VIBHA VIG MD PA (NPI# 1255413639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255413639 |
| Entity Type | Organization |
| Organization Name | VIBHA VIG MD PA |
| Other Organization Name | SUNSHINE MEDICAL CLINIC |
| Practice Address |
156 River Oaks Dr Suite A Canton MS 39046-5376 |
| Mailing Address |
Po Box 626 Canton MS 39046-0626 |
| Practice Telephone | 6018555287 |
| Practice Fax Number | 6018555130 |
| Mailing Telephone | 6018555287 |
| Mailing Fax Number | 6018555130 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2013-03-15 |
| Authorized Official Name | VIBHA VIG (OWNER) |
| Authorized Official Telephone | 6018555287 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
13655 | MS | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 09015814 | 05 |
| Other Name | Type Code |
|---|---|
| Sunshine Medical Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255424016 | Vibha Vig Md Pa | Clinic/Center | 303 Ellis St., Carthage, MS 39051-4014 | 2006-10-02 |
| 1013233857 | Vibha Vig Md Pa | Clinic/Center | 110 N Jerry Clower Blvd, Suite M, Yazoo City, MS 39194-8669 | 2010-04-19 |
| Street Address |
156 RIVER OAKS DR SUITE A |
| City | CANTON |
| State | MS |
| Zip Code | 39046-5376 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265917694 | Valerie Baughn Morris | Nurse Practitioner | 156 River Oaks Dr, Canton, MS 39046-5376 | 2018-10-02 |
| 1700235496 | Hess Hembree Iv | General Practice | 156 River Oaks Dr, Canton, MS 39046-5376 | 2016-06-03 |
| 1699160143 | Joseph W Gunter IIi Md Pllc | Surgery | 156 River Oaks Dr, Suite B, Canton, MS 39046-5376 | 2015-04-01 |
| 1134558653 | Rebecca Truelove Moore | Nurse Practitioner | 156 River Oaks Dr, Suite A, Canton, MS 39046-5376 | 2013-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043858053 | Pediatric Haven | Skilled Nursing Facility | 112 Westfalen Drive, Canton, MS 39046 | 2019-12-20 |
| 1932743176 | Stacey Elizabeth Aldridge | Social Worker | 210 E Peace Street, Canton, MS 39046 | 2019-10-31 |
| 1881245736 | Mildred Loving | Technician | 323 Shady Lane, Canton, MS 39046 | 2019-09-23 |
| 1295384683 | Betty Bass | Technician | 693 Miggins Road, Canton, MS 39046 | 2019-09-09 |
| 1972081644 | Charles Brayden Jones | Physical Therapist | 276 Nissan Pkwy Ste 400, Canton, MS 39046 | 2018-08-03 |
| 1013436062 | Andrew J Breland | Counselor | 210 E Peace St, Canton, MS 39046 | 2017-09-11 |
| 1801318290 | Mississippi Enjoy Breastfeeding Shalom Resource Center | Clinic/Center | 343 Smith Street, Canton, MS 39046 | 2017-07-07 |
| 1619362977 | Shameca Hudson | Nurse Practitioner | 274 Cobbville Dr E, Canton, MS 39046 | 2015-04-03 |
| 1144644386 | Margaret Reimers Beckwith | Chiropractor | 124 Links Drive, I-103, Canton, MS 39046 | 2014-02-07 |
| 1053753194 | Tanya Linette Calhoun | Nurse Practitioner | 1171 Hart Street, Canton, MS 39046 | 2013-07-17 |
| Find all providers in zip 39046 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609425180 | Wafa A Elhassan Md Pllc | Clinic/Center | 1905 S Haggerty Rd, Canton, MI 48188-2025 | 2019-09-08 |
| 1326435199 | Forever Kids Pediatric Clinic | Clinic/Center | 182 Privatet Road 6413, Canton, TX 75103 | 2015-04-20 |
| 1265834949 | Kcc Health Promotion Services LLC | Clinic/Center | 1821 Maple Park Dr W, Canton, MI 48188-4829 | 2014-09-24 |
| 1033435680 | Psp Medical Clinic, LLC | Clinic/Center | 1171 Hart St., Canton, MS 39046 | 2010-04-07 |
| 1982933487 | Atlas Healthcare and Rehab Holly Springs | Clinic/Center | 2945 Holly Springs Pkwy, Canton, GA 30115-7449 | 2009-12-11 |
| 1902088453 | Canton Family Clinic Inc. | Clinic/Center | 120 E Academy St, Canton, MS 39046-4502 | 2007-11-27 |
| 1235671926 | Canton South Family Healthcare, LLC | Clinic/Center | 4822 Cleveland Ave S, Canton, OH 44707-1034 | 2016-11-11 |
| 1861818460 | Majid M Taj Md Pllc | Clinic/Center | 41750 Michigan Ave, Canton, MI 48188-2679 | 2014-03-07 |
| 1386081529 | Canton Family Medicine and Medical Spa, Pllc | Clinic/Center | 5958 N Canton Center Rd, Suite 200, Canton, MI 48187-2765 | 2013-05-29 |
| 1063736726 | Michael Tirmonia, Do, Inc | Clinic/Center | 1330 Mercy Dr Nw Ste 324, Canton, OH 44708-2625 | 2010-03-23 |
| Find all providers in CANTON | ||||
Please comment or provide details below to improve the information on VIBHA VIG MD PA.
| 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.