ALFRED G WINDHAM (NPI# 1326079518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326079518 |
| Entity Type | Individual |
| Full Name | ALFRED G WINDHAM |
| Credential | MD |
| Practice Address |
2200 Highway 61 N Vicksburg MS 39183-8246 |
| Mailing Address |
104 Mcauley Dr Vicksburg MS 39183-2825 |
| Practice Telephone | 6016387271 |
| Mailing Telephone | 6016387271 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2020-09-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 08827 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00114165 | 05 | |
| LA | 1339920 | 05 | |
| MS | AETNA | 4224657 | 01 |
| Street Address |
2200 HIGHWAY 61 N |
| City | VICKSBURG |
| State | MS |
| Zip Code | 39183-8246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801827019 | John David Fagan | Urology | 2200 Highway 61 N, Vicksburg, MS 39183-8246 | 2006-07-05 |
| 1023478435 | La Miss Diabetic Shoes | Durable Medical Equipment & Medical Supplies | 2200 Highway 61 N, Suite 3400, Vicksburg, MS 39183-8246 | 2016-02-26 |
| 1154789717 | Carrie Eure | Physician Assistant | 2200 Highway 61 N, Vicksburg, MS 39183-8246 | 2016-02-10 |
| 1861622268 | Vicksburg Clinic LLC | Clinic/Center | 2200 Highway 61 N, Vicksburg, MS 39183-8246 | 2009-07-20 |
| 1356593875 | Hanger Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 2200 Highway 61 N, Vicksburg, MS 39183-8246 | 2008-10-15 |
| 1750312963 | Gloria J Butler | Family Medicine | 2200 Highway 61 N, Vicksburg, MS 39183-8246 | 2006-07-05 |
| 1932130127 | Timothy P Kerut | Allergy & Immunology | 2200 Highway 61 N, Vicksburg, MS 39183-8246 | 2006-07-05 |
| 1811928005 | Thomas K Sligh | Internal Medicine | 2200 Highway 61 N, Vicksburg, MS 39183-8246 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306217823 | Tracy Curtis | Speech-Language Pathologist | 2100 Us 61, Vicksburg, MS 39183 | 2015-10-09 |
| 1649566894 | The Life Balance Clinic, Behavioral Health Service | Social Worker | 1107 B Openwood St., Vicksburg, MS 39183 | 2011-06-27 |
| 1245428788 | Melanie Joan Waldrop | Nurse Anesthetist, Certified Registered | 2100 Hwy 61n, River Region Medical Center, Vicksburg, MS 39183 | 2007-10-10 |
| 1871714477 | Robert Michael Coleman | Dentist | 2356 Grove Street, Vicksburg, MS 39183 | 2007-05-01 |
| 1942363502 | Visions Physical Therapy | Physical Therapist | 110 Holt Collier Dr, Vicksburg, MS 39183 | 2006-12-18 |
| 1023117991 | Janet S Fisher Dmd Pa | Dentist | 1212 Mission 66, Vicksburg, MS 39183 | 2006-09-21 |
| 1407878663 | Annette Bryant | Social Worker | 1107 Openwood St, Vicksburg, MS 39183 | 2006-07-24 |
| 1932168416 | Promise Hospital of Vicksburg Inc | Long Term Care Hospital | 2100 Highway 61 N Fl 6, Vicksburg, MS 39183 | 2006-03-22 |
| 1164945374 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2310 Clay St, Vicksburg, MS 39183 | 2017-07-19 |
| 1255777025 | Joyce Wanjugu Muruthi | Obstetrics & Gynecology | 2100 Highway 61 N, Vicksburg, MS 39183 | 2013-05-20 |
| Find all providers in zip 39183 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720372345 | River Oaks Management Company, LLC | Otolaryngology | 2080 S Frontage Rd, Vicksburg, MS 39180-5328 | 2011-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205480282 | Charles Palmer Lincoln | Otolaryngology | 248 Crystal Crk, Hattiesburg, MS 39402-7748 | 2019-07-29 |
| 1609420991 | Greg Meekin Ent | Otolaryngology | 1201 31st Avenue, Gulfport, MS 39501 | 2019-07-25 |
| 1386076800 | Bolivar Physician Practices LLC | Otolaryngology | 903 E Sunflower Rd, Suite 400, Cleveland, MS 38732-2835 | 2013-08-07 |
| 1467709212 | Harold Keelen Hudson | Otolaryngology | 1488 Columbine Dr, Tupelo, MS 38801-6975 | 2012-08-11 |
| 1659630911 | Tyler Wayne Winford | Otolaryngology | 401 Baptist Dr Ste 206, Madison, MS 39110-2011 | 2012-05-08 |
| 1548548217 | Edward Grant Vick Sr. | Otolaryngology | 360 Red Eagle Cir, Ridgeland, MS 39157-9775 | 2011-07-29 |
| 1588968572 | Perry Taggart Roberts | Otolaryngology | 536 Wedgewood Dr, Oxford, MS 38655-5414 | 2011-01-05 |
| 1386979961 | South Mississippi Ear, Nose and Throat | Otolaryngology | 2525 Telephone Road, Pascagoula, MS 39567 | 2009-10-15 |
| 1447494570 | Matthew Scott Stevens | Otolaryngology | 618 Pegram Dr., Tupelo, MS 38801-6632 | 2009-04-20 |
| 1194973941 | Howard B Cheek | Otolaryngology | 4080 Boxwood Circle, Jackson, MS 39211-6609 | 2008-09-05 |
| 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.