ROBERT C. CLINGAN, MD, DERMATOLOGY (NPI# 1134593361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134593361 |
| Entity Type | Organization |
| Organization Name | ROBERT C. CLINGAN, MD, DERMATOLOGY |
| Practice Address |
2080 S Frontage Rd Suite 113 Vicksburg MS 39180-5328 |
| Practice Telephone | 6016361658 |
| Practice Fax Number | 6016361076 |
| Mailing Telephone | 6016361658 |
| Mailing Fax Number | 6016361076 |
| Enumeration Date | 2015-11-27 |
| Last Update Date | 2015-11-27 |
| Authorized Official Name | DR. ROBERT C CLINGAN (OWNER/PHYSICIAN) |
| Authorized Official Telephone | 6016361658 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
13005 | MS | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 02258379 | 05 |
| Street Address |
2080 S FRONTAGE RD SUITE 113 |
| City | VICKSBURG |
| State | MS |
| Zip Code | 39180-5328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497710685 | Jeffrey Morris | Internal Medicine | 2080 S Frontage Rd, Suite 100, Vicksburg, MS 39180-5328 | 2006-04-19 |
| 1477915718 | Johanna Kimberl | Physician Assistant | 2080 S Frontage Rd, Suite 100, Vicksburg, MS 39180-5328 | 2016-03-25 |
| 1114387123 | Baleigh Ford | Physician Assistant | 2080 S Frontage Rd, #100, Vicksburg, MS 39180-5328 | 2016-03-03 |
| 1023419801 | Vicksburg Medical Teams Mht LLC | Family Medicine | 2080 S Frontage Rd, Suite 100, Vicksburg, MS 39180-5328 | 2014-09-11 |
| 1508278177 | Medical Associates of Vicksburg Pllc | Internal Medicine | 2080 S Frontage Rd, Vicksburg, MS 39180-5328 | 2014-05-29 |
| 1700210432 | Raymond Patrick Blythe | Nurse Practitioner | 2080 S Frontage Rd, Suite 100, Vicksburg, MS 39180-5328 | 2013-08-29 |
| 1497188460 | Vicksburg Hma Physician Mgmt | Nurse Practitioner | 2080 S Frontage Rd, Ste 100, Vicksburg, MS 39180-5328 | 2013-08-14 |
| 1720372345 | River Oaks Management Company, LLC | Otolaryngology | 2080 S Frontage Rd, Vicksburg, MS 39180-5328 | 2011-05-31 |
| 1659503878 | Battlefield Compounding Center Incorporated | Pharmacy | 2080 S Frontage Rd, Suite 101a, Vicksburg, MS 39180-5328 | 2009-08-21 |
| 1740412964 | Battlefield Express Drugs Incorporated | Pharmacy | 2080 S Frontage Rd, Suite 101, Vicksburg, MS 39180-5328 | 2009-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255877346 | Elite Performance and Rehab, LLC | Clinic/Center | 1901 A Mission 66, Vicksburg, MS 39180 | 2017-01-12 |
| 1679931083 | Heather M Anderson | Physician Assistant | 2080 S Frontage Rd Ste 100, Vicksburg, MS 39180 | 2016-02-01 |
| 1245604941 | Warren County Assn.for Retarded Citizens, Inc. | Day Training, Developmentally Disabled Services | 100 Smokey Lane, Vicksburg, MS 39180 | 2015-11-18 |
| 1386012904 | Brian Oliver Snowden | Counselor | 3530 Manor Dr Ste 5a, Vicksburg, MS 39180 | 2015-09-14 |
| 1962802710 | Jordan P. Crocker, D.m.d., Pllc | Clinic/Center | 109 Monument Place, Vicksburg, MS 39180 | 2014-08-29 |
| 1821434259 | Trisha Addison | Physical Therapist | 2222 South Frontage Road, Suite D, Vicksburg, MS 39180 | 2013-05-13 |
| 1073862157 | Laura Jeanne Briggs | Physical Therapist | 1901-a Mission 66, Vicksburg, MS 39180 | 2012-09-05 |
| 1912175258 | Andrea T. Harris | Counselor | Warren-yazoo Mental Health Service, 3444 Wisconsin Ave., Vicksburg, MS 39180 | 2008-02-20 |
| 1922217314 | Austin Family Dentistry | Dentist | 3040 Indiana Ave, Vicksburg, MS 39180 | 2007-05-22 |
| 1063539138 | Ollie Hardaway Jr. | Dentist | 154 Cottonwood Street, Vicksburg, MS 39180 | 2007-03-23 |
| Find all providers in zip 39180 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639268501 | Yoshinobu Namihira Md Pa | Clinic/Center | 3000 Halls Ferry Rd, Vicksburg, MS 39180-4802 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962029249 | Ortho Express Holding Company, LLC | Clinic/Center | 608 W Church St, Booneville, MS 38829 | 2020-07-02 |
| 1841646148 | Hooks Diabetes & Medicine Clinic, Pllc | Clinic/Center | 2625 Traceland Dr Ste A, Tupelo, MS 38801-4240 | 2016-05-05 |
| 1194060350 | Stewart Ear Sinus & Allergy Pllc | Clinic/Center | 4 Professional Plaza, Starkville, MS 39759 | 2012-11-29 |
| 1912200460 | Amory Hma Physician Mgmt LLC | Clinic/Center | 607 Earl Frye Blvd # A, Amory, MS 38821-5503 | 2010-12-06 |
| 1205146719 | Voulters Medical Consulting | Clinic/Center | 927 E Scenic Dr, Pass Christian, MS 39571-4701 | 2010-10-18 |
| 1629393491 | Soma Plastic Surgery and Hand Clinic | Clinic/Center | 2630 Courthouse Cir Ste A, Flowood, MS 39232-9562 | 2010-04-05 |
| 1750513818 | Magnolia Addiction Treatment Services | Clinic/Center | 500 E Woodrow Wilson Ave Ste D, Jackson, MS 39216-4538 | 2009-08-21 |
| 1598911877 | George E. Wilkerson, M.d., P.a. | Clinic/Center | 348 Crossgates Blvd Ste 2300, Brandon, MS 39042-2634 | 2008-08-18 |
| 1174798334 | Don S Davis Md Pa | Clinic/Center | 5002 Hwy 39 N Bldg A, Meridian, MS 39301-1078 | 2008-04-28 |
| 1346424819 | North Mississippi Vascular Center, Pa | Clinic/Center | 1040a S Madison St, Tupelo, MS 38801-6300 | 2007-12-19 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ROBERT C. CLINGAN, MD, DERMATOLOGY.
| 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.