GINGER L POLE


Address: 4566 S Eason Blvd, Tupelo, MS 38801-6540
Phone: 6623774905

GINGER L POLE (NPI# 1235102906) 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) 1235102906
Entity Type Individual
Full Name GINGER L POLE
Credential D.O.
Practice Address 4566 S Eason Blvd
Tupelo
MS 38801-6540
Mailing Address Po Box 3970
Tupelo
MS 38803-3970
Practice Telephone 6623774905
Practice Fax Number 6623774906
Mailing Telephone 6623774905
Mailing Fax Number 6623774906
Enumeration Date 2006-02-10
Last Update Date 2020-09-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2080N0001X Pediatrics
Specialization: Neonatal-Perinatal Medicine
P2154 TX Allopathic & Osteopathic Physicians
Y 2080N0001X Pediatrics
Specialization: Neonatal-Perinatal Medicine
22214 MS Allopathic & Osteopathic Physicians
N 2080N0001X Pediatrics
Specialization: Neonatal-Perinatal Medicine
02002641A IN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MS 04738364 05

Office Location

Street Address 4566 S EASON BLVD
City TUPELO
State MS
Zip Code 38801-6540

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588277685 Bianca Ho Registered Nurse 4566 S Eason Blvd, Tupelo, MS 38801-6540 2020-08-28
1366062572 Tanya Underwood Registered Nurse 4566 S Eason Blvd, Tupelo, MS 38801-6540 2020-04-17
1528688819 Carleigh Ballard Registered Nurse 4566 S Eason Blvd, Tupelo, MS 38801-6540 2020-04-16
1679109458 Kari Anna Adams Nurse Practitioner 4566 S Eason Blvd, Tupelo, MS 38801-6540 2020-03-12
1467095869 Jessica Braddock Childs Registered Nurse 4566 S Eason Blvd, Tupelo, MS 38801-6540 2019-10-18
1376107409 Susan Long Newell Registered Nurse 4566 S Eason Blvd, Tupelo, MS 38801-6540 2019-04-24
1922445188 North Mississippi Medical Center, Inc. Obstetrics & Gynecology 4566 S Eason Blvd, Tupelo, MS 38801-6540 2013-05-29
1700141074 Jennifer Caldwell Nurse Practitioner 4566 S Eason Blvd, Tupelo, MS 38801-6540 2012-07-11
1174817340 Preeti Singh Pediatrics 4566 S Eason Blvd, Tupelo, MS 38801-6540 2011-06-06
1790091304 North Mississippi Medical Center Nurse Practitioner 4566 S Eason Blvd, Tupelo, MS 38801-6540 2010-08-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194339275 Friendship, LLC Pharmacy 4123 W Main St, Tupelo, MS 38801 2020-09-04
1003443458 Nicole Sherice Taylor Nurse Practitioner 845 South Gloster Street, Tupelo, MS 38801 2020-03-25
1821556838 Wilco Healthcare of North Mississippi, Pllc Point of Service 1514 Co Rd 41, Tupelo, MS 38801 2019-03-08
1821565235 Stephanie K Cagle Nurse Practitioner 218 S Thomas St Ste 120-121, Tupelo, MS 38801 2018-10-24
1073092326 Lauren Parrish Nurse Practitioner 1573 Medical Park Circle, Tupelo, MS 38801 2018-08-08
1467948687 North Mississippi Medcial Center, Inc. Nurse Practitioner 990 S Madison St Ste 2, Tupelo, MS 38801 2018-07-11
1043700933 Hooks Diabetes & Medicine Clinic Non-Pharmacy Dispensing Site 2610 Traceland Drive, Ste A, Tupelo, MS 38801 2018-05-16
1073035903 Annette C Riddle Counselor 1004 Eisenhower Drive, Tupelo, MS 38801 2017-07-12
1548709678 Jaime Summers Nurse Practitioner 2780 West Jackson St, Tupelo, MS 38801 2017-02-22
1073975611 Heath Bryan Coleman, Dds of Mississippi II, Pllc Dentist 1168 Cross Creek Drive, Tupelo, MS 38801 2016-03-23
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Taxonomy Information

Taxonomy Code 2080N0001X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Neonatal-Perinatal Medicine

Taxonomy Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174817340 Preeti Singh Pediatrics 4566 S Eason Blvd, Tupelo, MS 38801-6540 2011-06-06
1902949803 Pediatrix Medical Group of Mississippi, Inc. Pediatrics 4566 S Eason Blvd, Tupelo, MS 38801-6540 2007-02-14
1114083490 Bryan K Darling Pediatrics 4566 S Eason Blvd, Tupelo, MS 38801-6540 2006-12-29
1376609651 Dennis I Wright Pediatrics 4566 S Eason Blvd, Tupelo, MS 38801-6540 2006-12-29

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1487784898 Newborn Associates P A Pediatrics 5 River Bend Pl Ste C, Flowood, MS 39232-7618 2007-03-06
1124104765 Mitzi Gail Ferguson Pediatrics 1991 Lakeland Dr Ste C, Jackson, MS 39216-5000 2006-10-27
1457450058 Mary Christina Glick Pediatrics 435 Katherine Drive, Suite B, Flowood, MS 39232 2006-09-21
1043264872 Praveen Kumar Pediatrics 2500 N. State Street, Univ of Ms Med Ctr., Newborn Medicine, Jackson, MS 39216-4505 2006-05-19
1891743928 R. Alan Brinson Pediatrics 5003 Hardy Street, Suite 302, Hattiesburg, MS 39402 2006-05-04
1306806070 Roland Leon Boyd Pediatrics 1730 14th St, C, Meridian, MS 39301-4140 2006-03-25
1902381189 William Needham Pediatrics 2500 N State St, Jackson, MS 39216-4500 2018-10-03
1215378658 Jennifer Anne Caldwell Pediatrics 4500 13th Street, Gulfport, MS 39501 2013-07-15
1831536713 William Ellison Smithhart Pediatrics 5 River Bend Pl Ste C, Flowood, MS 39232-7618 2013-05-31
1851659353 Renjithkumar Kalikkot Thekkeveedu Pediatrics 2500 N State St, Jackson, MS 39216-4500 2012-05-03
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Competitor

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City TUPELO
Zip Code 38801

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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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