RICARDO NIMO (NPI# 1356395974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356395974 |
| Entity Type | Individual |
| Full Name | RICARDO NIMO |
| Credential | MD |
| Practice Address |
270 E Main St Centreville MS 39631-4200 |
| Mailing Address |
178 Highway 24 E Centreville MS 39631-4171 |
| Practice Telephone | 6016455361 |
| Mailing Telephone | 6018900520 |
| Mailing Fax Number | 6016455088 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2017-09-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 16415 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1560201 | 05 | |
| MS | 00121244 | 05 |
| Street Address |
270 E MAIN ST |
| City | CENTREVILLE |
| State | MS |
| Zip Code | 39631-4200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124479829 | Gemini Emergency Physicians, LLC | Physician Assistant | 270 E Main St, Centreville, MS 39631-4200 | 2016-06-24 |
| 1114185691 | Jewel Causey | Dietitian, Registered | 270 E Main St, Centreville, MS 39631-4200 | 2008-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972159994 | Jelks Family Pharmacy, LLC | Pharmacy | 1404 Academy St, Centreville, MS 39631 | 2019-08-15 |
| 1275946162 | James Hawley | Nurse Practitioner | 260 W Main Street, Centreville, MS 39631 | 2014-06-09 |
| 1730342643 | Field Memorial Community Hospital | Internal Medicine | 270 W Main Street, Centreville, MS 39631 | 2008-07-10 |
| 1184806747 | Field Memorial Community Hospital | Nurse Practitioner | 143 West Howard St, Centreville, MS 39631 | 2007-12-05 |
| 1245528785 | Se Mississippi Emergency Physicians LLC | Emergency Medicine | 270 West Main Street, Centreville, MS 39631 | 2011-07-19 |
| 1609105014 | King Louis Chambers | Public Health or Welfare | 506 E. Main St., Suite 2a, Centreville, MS 39631 | 2009-12-14 |
| 1710016233 | James L. Jelks Jr. | Pharmacist | 149 Main St., Centreville, MS 39631-0159 | 2007-03-02 |
| 1548244262 | Wilkinson County Nursing Center LLC | Skilled Nursing Facility | 166 S Lafayette St, Centreville, MS 39631-0310 | 2005-12-06 |
| 1992024459 | David Mcinnis Berry | Emergency Medicine | 270 W. Main St., Centreville, MS 39631-0639 | 2010-05-24 |
| 1053503318 | Wilkinson County Senior Care LLC | Skilled Nursing Facility | 166 S Lafayette St, Centreville, MS 39631-3571 | 2007-08-10 |
| Find all providers in zip 39631 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1417294224 | Cyril Joseph Mdpc | Internal Medicine | 6105 Oakengateway, Centreville, VA 20120-1160 | 2013-01-14 |
| 1730342643 | Field Memorial Community Hospital | Internal Medicine | 270 W Main Street, Centreville, MS 39631 | 2008-07-10 |
| 1922265164 | Anjali Garg | Internal Medicine | 6101 Redwood Square Ctr Ste 200, Centreville, VA 20121-4267 | 2008-05-16 |
| 1508048778 | Ashok Kumar Ahuja | Internal Medicine | 13533 Ann Grigsby Cir, Centreville, VA 20120-2625 | 2007-11-29 |
| 1811908874 | Valencia Denise Adams | Internal Medicine | 14119 Sorrel Chase Ct, Centreville, VA 20121-3804 | 2006-08-11 |
| 1134166812 | Field Memorial Community Hospital | Internal Medicine | 178 Highway 24 E Ste A, Centreville, MS 39631-4171 | 2006-06-01 |
| 1992709265 | Alan R Levinstone | Internal Medicine | 5895 Trinity Pkwy, Suite 100, Centreville, VA 20120-1996 | 2005-06-02 |
| 1053706382 | Gurpreet Saini | Internal Medicine | 2540 Centreville Rd, Centreville, MD 21617 | 2015-04-02 |
| 1639428840 | Piyush R Patel Md, PC | Internal Medicine | 13880 Braddock Rd, Suite 209, Centreville, VA 20121-2459 | 2012-09-04 |
| 1477870541 | Mariya Bourget | Internal Medicine | 5895 Trinity Pkwy, Suite 100, Centreville, VA 20120-1995 | 2010-04-28 |
| Find all providers in CENTREVILLE | ||||
| City | CENTREVILLE |
| Zip Code | 39631 |
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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.