JACK JOSEPH RODRIGUEZ (NPI# 1184623886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184623886 |
| Entity Type | Individual |
| Full Name | JACK JOSEPH RODRIGUEZ |
| Other Name | NATCHEZ ONCOLOGY CLINIC INCORPORATED |
| Credential | MD |
| Practice Address |
106 Jefferson Davis Blvd Suite 120 Natchez MS 39120-5104 |
| Mailing Address |
400 S Commerce St Natchez MS 39120-3506 |
| Practice Telephone | 6014429210 |
| Practice Fax Number | 6014427409 |
| Mailing Telephone | 6014429210 |
| Mailing Fax Number | 6014427409 |
| Enumeration Date | 2005-07-15 |
| Last Update Date | 2018-02-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
15252 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00123444 | 05 | |
| MS | 09015568 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992323281 | Jack Rodriguez | Counselor | 114 Orchard Lake Rd, Pontiac, MI 48341-2244 | 2020-07-13 |
| 1205196532 | Jack Paul Rodriguez | Massage Therapist | 3045 Jacks Run Road, Chiropractic Offices-consales Health Center, White Oak, PA 15131 | 2012-05-21 |
| Street Address |
106 JEFFERSON DAVIS BLVD SUITE 120 |
| City | NATCHEZ |
| State | MS |
| Zip Code | 39120-5104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629145719 | Natchez Oncology Clinic Incorporated | Internal Medicine | 106 Jefferson Davis Blvd, Natchez, MS 39120-5104 | 2006-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558903518 | Rosa L. Newman | Foster Care Agency | 722 North Rankin St, Natchez, MS 39120 | 2019-10-11 |
| 1114572625 | Tiffany Cassandra Lockhart | Counselor | 60 Roux Road, Natchez, MS 39120 | 2019-08-02 |
| 1164918728 | We Care Express LLC | Non-emergency Medical Transport (VAN) | 137 Greystone Pl, Natchez, MS 39120 | 2018-07-06 |
| 1053841585 | Tyler Lee Huls | Specialist/Technologist | 48 Sgt Prentiss Drive, Natchez, MS 39120 | 2017-06-18 |
| 1336594985 | Nkechinyere Christina Nwoko | Podiatrist | 46 Sgt Prentiss Dr Ste 201b, Natchez, MS 39120 | 2016-05-02 |
| 1073983433 | Lillie Christine Hauer | Case Manager/Care Coordinator | 9 Roux 61, Suite C, Natchez, MS 39120 | 2015-09-29 |
| 1760818017 | Miss-lou Dental LLC | Dentist | 110 Highway 61 South, Natchez, MS 39120 | 2013-09-18 |
| 1922344902 | Bluebonnet Dental Care Natchez | Dentist | 101 Highway 61 South, Natchez, MS 39120 | 2012-12-20 |
| 1265781033 | Hal Sheldon Edwards | Pharmacist | 285 Sgt Prentiss Drive, Natchez, MS 39120 | 2012-09-07 |
| 1790031607 | Catherine Misita | Social Worker | 113 N Union St, Natchez, MS 39120 | 2012-07-29 |
| Find all providers in zip 39120 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629145719 | Natchez Oncology Clinic Incorporated | Internal Medicine | 106 Jefferson Davis Blvd, Natchez, MS 39120-5104 | 2006-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710365630 | Grenada Hematology Oncology LLC | Internal Medicine | 1300 Sunset Dr Ste F, Grenada, MS 38901-4083 | 2015-05-12 |
| 1720241201 | Jennifer T Eubanks | Internal Medicine | 1704 23rd Ave Fl 2, Meridian, MS 39301-3103 | 2008-07-06 |
| 1780713966 | Jackson Oncology Associates, Pllc | Internal Medicine | 1860 Chadwick Dr Ste 301, Jackson, MS 39204-3467 | 2007-03-05 |
| 1346379500 | Jackson Oncology Associates,pllc | Internal Medicine | 2969 Curran Dr N Ste 200, Jackson, MS 39216-4121 | 2007-03-05 |
| 1023147204 | Jackson Oncology Associates, Pllc | Internal Medicine | 2200 Highway 61 N Ste 3300, Vicksburg, MS 39183-8246 | 2007-03-05 |
| 1760585178 | Rose Cancer Center PC | Internal Medicine | 807 Robb Street, Summit, MS 39666 | 2006-09-07 |
| 1215960786 | Wail Alnas | Internal Medicine | 345 Baptist Blvd, Columbus, MS 39705 | 2006-07-08 |
| 1760415608 | Benton M Wheeler | Internal Medicine | 504 Azalea Dr Ste A, Oxford, MS 38655-5397 | 2006-07-07 |
| 1801825781 | Sonia M Benn | Internal Medicine | 7668 Airways Blvd, Southaven, MS 38671-5304 | 2006-07-02 |
| 1639119589 | Justin T Baker | Internal Medicine | 1227 N State St Ste 101, Jackson, MS 39202-2002 | 2006-06-08 |
| 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.