 Lakeland Dr, Suite 353, Jackson, MS 39216-4643 | 2016-10-31 |
| 1154733392 | Jamie L Brewer | Internal Medicine | 971 Lakeland Dr, Suite 450, Jackson, MS 39216-4643 | 2014-05-22 |
| 1841601861 | Adrienne Webb Maier | Internal Medicine | 1200 N State St Ste 500, Jackson, MS 39202-2027 | 2014-05-13 |
| 1033494372 | Leap One Enterprise Pllc | Internal Medicine | 5160 Galaxie Dr, Jackson, MS 39206-4308 | 2011-10-19 |
| 1356638845 | Christina C. Glover | Internal Medicine | 1200 N State St, Suite 500, Jackson, MS 39202-2000 | 2011-07-05 |
| 1023323029 | Vanessa L. Sandifer, M.d., Pllc | Internal Medicine | 971 Lakeland Drive, Suite 450, Jackson, MS 39216-0450 | 2010-08-13 |
| Find all providers in JACKSON | ||||
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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.