BATESVILLE MEDICAL CLINIC, LLC (NPI# 1164077525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164077525 |
| Entity Type | Organization |
| Organization Name | BATESVILLE MEDICAL CLINIC, LLC |
| Practice Address |
107 Eureka St Batesville MS 38606-2533 |
| Practice Telephone | 6625636000 |
| Mailing Telephone | 6625636000 |
| Enumeration Date | 2019-08-02 |
| Last Update Date | 2019-08-02 |
| Authorized Official Name | DR. MICHAEL R HAVENS (MEDICAL DIRECTOR/OWNER) |
| Authorized Official Telephone | 6625636000 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
107 EUREKA ST |
| City | BATESVILLE |
| State | MS |
| Zip Code | 38606-2533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316928955 | Michael Randolph Havens | Family Medicine | 107 Eureka St, Batesville, MS 38606-2533 | 2005-11-10 |
| 1093345019 | Panola Speech Therapy, LLC | Speech-Language Pathologist | 107 Eureka St, Batesville, MS 38606-2533 | 2020-01-17 |
| 1720552755 | Hannah Waldrip Devazier | Registered Nurse | 107 Eureka St, Batesville, MS 38606-2533 | 2019-01-12 |
| 1184107898 | Hilary Barringer Lott | Nurse Practitioner | 107 Eureka St, Batesville, MS 38606-2533 | 2018-09-09 |
| 1285016279 | Magan L Shipp | Nurse Practitioner | 107 Eureka St, Batesville, MS 38606-2533 | 2015-06-25 |
| 1831524909 | Lacey Ann Gullick-joiner | Nurse Practitioner | 107 Eureka St, Batesville, MS 38606-2599 | 2013-09-09 |
| 1306138219 | Corkern Wellness Clinic | Clinic/Center | 107 Eureka St, Suite A, Batesville, MS 38606-2533 | 2011-05-10 |
| 1811135254 | Batesville Hospital Management Inc | Emergency Medicine | 107 Eureka St, Suite A, Batesville, MS 38606-2533 | 2009-01-22 |
| 1417132044 | Batesville Hospital Management | Clinic/Center | 107 Eureka St, Batesville, MS 38606-2533 | 2008-01-02 |
| 1164604682 | Batesville Clinic, P.a. | Clinic/Center | 107 Eureka St, Batesville, MS 38606-2533 | 2007-11-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245895796 | Vynshay Nance | Counselor | 156 and 158 Highway 51 North, Batesville, MS 38606 | 2019-05-09 |
| 1134784853 | Takisha Marsha Harris | Counselor | 516 Hwy 51 North, Batesville, MS 38606 | 2019-05-08 |
| 1275002974 | Darryl Dewayne Faulkkner | Counselor | 156 & 158 Highway 51 North, Batesville, MS 38606 | 2018-11-26 |
| 1104300854 | Willow Pain and Wellness, LLC | Clinic/Center | 255 Medical Center Dr., Batesville, MS 38606 | 2018-09-19 |
| 1265925432 | Dawander L Smith | Counselor | 156 & 158 Higway 51, Batesville, MS 38606 | 2018-06-12 |
| 1386154458 | Lukeither Denise Morgan | Social Worker | 156 & 158 Hwy 51 North, Batesville, MS 38606 | 2017-10-03 |
| 1841724820 | Batesville Regional Medical Center, Inc. | Clinic/Center | 255 Medical Center Drive Suite B, Batesville, MS 38606 | 2017-04-17 |
| 1013469816 | Alliance Health Partners LLC | Obstetrics & Gynecology | 255 Medical Center Dr, Suite B, Batesville, MS 38606 | 2016-10-27 |
| 1114310877 | Elizabeth White | Nurse Practitioner | 171-a Lakewood Drive, Batesville, MS 38606 | 2015-03-05 |
| 1689979528 | L Cooper Lewis | Physical Therapist | 640 Keating Road, Fairfield, Batesville, MS 38606 | 2011-01-25 |
| Find all providers in zip 38606 | ||||
| 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 |
|---|---|---|---|---|
| 1598128712 | Timothy Austin Mcnamara | Family Medicine | 1993 Harrison St, Batesville, AR 72501-7309 | 2016-04-04 |
| 1881050334 | White River Health System, Inc. | Family Medicine | 3000 Jennings Ln, Suite H, Batesville, AR 72501-7564 | 2016-01-13 |
| 1548504293 | Batesville Hma Medical Group, LLC | Family Medicine | 568 Highway 6 E, Batesville, MS 38606-3002 | 2012-11-19 |
| 1730226655 | Zbigniew Trojanowski | Family Medicine | 347 Curtis Ct, Batesville, IN 47006-6506 | 2007-01-31 |
| 1366517518 | Verona T Brown Bebow Md Pa | Family Medicine | 1500 Lawrence St, Batesville, AR 72501-7620 | 2006-11-22 |
| 1245310838 | John Andre Gryspeerdt | Family Medicine | 188 State Rd 229, Batesville, IN 47006 | 2006-10-17 |
| 1639259534 | Henry Deck Stone | Family Medicine | 109 Park St, Batesville, MS 38606 | 2006-10-16 |
| 1255436549 | Verona Tice Brown | Family Medicine | 413 Virginia Dr, Batesville, AR 72501-7329 | 2006-09-13 |
| 1992716377 | Kimberly A Kick | Family Medicine | 256 State Road 129 S, Batesville, IN 47006-9236 | 2006-08-10 |
| 1457388266 | John Robert Baker | Family Medicine | 409 Virginia Dr, Batesville, AR 72501-7329 | 2006-06-27 |
| Find all providers in BATESVILLE | ||||
| City | BATESVILLE |
| Zip Code | 38606 |
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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.