THE STERN CARDIOVASCULAR CENTER (NPI# 1114186574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114186574 |
| Entity Type | Organization |
| Organization Name | THE STERN CARDIOVASCULAR CENTER |
| Practice Address |
7362 Southcrest Pkwy Southaven MS 38671-4773 |
| Practice Telephone | 9012711000 |
| Practice Fax Number | 9012712161 |
| Mailing Telephone | 9012711000 |
| Mailing Fax Number | 9012712161 |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2008-06-02 |
| Authorized Official Name | DEBBIE EDDLESTONE (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 9012712272 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Street Address |
7362 SOUTHCREST PKWY |
| City | SOUTHAVEN |
| State | MS |
| Zip Code | 38671-4773 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235653445 | Catherine Ruth Smith | Nurse Practitioner | 7362 Southcrest Pkwy, Southaven, MS 38671 | 2017-07-29 |
| 1346699329 | Yim Lei Tackett | Nurse Practitioner | 7362 Southcrest Pkwy, Southaven, MS 38671-4773 | 2016-06-09 |
| 1689951774 | Alicia Brooke York | Nurse Practitioner | 7362 Southcrest Pkwy, Southaven, MS 38671-4773 | 2011-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285196196 | Emma Tinsley-bowles Long | Social Worker | 8786 Northcreek Blvd, Bldg 8 Apt 3, Southaven, MS 38671 | 2019-04-01 |
| 1851847586 | Tiffany Lashea Jones | Adult Companion | 8755 Millbranch Road, Southaven, MS 38671 | 2016-09-01 |
| 1538526140 | Desoto Pediatric Extended Care LLC | Skilled Nursing Facility | 750 Stateline Road East, Southhaven, MS 38671 | 2016-01-27 |
| 1073983052 | Tara Burt | Physical Therapist | 7900 Airways Blvd. Building A, Suite 2, Southaven, MS 38671 | 2015-10-02 |
| 1295160463 | Ideal Community Care,llc | In Home Supportive Care | 8869 Centre Str #3, Southaven, MS 38671 | 2013-09-06 |
| 1578995692 | Gregory Charles Eakins Jr. | Optometrist | 338 Goodman Rd West, Southaven, MS 38671 | 2013-07-31 |
| 1295173169 | Erica R. Martin | Social Worker | 975 Swinnea Rdg Ste 3, Southaven, MS 38671 | 2013-06-12 |
| 1386918431 | Freds Stores of Tennessee Inc | Pharmacy | 710 Church Road, Southaven, MS 38671 | 2012-03-06 |
| 1740565613 | Mary Jeanette Scruggs | Pharmacist | 1011 Goodman Rd, Southaven, MS 38671 | 2011-10-11 |
| 1184919268 | First Pharmacy Services 5 | Pharmacy | 5185a Getwell Rd, Southaven, MS 38671 | 2011-06-16 |
| Find all providers in zip 38671 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1689651036 | Dharmesh S. Patel | Internal Medicine | 391 Southcrest Cir, Ste. 200, Southaven, MS 38671 | 2005-12-28 |
| 1245227073 | Jonathan H Stein | Internal Medicine | 7601 Southcrest Parkway, Southaven, MS 38671 | 2005-10-06 |
| 1649536889 | Desoto Heart Clinic, PC | Internal Medicine | 391 Southcrest Cir, Suite 209, Southaven, MS 38671-6730 | 2012-04-02 |
| 1225188436 | West Clinic PC | Internal Medicine | 391 Southcrest Cir, Ste. 200, Southaven, MS 38671-6730 | 2007-01-11 |
| 1699724294 | Amit Malhotra | Internal Medicine | 391 Southcrest Cir, Suite 200, Southaven, MS 38671-6730 | 2006-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104434356 | Prime Heart and Vascular Care | Internal Medicine | 1310 Highway 72 E, Corinth, MS 38834-6524 | 2020-07-14 |
| 1912399437 | Cardiovascular Solutions of Mississippi, LLC | Internal Medicine | 657 W Monroe St, Grenada, MS 38901-5115 | 2015-02-19 |
| 1124436977 | Crescentworld Enterprises, Pllc | Internal Medicine | 670 Highway 51 Ste B, Ridgeland, MS 39157-2138 | 2014-07-24 |
| 1982011326 | Gulf Coast Heart Institute | Internal Medicine | 2915 Shortcut Rd, Pascagoula, MS 39567-1809 | 2014-07-17 |
| 1891100129 | William Hill | Internal Medicine | 7 Holly Ct, Gulfport, MS 39503-6211 | 2014-06-25 |
| 1609296037 | Hugo C. Nievas, Md, Pa | Internal Medicine | 1017 44th Ave, Gulfport, MS 39501-2547 | 2014-04-24 |
| 1821415357 | Michael Payment Md Cardiology Pa | Internal Medicine | 4533 13th St, Gulfport, MS 39501-2516 | 2014-03-21 |
| 1447510581 | Baptist Jackson Heart Cardiology Clinic-crystal Springs | Internal Medicine | 123 Bobo Drive, Crystal Springs, MS 39059 | 2012-05-23 |
| 1265730865 | Richard Glenn Hutchinson | Internal Medicine | 337 Long Cove Dr, Madison, MS 39110-9113 | 2011-03-05 |
| 1306165717 | Natchez Medical Foundation Inc. | Internal Medicine | 46 Sgt. S. Prentiss Drive, Suite 201, Natchez, MS 39120 | 2010-05-25 |
| 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.