DR. KENNETH DANIEL SAUL (NPI# 1295022861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295022861 |
| Entity Type | Individual |
| Full Name | DR. KENNETH DANIEL SAUL |
| Credential | M.D. |
| Practice Address |
5002 Highway 39 N Bldg A Meridian MS 39301-1078 |
| Mailing Address |
5002 Highway 39 N Bldg A Meridian MS 39301-1078 |
| Practice Telephone | 6015120500 |
| Practice Fax Number | 6015120505 |
| Mailing Telephone | 6015120500 |
| Mailing Fax Number | 6015120505 |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2016-10-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 22764 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | MEDICARE ID | 497603ZUU | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386608883 | Kenneth W Saul | Family Medicine | 1320 West Main Street, Newark, OH 43055 | 2006-04-13 |
| 1760453401 | Kenneth L Saul | Pediatrics | 430 Avenida De Los Arboles, #201, Thousand Oaks, CA 91360-3003 | 2006-01-31 |
| Street Address |
5002 HIGHWAY 39 N BLDG A |
| City | MERIDIAN |
| State | MS |
| Zip Code | 39301-1078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992337034 | Whitney Sloan Bancroft Trammell | Physician Assistant | 5002 Highway 39 N Bldg A, Meridian, MS 39301-1078 | 2020-02-06 |
| 1932553245 | Saul Dermatology Pa | Clinic/Center | 5002 Highway 39 N Bldg A, Meridian, MS 39301-1078 | 2016-04-22 |
| 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 | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427460849 | Anna Allred Wile | Dermatology | 4331 Highway 39 N Ste A, Meridian, MS 39301-1007 | 2014-05-21 |
| 1265795660 | Richard Scott Thomas | Dermatology | 4664 N Penngrove Way Ste 100, Meridian, ID 83646-7442 | 2012-06-20 |
| 1871798447 | Lawrence Benjamin Mceachin | Dermatology | 3827 Grandview Ave, Meridian, MS 39305 | 2007-06-15 |
| 1831229871 | Alisa Funke | Dermatology | 1618 Millennium Way, Suite 100, Meridian, ID 83642-6457 | 2007-03-07 |
| 1013054667 | Dermatology Center of Meridian Pa | Dermatology | 4612 29th Ave, Meridian, MS 39305-1652 | 2007-01-31 |
| 1972653566 | Naomi Beth Brooks | Dermatology | 3109 S Meridian Rd, Meridian, ID 83642-7088 | 2007-01-12 |
| 1285245423 | Dermatology & Skin Cancer Center Pllc | Dermatology | 4612 29th Ave, Meridian, MS 39305-1652 | 2020-08-12 |
| 1598374258 | Dermatology and Skin Cancer Center Pllc | Dermatology | 4612 29th Ave, Meridian, MS 39305-1652 | 2020-07-29 |
| 1417495615 | Boise Dermatology | Dermatology | 3109 S Meridian Rd, Meridian, ID 83642-7088 | 2017-02-07 |
| 1659827665 | Mountain Pine Dermatology, Pllc | Dermatology | 4664 N Penngrove Way Ste 100, Meridian, ID 83646-7442 | 2016-08-30 |
| Find all providers in MERIDIAN | ||||
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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.