MEDICAL FOUNDATION, INC. (NPI# 1306076427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306076427 |
| Entity Type | Organization |
| Organization Name | MEDICAL FOUNDATION, INC. |
| Other Organization Name | MFI CLINIC |
| Practice Address |
1314 19th Ave Meridian MS 39301-4116 |
| Mailing Address |
Po Box 5183 Meridian MS 39302-5183 |
| Practice Telephone | 6017034282 |
| Practice Fax Number | 6017033080 |
| Mailing Telephone | 6017034282 |
| Mailing Fax Number | 6017033080 |
| Enumeration Date | 2009-07-23 |
| Last Update Date | 2018-02-27 |
| 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 |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| MFI 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 |
| 1275930174 | Medical Foundation, Inc. | Anesthesiology | 1200 16th Ave, Meridian, MS 39301-4209 | 2014-11-21 |
| 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 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MEDICAL FOUNDATION, INC. | 1314 19th Ave, Meridian, MS 39301-4116 |
| Street Address |
1314 19TH AVE |
| City | MERIDIAN |
| State | MS |
| Zip Code | 39301-4116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780682807 | Teresa B. Redmond | Nurse Practitioner | 1314 19th Ave, Meridian, MS 39301-4116 | 2005-07-12 |
| 1881207918 | Cindy Renee' Quinn | Nurse Practitioner | 1314 19th Ave, Meridian, MS 39301-4195 | 2020-08-28 |
| 1821625773 | Michaela L. Moore | Nurse Practitioner | 1314 19th Ave, Meridian, MS 39301-4116 | 2020-03-23 |
| 1821631128 | Leah Lindsley Ward | Registered Nurse | 1314 19th Ave, Meridian, MS 39301-4116 | 2019-10-20 |
| 1356901169 | Laura Elizabeth Perry | Nurse Practitioner | 1314 19th Ave, Meridian, MS 39301-4116 | 2019-06-14 |
| 1407318231 | Stephen G Fleming | Registered Nurse | 1314 19th Ave, Meridian, MS 39301-4195 | 2019-04-01 |
| 1437624566 | Kayla Lauren Barnett | Nurse Practitioner | 1314 19th Ave, Meridian, MS 39301-4116 | 2018-10-04 |
| 1689158909 | Leah Denise Phillips | Nurse Practitioner | 1314 19th Ave, Meridian, MS 39301-4116 | 2018-09-21 |
| 1114401908 | Connie J Gainey | Nurse Practitioner | 1314 19th Ave, Meridian, MS 39301-4116 | 2018-09-18 |
| 1861988669 | Ashley Leigh Blass | Nurse Practitioner | 1314 19th Ave, Meridian, MS 39301-4116 | 2018-07-03 |
| Find all providers in the same location | ||||
| 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 | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801216940 | Seth Branahl | Pediatrics | 520 S Eagle Rd Ste 2209, Meridian, ID 83642-6354 | 2014-04-16 |
| 1972872950 | John Dubard Mceachin | Pediatrics | 4820 Country Club Dr, Meridian, MS 39305-1839 | 2011-12-21 |
| 1841598273 | Anderson Physician Alliance, Inc. | Pediatrics | 2514 67th Avenue Loop Ste 112, Meridian, MS 39307-7260 | 2011-03-09 |
| 1033435896 | Lisa S Labor | Pediatrics | 1620 S. Celebration, Meridian, ID 83642 | 2010-04-19 |
| 1770729063 | Alliance Medical Group, LLC | Pediatrics | 3280 E. Lanark Drive, Meridian, ID 83642 | 2008-12-17 |
| 1356504872 | Robert Ira Eubanks | Pediatrics | 1523 22nd Ave Ste B, Meridian, MS 39301-4016 | 2008-07-03 |
| 1154535375 | Mary Alice Schaefer | Pediatrics | 7961 Van Zyverden Rd, Meridian, MS 39305-9124 | 2007-05-09 |
| 1063557163 | Eastgate Peds Care | Pediatrics | 2203 Highway 39 N Ste B, Meridian, MS 39301-2609 | 2007-02-20 |
| 1477501880 | Elsa J. Lee | Pediatrics | 1620 S Celebration Ave, Meridian, ID 83642-2779 | 2006-05-05 |
| 1356306740 | Kimberly D Ferguison | Pediatrics | 3277 E Louise Dr Ste 200, Meridian, ID 83642-9351 | 2006-04-19 |
| 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.