MRS. MARY E THOMSEN


Address: 173 Cherry Oak Trail, Petal, MS 39465
Phone: 6015430268

MRS. MARY E THOMSEN (NPI# 1154480804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154480804
Entity Type Individual
Full Name MRS. MARY E THOMSEN
Credential CERTIFIED FITTER FOR
Practice Address 173 Cherry Oak Trail
Petal
MS 39465
Practice Telephone 6015430268
Mailing Telephone 6015430268
Enumeration Date 2006-12-08
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225000000X Orthotic Fitter Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MS 0440560 05

Other Providers MARY THOMSEN

NPI Name Taxonomy Address Enumeration
1912274010 Mary K Thomsen Pharmacist 7151 Cass St, Omaha, NE 68132-2652 2011-11-17

Office Location

Street Address 173 CHERRY OAK TRAIL
City PETAL
State MS
Zip Code 39465

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164055489 R&p Elite Services, LLC Private Vehicle 68 Springfield Rd., Petal, MS 39465 2020-02-14
1003460544 Hayden White Pharmacist 36 Byrd Dr., Petal, MS 39465 2019-08-01
1134612971 Chandler Mccarley Hawkins Dentist 1115 Evelyn Gandy Parkway, Petal, MS 39465 2018-06-06
1881199818 Lauren O'neal Garner Nurse Practitioner 36 Stadium Drive, Petal, MS 39465 2018-03-30
1700036928 Petal School District Registered Nurse 60 Herrington Road, Petal, MS 39465 2008-09-24
1962679043 Hattiesburg Eye Clinic Pa Optometrist 1223 Hwy 42, Ste 140, Petal, MS 39465 2008-05-08
1023228640 Noal Baxter Cochran Marriage & Family Therapist 80 Lakeland Circle, Petal, MS 39465 2007-05-23
1750596938 James A Nicholson Dds Pa Dentist 120 South 28th Avenue, Hattiesburg, MS 39465 2007-05-11
1356563605 Petal School District Registered Nurse 400 Hillcrest Loop, Petal, MS 39465 2007-05-03
1588608509 Robert Michael Weaver Family Medicine 1146 Evelyn Gandy Pkwy, Petal, MS 39465 2006-06-16
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Taxonomy Information

Taxonomy Code 225000000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Orthotic Fitter

Taxonomy Definition

An individual trained in the management of fitting prefabricated orthoses.
Notes: Source: National Uniform Claim Committee [1/1/2011: title modified, definition modfied] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1740448802 Johnnie Mae Owens Orthotic Fitter 801 E Northside Dr, Suite D, Clinton, MS 39056-3663 2008-05-27

Competitor

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City PETAL
Zip Code 39465

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Dataset Information

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.

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