BROOKHAVEN EAR, NOSE & THROAT PA (NPI# 1225152580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225152580 |
| Entity Type | Organization |
| Organization Name | BROOKHAVEN EAR, NOSE & THROAT PA |
| Other Organization Name | MISSISSIPPI SINUS CENTER |
| Practice Address |
201 S Railroad Ave Brookhaven MS 39601-3331 |
| Practice Telephone | 6018350077 |
| Practice Fax Number | 6018350095 |
| Mailing Telephone | 6018350077 |
| Mailing Fax Number | 6018350095 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2016-01-27 |
| Authorized Official Name | DR. RYAN COREY CASE (PRESIDENT) |
| Authorized Official Telephone | 6018350077 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 10309 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 08837378 | 05 |
| Other Name | Type Code |
|---|---|
| Mississippi Sinus Center | Other Name - Individual/Organization |
| Street Address |
201 S RAILROAD AVE |
| City | BROOKHAVEN |
| State | MS |
| Zip Code | 39601-3331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427068659 | Joseph S Mooney | Exclusive Provider Organization | 201 S Railroad Ave, Brookhaven, MS 39601-3331 | 2006-08-09 |
| 1548420938 | Lesleye L Smith | Audiologist | 201 S Railroad Ave, Brookhaven, MS 39601-3331 | 2008-06-10 |
| 1891992061 | Ryan Corey Case | Otolaryngology | 201 S Railroad Ave, Brookhaven, MS 39601-3331 | 2007-06-29 |
| 1972616332 | Carol A Buckels | Nurse Practitioner | 201 S Railroad Ave, Brookhaven, MS 39601-3331 | 2006-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093329633 | Mary Lindsey Lumley | Nurse Practitioner | 620 Hwy 51, Brookhaven, MS 39601 | 2020-09-01 |
| 1306371687 | Rocky Mountain Holdings, LLC | Ambulance | 411 Highway 51 N, Brookhaven, MS 39601 | 2017-04-25 |
| 1043759269 | Candace C Turner | Counselor | 860 E River Pl Suite 100, Jackson, MS 39601 | 2017-02-21 |
| 1619419694 | Therapy Nook PC | Speech-Language Pathologist | 520 Schwem Avenue, Brookhaven, MS 39601 | 2016-11-08 |
| 1851742639 | Melanie Smith | Specialist/Technologist | 325 Low Water Lane, Brookhaven, MS 39601 | 2016-06-23 |
| 1134597107 | Passionate Care Home Health,llc | Home Health | 537 St Charles Places, Brookhaven, MS 39601 | 2015-09-09 |
| 1205218690 | Nurse Practitioner Professionals, Pllc | Clinic/Center | 427 Highway 51 Se, Kings Daughters Medical Center-wound Healing Center, Brookhaven, MS 39601 | 2015-06-23 |
| 1043639289 | Joseph S Moak Jr Md Pa | Internal Medicine | 1040 Biglane Drive, Brookhaven, MS 39601 | 2014-04-15 |
| 1902239197 | Melanie Hammill Bishop | Pharmacist | 427 Ms Highway 51 North, Brookhaven, MS 39601 | 2013-08-12 |
| 1386930113 | Hospice Advantage, LLC. | Hospice Care, Community Based | 120 W Cherokee St, Brookhaven, MS 39601 | 2011-06-20 |
| Find all providers in zip 39601 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891992061 | Ryan Corey Case | Otolaryngology | 201 S Railroad Ave, Brookhaven, MS 39601-3331 | 2007-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205480282 | Charles Palmer Lincoln | Otolaryngology | 248 Crystal Crk, Hattiesburg, MS 39402-7748 | 2019-07-29 |
| 1609420991 | Greg Meekin Ent | Otolaryngology | 1201 31st Avenue, Gulfport, MS 39501 | 2019-07-25 |
| 1386076800 | Bolivar Physician Practices LLC | Otolaryngology | 903 E Sunflower Rd, Suite 400, Cleveland, MS 38732-2835 | 2013-08-07 |
| 1467709212 | Harold Keelen Hudson | Otolaryngology | 1488 Columbine Dr, Tupelo, MS 38801-6975 | 2012-08-11 |
| 1659630911 | Tyler Wayne Winford | Otolaryngology | 401 Baptist Dr Ste 206, Madison, MS 39110-2011 | 2012-05-08 |
| 1548548217 | Edward Grant Vick Sr. | Otolaryngology | 360 Red Eagle Cir, Ridgeland, MS 39157-9775 | 2011-07-29 |
| 1588968572 | Perry Taggart Roberts | Otolaryngology | 536 Wedgewood Dr, Oxford, MS 38655-5414 | 2011-01-05 |
| 1386979961 | South Mississippi Ear, Nose and Throat | Otolaryngology | 2525 Telephone Road, Pascagoula, MS 39567 | 2009-10-15 |
| 1447494570 | Matthew Scott Stevens | Otolaryngology | 618 Pegram Dr., Tupelo, MS 38801-6632 | 2009-04-20 |
| 1194973941 | Howard B Cheek | Otolaryngology | 4080 Boxwood Circle, Jackson, MS 39211-6609 | 2008-09-05 |
| Find all providers with the same taxonomy | ||||
| City | BROOKHAVEN |
| Zip Code | 39601 |
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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.