LINDA MARY DALES


Address: 1516 23rd Ave, Meridian, MS 39301-4026
Phone: 6017033820

LINDA MARY DALES (NPI# 1366498677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366498677
Entity Type Individual
Full Name LINDA MARY DALES
Credential MD
Practice Address 1516 23rd Ave
Meridian
MS 39301-4026
Practice Telephone 6017033820
Practice Fax Number 6017030125
Mailing Telephone 6017033820
Mailing Fax Number 6017030125
Enumeration Date 2006-05-26
Last Update Date 2012-11-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RE0101X Internal Medicine
Specialization: Endocrinology, Diabetes & Metabolism
21644 MS Allopathic & Osteopathic Physicians
N 207RE0101X Internal Medicine
Specialization: Endocrinology, Diabetes & Metabolism
30413 SC Allopathic & Osteopathic Physicians
N 207RE0101X Internal Medicine
Specialization: Endocrinology, Diabetes & Metabolism
200000203 NC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NC CIGNA HEALTHCARE 2119923 01
SC GP4505 05
NC MEDCOST 188453 01
NC RAILROAD MEDICARE P00326699 01
MS 00358088 05
NC BCBSNC 12700 01
NC 8912700 05
SC 304138 05

Office Location

Street Address 1516 23RD AVE
City MERIDIAN
State MS
Zip Code 39301-4026

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275796757 Urseline A. Hawkins Internal Medicine 1516 23rd Ave, Meridian, MS 39301-4026 2008-07-06

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207RE0101X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Endocrinology, Diabetes & Metabolism

Taxonomy Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679968051 Michael Dee Holyoak Internal Medicine 520 S Eagle Rd Ste 1234, Meridian, ID 83642-6355 2015-04-01
1902143134 Ennis Endocrinology, Pllc Internal Medicine 2450 E Gala St Ste 100, Meridian, ID 83642-4805 2013-01-08
1366647729 Robert F. Ennis Internal Medicine 1626 Wells Ave, Suite 105, Meridian, ID 83642-4524 2007-06-18
1003881970 Lynn Ge-zerbe Internal Medicine 1759 S Millenium Way, Meridian, ID 83642-1505 2006-02-22
1275796757 Urseline A. Hawkins Internal Medicine 1516 23rd Ave, Meridian, MS 39301-4026 2008-07-06
1477530335 Johannes D Veldhuis Internal Medicine 520 S Eagle Rd, Suite 1234, Meridian, ID 83642-6351 2005-12-30

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1841761129 Dcgm, Inc Internal Medicine 1040 River Oaks Dr Ste 302, Flowood, MS 39232-9575 2018-12-11
1669727228 Farah Naz Mushtaq Internal Medicine 5909 U S Highway 49 Ste 30, Hattiesburg, MS 39402-2860 2012-07-19
1649404435 Memorial Hospital At Gulfport Internal Medicine 970 Tommy Munro Dr, Biloxi, MS 39532-2130 2009-05-07
1396808879 Oxford Endocrinology Consultants, P.C. Internal Medicine 512 Azalea Drive, Oxford, MS 38655 2006-12-18
1376553222 Richard J Galloway Internal Medicine 5909 Us Highway 49, Suite 30, Hattiesburg, MS 39401 2006-08-09
1477563104 Amanda Reagan Schiefer Internal Medicine 971 Lakeland Drive, Jackson, MS 39126 2006-08-08
1376559880 Mark Devin Shepherd Internal Medicine 670 Crossover Rd, Tupelo, MS 38801-4944 2006-08-01
1588617997 Beverly Lansden Internal Medicine 4540 W Railroad St, Gulfport, MS 39501-2480 2006-05-18
1730138231 Diabetes & Endocrine Institute, Pllc Internal Medicine 2610 Courthouse Cir, Flowood, MS 39232-9562 2006-05-10
1740251941 Jayant Dey Internal Medicine 4250 S Eason Blvd, Tupelo, MS 38801-6549 2006-01-27
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Competitor

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City MERIDIAN
Zip Code 39301

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Dataset Information

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.

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