DR. BERTHRONE LACALVIN MOCK-MUHAMMAD (NPI# 1285781153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285781153 |
| Entity Type | Individual |
| Full Name | DR. BERTHRONE LACALVIN MOCK-MUHAMMAD |
| Other Name | DR. BERTRHRONE LACALVIN MOCK |
| Credential | MD |
| Practice Address |
971 Lakeland Drive Jackson Jackson MS 39216-4608 |
| Practice Telephone | 6019818543 |
| Practice Fax Number | 6019813022 |
| Mailing Telephone | 6019818543 |
| Mailing Fax Number | 6019813022 |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2008-09-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
20402 | MS | Allopathic & Osteopathic Physicians |
| Street Address |
971 LAKELAND DRIVE JACKSON |
| City | JACKSON |
| State | MS |
| Zip Code | 39216-4608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477563104 | Amanda Reagan Schiefer | Internal Medicine | 971 Lakeland Drive, Jackson, MS 39126 | 2006-08-08 |
| 1326562968 | Stephanie Nichole Love | Nurse Practitioner | 971 Lakeland Drive, Suite 401 East Tower, Jackson, MS 39216 | 2017-07-26 |
| 1295117505 | Anna Marie Ketchum | Nurse Practitioner | 971 Lakeland Drive, Ste 1052, Jackson, MS 39216 | 2015-06-23 |
| 1770987638 | Jackson Neurocare, Pllc | Psychiatry & Neurology | 971 Lakeland Drive, Suite 557, West Tower, Jackson, MS 39216-4607 | 2014-10-21 |
| 1023323029 | Vanessa L. Sandifer, M.d., Pllc | Internal Medicine | 971 Lakeland Drive, Suite 450, Jackson, MS 39216-0450 | 2010-08-13 |
| 1780902155 | Raymond F. Grenfell, IIi., M.d., Pllc | Internal Medicine | 971 Lakeland Drive, Suite 450, Jackson, MS 39216 | 2010-05-11 |
| 1346370921 | Muscle and Nerve Pa | Psychiatry & Neurology | 971 Lakeland Drive, Suite 560, Jackson, MS 39216 | 2007-03-06 |
| 1700911096 | Donald L Seago | Dentist | 971 Lakeland Drive, Suite 225, Jackson, MS 39216-4643 | 2007-02-23 |
| 1316089634 | David E Seago | Dentist | 971 Lakeland Drive, Suite 225, Jackson, MS 39216-4643 | 2007-02-13 |
| 1427190750 | Stephen R Gandy | Dentist | 971 Lakeland Drive, Suite 225, Jackson, MS 39216-4643 | 2007-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861011553 | Ashley Melancon Prewitt | Registered Nurse | St. Dominic's North Campus, Behavioral Health, Jackson, MS 39216 | 2020-04-13 |
| 1194353391 | Brianna Arrington | Student in an Organized Health Care Education/Training Program | Med/ Peds, 2500 N. State St., Jackson, MS 39216 | 2020-04-01 |
| 1720616485 | Roshina Khalid Khan | Student in an Organized Health Care Education/Training Program | Department of Anesthesiology, Ummc, 2500 N. State St., Jackson, MS 39216 | 2020-03-30 |
| 1275183550 | Amanda Lynn Morellato | Dentist | Ummc School of Dentistry, 2500 North State Street, Jackson, MS 39216 | 2019-09-18 |
| 1396305553 | Abhishek Chhabra | Student in an Organized Health Care Education/Training Program | Lakeland Family Medicine Clinic, 878 Lakeland Dr., Jackson, MS 39216 | 2019-06-19 |
| 1427615996 | Hometown Diagnostics | Clinical Medical Laboratory | Translational Research Center Tr311, 2500 North State Street, Jackson, MS 39216 | 2019-05-21 |
| 1346807773 | Shukundala C Smith | Behavior Technician | New Learning Resources 2510 Lakeland Terrace, Jackson, MS 39216 | 2019-05-21 |
| 1063901098 | G Eli Howell Md Pllc | Plastic Surgery | 971 Lakeland Dr Ste 225, Jackson, MS 39216 | 2018-05-04 |
| 1588168132 | Caleb Zumbro | Student in an Organized Health Care Education/Training Program | Ummc Med/peds, 2500 N. State St., Jackson, MS 39216 | 2018-03-20 |
| 1639677230 | Walgreen Co | Pharmacy | 971 Lakeland Dr Ste 101, Jackson, MS 39216 | 2018-01-29 |
| Find all providers in zip 39216 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053935437 | Cvc Pllc | Internal Medicine | 22 Deepwood Dr, Jackson, TN 38305-9679 | 2020-06-02 |
| 1912143991 | Theophilus James Humphreys | Internal Medicine | 164 W University Pkwy Ste A, Jackson, TN 38305-1621 | 2008-12-23 |
| 1548423114 | Olurotimi Badero | Internal Medicine | 5240 Robinson Rd, Jackson, MS 39204-4134 | 2008-07-03 |
| 1740480961 | Cardiovascular Clinic of West Tn PC | Internal Medicine | 2968 North Highland Avenue, Jackson, TN 38305-3609 | 2007-07-25 |
| 1013112457 | The Cardiovascular Clinic of West Tennessee,p.c. | Internal Medicine | 162 Murray Guard Dr, Suite A, Jackson, TN 38305-3609 | 2007-06-17 |
| 1497829550 | Shawn A Baldwin | Internal Medicine | 27a Medical Center Dr, Jackson, TN 38301-3949 | 2006-11-20 |
| 1083715254 | Kenny K. Charn | Internal Medicine | 201 Clinton Rd, Suite 105, Jackson, CA 95642-2648 | 2006-09-26 |
| 1861590457 | Sandra Speckels Mccearley | Internal Medicine | 970 Lakeland Dr Ste 61, Jackson, MS 39216 | 2006-09-20 |
| 1063425734 | Mabbu Jayakumar | Internal Medicine | 168 W University Pkwy Ste C, Jackson, TN 38305-1624 | 2006-08-14 |
| 1851305429 | Jackson Cardiology Associates, P.a. | Internal Medicine | 971 Lakeland Dr Ste 850, Jackson, MS 39216-4608 | 2006-07-28 |
| Find all providers in JACKSON | ||||
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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.