PATRICK STOVALL (NPI# 1376004549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376004549 |
| Entity Type | Individual |
| Full Name | PATRICK STOVALL |
| Credential | D.O. |
| Practice Address |
2520 5th St N Columbus MS 39705-2008 |
| Mailing Address |
415 6th St S Columbus MS 39701-6735 |
| Practice Telephone | 6622442085 |
| Mailing Telephone | 2282236224 |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2020-06-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5001 Hardy St, Hattiesburg, MS 394021308 | 6012963963 |
| Street Address |
2520 5TH ST N |
| City | COLUMBUS |
| State | MS |
| Zip Code | 39705-2008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730187345 | David B Morgan | Specialist | 2520 5th St N, Columbus, MS 39705-2008 | 2005-07-08 |
| 1760002208 | Jameka Eddins | Registered Nurse | 2520 5th St N, Columbus, MS 39705-2008 | 2020-04-24 |
| 1578183802 | Lauren Clark Beasley | Registered Nurse | 2520 5th St N, Columbus, MS 39705-2008 | 2020-04-16 |
| 1992324958 | Keri Lynn Mills | Pharmacist | 2520 5th St N, Columbus, MS 39705-2008 | 2020-04-10 |
| 1043859697 | Lacee Nicole Lowder | Nurse Practitioner | 2520 5th St N, Columbus, MS 39705-2008 | 2019-12-30 |
| 1760028294 | Erin Whitley Lee | Registered Nurse | 2520 5th St N, Columbus, MS 39705-2008 | 2019-11-19 |
| 1801451430 | Mary Elizabeth Rush | Nurse Practitioner | 2520 5th St N, Columbus, MS 39705-2008 | 2019-05-09 |
| 1184289167 | Parul Dutta | Student in an Organized Health Care Education/Training Program | 2520 5th St N, Columbus, MS 39705-2008 | 2019-05-06 |
| 1447814322 | Robert Lyon Brown | Student in an Organized Health Care Education/Training Program | 2520 5th St N, Columbus, MS 39705-2008 | 2019-04-26 |
| 1245894435 | Michael Olisadumbili Chiadika | Student in an Organized Health Care Education/Training Program | 2520 5th St N, Columbus, MS 39705-2008 | 2019-04-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255854527 | Kelly Christi Lovelace | Counselor | 428 24th Ave. North, Columbus, MS 39705 | 2017-07-19 |
| 1427505742 | National Vision, Inc. | Technician/Technologist | Bldg 160 Simler Blvd, Columbus, MS 39705 | 2016-09-02 |
| 1093165714 | Holly Murphy | Audiologist | 2430 4th Street North, Columbus, MS 39705 | 2016-06-14 |
| 1275951972 | Oleg Kalsow | Dentist | 300 Hospital Dr Ste 4, Columbus, MS 39705 | 2014-03-31 |
| 1982906509 | Gtrec, Inc. | Optometrist | 1913 Hwy. 45 N., Suite A, Columbus, MS 39705 | 2010-12-02 |
| 1295042919 | Emily Morgan Sesser | Nurse Practitioner | 4508 Hwy 45 N, Columbus, MS 39705 | 2010-09-01 |
| 1528298189 | Matthew Duane Williams | Internal Medicine | 2520 Fifth Street, North, Columbus, MS 39705 | 2009-07-16 |
| 1114156858 | Andrea Nicole Morris | Pediatrics | 2600 Fifth Street North, Columbus, MS 39705 | 2009-07-02 |
| 1124272307 | Paul J Scurti | Internal Medicine | 255 Baptist Blvd Ste 301, Columbus, MS 39705 | 2008-11-13 |
| 1073702171 | Heart To Heart Hospice of Columbus LLC | Hospice Care, Community Based | 2018 Hwy 45 N, Columbus, MS 39705 | 2007-10-15 |
| Find all providers in zip 39705 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922615335 | Ijeoma Osigwe | Student in an Organized Health Care Education/Training Program | 380 Butterfly Gardens Dr Ste 4a, Columbus, OH 43215-7508 | 2020-09-29 |
| 1447865175 | Shelia Renee Powers | Student in an Organized Health Care Education/Training Program | 403 Jackson Cir, Columbus, MS 39705-1261 | 2020-09-10 |
| 1154934792 | Allison Lee Stillman | Student in an Organized Health Care Education/Training Program | 2033 Bedford Rd, Columbus, OH 43212-1012 | 2020-08-24 |
| 1801419155 | Adenike Eketunde | Student in an Organized Health Care Education/Training Program | 6500 Whittlesey Blvd Apt 418, Columbus, GA 31909-7270 | 2020-05-21 |
| 1841812245 | Marilyn Leif | Student in an Organized Health Care Education/Training Program | 395 W 12th Ave Ste 670, Columbus, OH 43210-1267 | 2020-05-08 |
| 1497375141 | Michaela Bertsch | Student in an Organized Health Care Education/Training Program | 15505 Zodiac St Ne, Columbus, MN 55025-9458 | 2020-04-23 |
| 1194345231 | Giancarlo Roberto Valiente | Student in an Organized Health Care Education/Training Program | 44 W Kelso Rd Apt 242b, Columbus, OH 43202-2031 | 2020-04-18 |
| 1538788146 | Colin Rogers | Student in an Organized Health Care Education/Training Program | Ohiohealth Doctors Hospital, 5100 West Broad Street, Columbus, OH 43228 | 2020-04-14 |
| 1396364519 | Damian Mercier | Student in an Organized Health Care Education/Training Program | Baptist Memorial Hospital- Gt 2520 5th Str N., Columbus, MS 39702 | 2020-04-09 |
| 1669091831 | Kaitlin Jessica Kavanagh | Student in an Organized Health Care Education/Training Program | 915 Olentangy River Rd # 2140, Columbus, OH 43212-3153 | 2020-04-08 |
| Find all providers in COLUMBUS | ||||
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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.