RADIATION ONCOLOGY OF NORTH MISSISSIPPI PLLC (NPI# 1235335811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235335811 |
Entity Type | Organization |
Organization Name | RADIATION ONCOLOGY OF NORTH MISSISSIPPI PLLC |
Practice Address |
990 South Madison Street Tupelo MS 38801-6308 |
Mailing Address |
620 Crossover Rd Tupelo MS 38801-4944 |
Practice Telephone | 6623774077 |
Practice Fax Number | 6623774048 |
Mailing Telephone | 6626207102 |
Mailing Fax Number | 6626207106 |
Enumeration Date | 2007-06-21 |
Last Update Date | 2013-03-19 |
Authorized Official Name | DR. WILLIAM RAY REED JR. (PRESIDENT) |
Authorized Official Telephone | 6626207102 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AL | 529932844 | 05 | |
MS | 05088260 | 05 |
Street Address |
990 SOUTH MADISON STREET |
City | TUPELO |
State | MS |
Zip Code | 38801-6308 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720020795 | Elbert Alan Duncan | Radiology | 990 South Madison Street, Tupelo, MS 38801-6308 | 2006-06-12 |
1235171091 | William Ray Reed Jr. | Radiology | 990 South Madison Street, Tupelo, MS 38801-6308 | 2006-06-13 |
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 |
Find all providers in zip 38801 |
Taxonomy Code | 2085R0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Radiation Oncology |
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720020795 | Elbert Alan Duncan | Radiology | 990 South Madison Street, Tupelo, MS 38801-6308 | 2006-06-12 |
1235171091 | William Ray Reed Jr. | Radiology | 990 South Madison Street, Tupelo, MS 38801-6308 | 2006-06-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700152212 | Eplus Oncologics Mississippi, LLC | Radiology | 127 South 13th Street, Laurel, MS 39440-4111 | 2012-03-29 |
1528330214 | Robert H Jones Md PC | Radiology | 65 Hickory Dr, West Point, MS 39773-3948 | 2012-01-27 |
1215269881 | John Wycoff Godsey | Radiology | 502 Martin Ave., Ocean Springs, MS 39564 | 2010-02-08 |
1174613830 | Vicksburg Oncology Associates LLC | Radiology | 970 Lakeland Dr Ste 34, Jackson, MS 39216-4640 | 2006-10-13 |
1881791812 | Russell Scott Anderson Md Pa | Radiology | 1704 23rd Avenue, Meridian, MS 39301 | 2006-09-20 |
1730292798 | Burnett Hanson | Radiology | 1501 Aston Ave, Mccomb, MS 39648-2734 | 2006-08-16 |
1457364556 | L. Cameron Pimperl | Radiology | 127 S 13th Ave, Laurel, MS 39440-4111 | 2006-08-13 |
1922060722 | William D. Burleson | Radiology | 1732 Medical Park Dr, Biloxi, MS 39532-2131 | 2006-04-05 |
1184607210 | Srinivasan Vijayakumar | Radiology | 350 W Woodrow Wilson Ave, Suite 16, Jackson, MS 39213-7681 | 2005-11-22 |
1952303182 | David A Wahl | Radiology | 2368 Grove St, Vicksburg, MS 39183-2857 | 2005-06-01 |
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.