MISS DALLAS MICHELLE THOMASON (NPI# 1225361702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225361702 |
| Entity Type | Individual |
| Full Name | MISS DALLAS MICHELLE THOMASON |
| Credential | PA-C |
| Practice Address |
1907 Mission 66 Vicksburg MS 39180-3711 |
| Practice Telephone | 6016361173 |
| Practice Fax Number | 6016388287 |
| Mailing Telephone | 6016361173 |
| Mailing Fax Number | 6016388287 |
| Enumeration Date | 2009-09-15 |
| Last Update Date | 2014-03-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA00142 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1907 MISSION 66 |
| City | VICKSBURG |
| State | MS |
| Zip Code | 39180-3711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184669798 | George Abraham | Family Medicine | 1907 Mission 66, Vicksburg, MS 39180-3711 | 2006-06-18 |
| 1881146306 | Kimberly Renee Kilpatrick | Nurse Practitioner | 1907 Mission 66, Vicksburg, MS 39180-3711 | 2016-11-01 |
| 1649624693 | Brandon Mizell | Emergency Medicine | 1907 Mission 66, Vicksburg, MS 39180-3711 | 2016-04-15 |
| 1528298122 | Vicksburg Clinic LLC | Clinic/Center | 1907 Mission 66, Vicksburg, MS 39180-3711 | 2009-07-17 |
| 1952332181 | Walter E Johnston | Family Medicine | 1907 Mission 66, Vicksburg, MS 39180-3711 | 2006-07-05 |
| 1790711158 | Vicksburg Clinic LLC | Radiology | 1907 Mission 66, Vicksburg, MS 39180-3711 | 2006-06-25 |
| 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 | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407481880 | Casey Elaine Collier | Physician Assistant | 2100 Highway 61 N, Vicksburg, MS 39183-8211 | 2020-03-06 |
| 1053977249 | Leslie Erin Davis | Physician Assistant | 105 Keystone Cir, Vicksburg, MS 39183-3201 | 2019-05-14 |
| 1174087209 | Morgan Joseph Caulfield | Physician Assistant | 2080 S Frontage Rd Ste 100, Vicksburg, MS 39180-5883 | 2019-01-23 |
| 1619466919 | Ryne Andrew Graham | Physician Assistant | 188 Ymca Pl, Vicksburg, MS 39183-3536 | 2018-05-02 |
| 1689113250 | Brennan Foster Vaughn | Physician Assistant | 4204 Clay St, Vicksburg, MS 39183-3438 | 2017-02-15 |
| 1154789717 | Carrie Eure | Physician Assistant | 2200 Highway 61 N, Vicksburg, MS 39183-8246 | 2016-02-10 |
| 1215334800 | Vanessa Perniciaro | Physician Assistant | 2100 Highway 61 N, Vicksburg, MS 39183-8211 | 2014-11-25 |
| 1457652620 | Daniel J Silvio | Physician Assistant | 2100 Highway 61 N, Vicksburg, MS 39183-8211 | 2010-11-04 |
| 1295766780 | Julia Green Varnier | Physician Assistant | 188 Ymca Pl, Vicksburg, MS 39183-3536 | 2006-07-05 |
| 1174552566 | Larry Daily | Physician Assistant | 2100 Highway 61 N, Vicksburg, MS 39183-8211 | 2006-06-30 |
| Find all providers in VICKSBURG | ||||
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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.