VIBHA VIG MD PA (NPI# 1255424016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255424016 |
Entity Type | Organization |
Organization Name | VIBHA VIG MD PA |
Other Organization Name | SUNSHINE MEDICAL CLINIC |
Practice Address |
303 Ellis St. Carthage MS 39051-4014 |
Mailing Address |
Po Box 626 Canton MS 39046-0626 |
Practice Telephone | 6012670544 |
Practice Fax Number | 6012675092 |
Mailing Telephone | 6012670544 |
Mailing Fax Number | 6012675092 |
Enumeration Date | 2006-10-02 |
Last Update Date | 2008-07-21 |
Authorized Official Name | VIBHA VIG (OWNER) |
Authorized Official Telephone | 6018555287 |
Authorized Official Credential | M.D. |
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 | 09015926 | 05 |
Other Name | Type Code |
---|---|
Sunshine Medical Clinic | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255413639 | Vibha Vig Md Pa | Clinic/Center | 156 River Oaks Dr, Suite A, Canton, MS 39046-5376 | 2006-10-19 |
1013233857 | Vibha Vig Md Pa | Clinic/Center | 110 N Jerry Clower Blvd, Suite M, Yazoo City, MS 39194-8669 | 2010-04-19 |
Street Address |
303 ELLIS ST. |
City | CARTHAGE |
State | MS |
Zip Code | 39051-4014 |
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---|---|---|---|---|
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1750738415 | Telehealthone LLC | Nurse Practitioner | 300 South Pearl Street, Carthage, MS 39051 | 2016-05-23 |
1316297575 | Silver Lining Adult Daycare, LLC | Respite Care | 531 Highway 35 North, Carthage, MS 39051 | 2012-09-14 |
1508179888 | Mississippi Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 205 Highway 16 West, Carthage, MS 39051 | 2010-07-15 |
1376725754 | Amye L Shamburger | Dentist | 101 S. Pearl Street, Carthage, MS 39051 | 2007-11-28 |
1770786188 | Carthage Eye Clinic Pa | Optometrist | 201 Hwy 16 East, Carthage, MS 39051 | 2007-06-06 |
1265553762 | David C Henderson | Dentist | 113 North Pearl St, Carthage, MS 39051 | 2007-04-02 |
1780722280 | Linda N Roland | Nurse Practitioner | 204 Chipley St., Carthage, MS 39051 | 2007-02-05 |
1205914298 | William M Myers II | Dentist | 12646 Hwy 488, Carthage, MS 39051 | 2006-11-01 |
Find all providers in zip 39051 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
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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.