NORTH MISSISSIPPI PULMONOLOGY CLINIC INC (NPI# 1376764167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376764167 |
| Entity Type | Organization |
| Organization Name | NORTH MISSISSIPPI PULMONOLOGY CLINIC INC |
| Practice Address |
100 Hospital St #300 Booneville MS 38829-3354 |
| Practice Telephone | 6627282147 |
| Practice Fax Number | 6627203050 |
| Mailing Telephone | 6627282147 |
| Mailing Fax Number | 6627203050 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DAVID G CHASE (OWNER) |
| Authorized Official Telephone | 6627282147 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
07824 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 09015803 | 05 |
| Street Address |
100 HOSPITAL ST #300 |
| City | BOONEVILLE |
| State | MS |
| Zip Code | 38829-3354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598762890 | Joseph Woodson Wolfe | Specialist | 100 Hospital St, Suite 100a, Booneville, MS 38829-3354 | 2005-06-30 |
| 1730796483 | Baptist Memorial Hospital-booneville, Inc. | Pharmacy | 100 Hospital St, Booneville, MS 38829-3354 | 2020-09-28 |
| 1184251795 | Tmk Enterprises | Nurse Practitioner | 100 Hospital St, Booneville, MS 38829-3354 | 2020-03-24 |
| 1861880767 | Heather Nicole Wright | Nurse Practitioner | 100 Hospital St, Suite 300, Booneville, MS 38829-3354 | 2014-12-30 |
| 1073744553 | Lauren Hall Sparks | Nurse Practitioner | 100 Hospital St, Suite 200, Booneville, MS 38829-3354 | 2009-08-02 |
| 1942439518 | Booneville Internal Medicine PC | Internal Medicine | 100 Hospital St, Suite 200, Booneville, MS 38829-3354 | 2009-07-04 |
| 1467616565 | Amanda Brown Comer | Nurse Practitioner | 100 Hospital St, Suite 300, Booneville, MS 38829-3354 | 2008-07-17 |
| 1902071632 | Paul Walter Henderson | Respiratory Therapist, Registered | 100 Hospital St, Booneville, MS 38829-3354 | 2008-04-23 |
| 1548489636 | Urology Consultants, Pllc | Specialist | 100 Hospital St, Suite 100a, Booneville, MS 38829-3354 | 2007-04-25 |
| 1659598050 | Ronald Lee Perry | Family Medicine | 100 Hospital St, Booneville, MS 38829-3354 | 2007-04-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962029249 | Ortho Express Holding Company, LLC | Clinic/Center | 608 W Church St, Booneville, MS 38829 | 2020-07-02 |
| 1073142600 | Chelsea Cara Mcmillin | Registered Nurse | 2014 C East Chambers Drive, Booneville, MS 38829 | 2020-04-06 |
| 1396210274 | Hooper Transportation LLC | Private Vehicle | 105 Jacinto Heights, No 2, Booneville, MS 38829 | 2018-10-08 |
| 1699251314 | John L Hooper | Driver | 105 Jacinto Heights No 2, Booneville, MS 38829 | 2018-07-16 |
| 1750744389 | Jeni Ramey | Social Worker | 214 Dogwood Estates, Booneville, MS 38829 | 2016-03-31 |
| 1770944977 | Judy Dillard | Peer Specialist | 2100 Chambers Drive, Booneville, MS 38829 | 2016-03-15 |
| 1508253295 | Mary Grace Hancock | Internal Medicine | 202 N 1st St Ste B, Booneville, MS 38829 | 2015-04-20 |
| 1508042722 | Mary Dean Stone | Registered Nurse | 2100 East Chamberss, Booneville, MS 38829 | 2008-01-17 |
| 1144406430 | Amy Cole | Registered Nurse | 2100 East Chambers, Booneville, MS 38829 | 2008-01-16 |
| 1972715118 | Rita D. Jones | Nurse Practitioner | 1907 South Lake Street, Booneville, MS 38829 | 2007-05-03 |
| Find all providers in zip 38829 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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 |
|---|---|---|---|---|
| 1134393473 | Yadana Kyaw | Internal Medicine | 401 Southcrest Cir Ste 212, Southaven, MS 38671 | 2008-04-17 |
| 1447450622 | Jennifer R Gardner | Internal Medicine | 2301 South Lamar, Suite 100, Oxford, MS 38655 | 2007-07-25 |
| 1689870479 | George H Kotti IIi | Internal Medicine | 301 Fisher St Ste 1f-130, Keesler Afb, MS 39534-2508 | 2007-06-27 |
| 1730306192 | J. L. Miles,do Sleep Lab | Internal Medicine | 2705 Hwy 90, Ocean Springs, MS 39564 | 2007-04-19 |
| 1205050408 | J. L. Miles, Do Sleep Lab | Internal Medicine | 779 Jackson St, Biloxi, MS 39530-4231 | 2007-04-12 |
| 1770706863 | Felix Morris M.d., LLC | Internal Medicine | 1777 Curtis Drive, Iuka, MS 38852 | 2007-04-10 |
| 1508914102 | Oxford Lung Physicians, P.a. | Internal Medicine | 2301 S Lamar Blvd Ste 100, 2301 S Lamar Blvd Ste 100, Oxford, MS 38655-5373 | 2007-01-08 |
| 1760564660 | William Thomas Williams Jr. | Internal Medicine | 1200 N State St Ste 500, Jackson, MS 39202-2027 | 2006-10-19 |
| 1447357652 | Gulf Coast Lung and Sleep Medicine Institute, LLC | Internal Medicine | 16120 Landon Rd, Suite B, Gulfport, MS 39503-6119 | 2006-09-20 |
| 1053414326 | Jeffrey Neal Evans | Internal Medicine | 2301 South Lamar Blvd Suite 100, 2301 South Lamar Blvd Suite 100, Oxford, MS 38655-0768 | 2006-09-05 |
| Find all providers with the same taxonomy | ||||
| City | BOONEVILLE |
| Zip Code | 38829 |
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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.