MEDICAL IMAGING, LLC (NPI# 1316075864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316075864 |
| Entity Type | Organization |
| Organization Name | MEDICAL IMAGING, LLC |
| Practice Address |
891 Mississippi Dr Tupelo MS 38804-0934 |
| Mailing Address |
616 Crossover Rd Tupelo MS 38801-4944 |
| Practice Telephone | 6623776800 |
| Practice Fax Number | 6623776805 |
| Mailing Telephone | 6623776820 |
| Mailing Fax Number | 6623776825 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. VERNON WYATT BARROW III (PRESIDENT) |
| Authorized Official Telephone | 6626207101 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194772111 | Medical Imaging, LLC | Radiology | 616 Crossover Rd, Tupelo, MS 38801-4944 | 2006-05-27 |
| Street Address |
891 MISSISSIPPI DR |
| City | TUPELO |
| State | MS |
| Zip Code | 38804-0934 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699781765 | Zandra Dawn Frans | Nurse Practitioner | 891 Mississippi Dr, Tupelo, MS 38804-0934 | 2006-07-31 |
| 1871838490 | Premier Interventional Radiology Clinic | Radiology | 891 Mississippi Dr, Tupelo, MS 38804-0934 | 2012-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548874159 | Susan Me'chelle Oliver | Nurse Practitioner | 874 Barnes Crossing Road, Tupelo, MS 38804 | 2020-09-01 |
| 1134762784 | Kimberly J Adams | Occupational Therapy Assistant | 90 Clark Ave, Tupelo, MS 38804 | 2019-10-25 |
| 1790270924 | Megan Guntharp | Occupational Therapist | 960 Commonwealth Boulevard, Tupelo, MS 38804 | 2018-06-29 |
| 1154867562 | Urologic Ambulatory Surgery Center, LLC | Clinic/Center | 3353 N Gloster Street, Suite 300, Tupelo, MS 38804 | 2017-01-09 |
| 1790235919 | Dr Scott Dickinson D.m. D. PC | Dentist | 3999 N Gloster Street, Tupelo, MS 38804 | 2016-10-12 |
| 1326496621 | Angela Estes | Occupational Therapist | County Road 1279 House#197, Tupelo, MS 38804 | 2016-05-26 |
| 1316300080 | Eric Wade Tillotson | Family Medicine | 1665 South Green Street, Tupelo, MS 38804 | 2016-03-31 |
| 1104238898 | Stella M. Johnson | Social Worker | 2292 Camelot Cir, Tupelo, MS 38804 | 2014-05-29 |
| 1821437351 | Lenka Petersen | Student in an Organized Health Care Education/Training Program | 1665 S Green St., Nmmc, Tupelo, MS 38804 | 2013-06-18 |
| 1083966303 | Jessica M Baskett | Counselor | 398 E Main St, Tupelo, MS 38804 | 2012-10-10 |
| Find all providers in zip 38804 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194772111 | Medical Imaging, LLC | Radiology | 616 Crossover Rd, Tupelo, MS 38801-4944 | 2006-05-27 |
| 1083669121 | Premier Radiology, Inc | Radiology | 620 Crossover Road, Tupelo, MS 38801 | 2006-05-24 |
| 1417907536 | Imaging Center At Gloster Creek Village Pllc | Radiology | 320 S Gloster St, Tupelo, MS 38801-4748 | 2006-05-11 |
| 1013918952 | Gillbert Daryl Hallman | Radiology | 620 Crossover Rd, Tupelo, MS 38801-4944 | 2005-08-02 |
| 1699169771 | Leland D Husband Jr. | Radiology | 620 Crossover Rd, Tupelo, MS 38801-4944 | 2015-03-26 |
| 1144651100 | Rpg Medical of North Mississippi LLC | Radiology | 320 S Gloster St, Ste B2, Tupelo, MS 38801-4748 | 2013-12-02 |
| 1245469576 | William Russell Johnson | Radiology | 620 Crossover Rd, Tupelo, MS 38801-4944 | 2009-07-08 |
| 1144462300 | David Dean | Radiology | 620 Crossover Rd, Tupelo, MS 38801-4944 | 2009-04-01 |
| 1003027376 | Anthony David Junck | Radiology | 620 Crossover Rd, Tupelo, MS 38801-4944 | 2007-05-25 |
| 1346460367 | Brandon W Skelton | Radiology | 499 Gloster Creek Vlg, Suite J7, Tupelo, MS 38801-4600 | 2007-05-01 |
| Find all providers in TUPELO | ||||
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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.