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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | 04738364 | 05 |
Street Address |
4566 S EASON BLVD |
City | TUPELO |
State | MS |
Zip Code | 38801-6540 |
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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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 Code | 2080N0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Neonatal-Perinatal Medicine |
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. |
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 |
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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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.