MEDICAL FOUNDATION, INC. (NPI# 1275930174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275930174 |
| Entity Type | Organization |
| Organization Name | MEDICAL FOUNDATION, INC. |
| Other Organization Name | RUSH PAIN TREATMENT CLINIC |
| Practice Address |
1200 16th Ave Meridian MS 39301-4209 |
| Mailing Address |
Po Box 5183 Meridian MS 39302-5183 |
| Practice Telephone | 6017031901 |
| Practice Fax Number | 6017034585 |
| Mailing Telephone | 6017034282 |
| Mailing Fax Number | 6017033080 |
| Enumeration Date | 2014-11-21 |
| Last Update Date | 2018-02-26 |
| Authorized Official Name | DON LARKIN KENNEDY (PRESIDENT) |
| Authorized Official Telephone | 6017039614 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians | ||
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Rush Pain Treatment Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194191684 | Medical Foundation, Inc. | Family Medicine | 5100 Hwy 21 South, Preston, MS 39354 | 2015-08-19 |
| 1467857102 | Medical Foundation, Inc. | Clinical Medical Laboratory | 1306 20th Avenue, Meridian, MS 39301 | 2014-10-23 |
| 1891353462 | Medical Foundation, Inc. | Obstetrics & Gynecology | 2303 13th St, Meridian, MS 39301-3940 | 2019-05-30 |
| 1386118602 | Medical Foundation, Inc. | Pediatrics | 252 Northside Dr, Newton, MS 39345-9756 | 2019-01-21 |
| 1235598624 | Medical Foundation, Inc. | Obstetrics & Gynecology | 2401 16th St, Meridian, MS 39301-3950 | 2016-02-15 |
| 1770985020 | Medical Foundation, Inc. | Obstetrics & Gynecology | 1056 Holland Ave, Suite A, Philadelphia, MS 39350-9121 | 2014-09-18 |
| 1346654027 | Medical Foundation, Inc. | Family Medicine | 1800 12th St, Meridian, MS 39301-4158 | 2014-06-20 |
| 1144633363 | Medical Foundation, Inc. | Dermatology | 4331 Highway 39 N Ste A, Meridian, MS 39301-1007 | 2014-06-05 |
| 1811300395 | Medical Foundation, Inc. | Psychiatry & Neurology | 1800 12th St, Meridian, MS 39301-4158 | 2014-06-03 |
| 1285046987 | Medical Foundation, Inc. | Obstetrics & Gynecology | 1221 24th Ave, Meridian, MS 39301-3926 | 2014-05-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MEDICAL FOUNDATION, INC. | 1314 19th Ave, Meridian, MS 39301-4116 |
| Street Address |
1200 16TH AVE |
| City | MERIDIAN |
| State | MS |
| Zip Code | 39301-4209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740790658 | Arlette Smith | Nurse Practitioner | 1200 16th Ave, Meridian, MS 39301 | 2017-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407460439 | Kayla Lee Monsour | Pharmacist | 1415 24th Avenue, Meridian, MS 39301 | 2020-09-08 |
| 1306478359 | K&r Optical Solutions Corporation | Eyewear Supplier (Equipment, not the service) | 3126 8th St., Suite A, Meridian, MS 39301 | 2020-02-07 |
| 1912537317 | Courtney M Hollie | Counselor | 1054 Ms-19, Meridian, MS 39301 | 2020-01-24 |
| 1932636495 | Rcg Mississippi, Inc. | Clinic/Center | 1300 38th Ave E, Meridian, MS 39301 | 2017-05-16 |
| 1811428915 | Tierria Mcglothin | Nurse Practitioner | 1054 Highway 19 S, Meridian, MS 39301 | 2017-03-21 |
| 1154869303 | Lindsay Nemanich | Physical Therapist | 3716 Ms-39, Meridian, MS 39301 | 2017-02-08 |
| 1700323599 | Wal-mart Stores East Lp | Pharmacy | 3310-a Highway 39 North, Meridian, MS 39301 | 2017-01-31 |
| 1972977460 | Southeast Pharmacy LLC | Pharmacy | 2402 Long Creek Road, Meridian, MS 39301 | 2015-11-20 |
| 1235508342 | East Mississippi Oral & Facial Surgery, LLC | Clinic/Center | 1212 24th Avenue, Meridian, MS 39301 | 2015-09-18 |
| 1831580778 | Clarkdale Pharmacy and Gifts LLC | Pharmacy | 6935c Hwy 145, Meridian, MS 39301 | 2015-02-13 |
| Find all providers in zip 39301 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114171519 | Advanced Pain Management Pllc | Anesthesiology | 2275 So Eagle Rd, Sute 160, Meridian, ID 83642 | 2008-11-11 |
| 1417905662 | Hashim W. Khan | Anesthesiology | 1102 Constitution Ave, Pain Management Center, Meridian, MS 39301 | 2006-05-04 |
| 1225096613 | Pain Management Ctr Meridian | Anesthesiology | 1102 Constitution Ave, Meridian, MS 39301-4001 | 2006-05-03 |
| 1023070893 | Leland Lou | Anesthesiology | 1314 19th Ave, Meridian, MS 39301-4116 | 2006-04-05 |
| 1700868379 | Dan F. Millard | Anesthesiology | 1800 12th St, Meridian, MS 39301-4158 | 2005-11-18 |
| 1548254493 | Mississippi Pain Physicians, Pllc | Anesthesiology | 1001 14th St, Meridian, MS 39301-4458 | 2005-09-07 |
| 1093709958 | Southern Pain Associates, Pllc | Anesthesiology | 1001 14th St, Meridian, MS 39301-4458 | 2005-09-07 |
| 1134113095 | Renee J Lyles | Anesthesiology | 1001 14th St, Meridian, MS 39301-4458 | 2005-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588158125 | Gulf Coast Anesthesia Associates | Anesthesiology | 147 Reynoir St Ste 305, Biloxi, MS 39530 | 2018-06-18 |
| 1063878676 | Wayne General Hospital | Anesthesiology | 940 Matthew Dr Ste 8, Waynesboro, MS 39367-2534 | 2016-01-12 |
| 1700137205 | Gulf Coast Interventional Pain Management Clinic, Inc. | Anesthesiology | 15164 Dedeaux Rd Ste B, Gulfport, MS 39503-3124 | 2012-09-24 |
| 1982996567 | Mb Costello Enterprises LLC | Anesthesiology | 1501 Lakeland Dr Ste 251, Jackson, MS 39216-4848 | 2011-05-13 |
| 1699081745 | Anesthesia & Pain Control Services, Inc. | Anesthesiology | 180b Debuys Rd Ste 211, Biloxi, MS 39531-4407 | 2010-08-27 |
| 1134214331 | Coastal Chronic Pain Services, Pllc | Anesthesiology | 15190 Community Rd Ste 230b, Gulfport, MS 39503-3483 | 2006-10-04 |
| 1295845311 | Bretley Todd Sitzman | Anesthesiology | 7125 U S Highway 98, Hattiesburg, MS 39402 | 2006-08-30 |
| 1285663633 | Joe Christopher Cook I | Anesthesiology | 114 Byram Business Center Dr, Byram, MS 39272-9636 | 2006-06-30 |
| 1821034596 | Rex B Williams | Anesthesiology | 120 Stone Creek Blvd, Suite 500, Flowood, MS 39232-8205 | 2006-06-21 |
| 1598703852 | Miguel Figueroa | Anesthesiology | 46 Sgt Prentiss Dr Ste 201, Natchez, MS 39120-4751 | 2006-06-02 |
| 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.