MRS. MALINDA C. FAYARD (NPI# 1386115160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386115160 |
Entity Type | Individual |
Full Name | MRS. MALINDA C. FAYARD |
Credential | PT |
Practice Address |
6017 Washington Ave Ocean Springs MS 39564-2648 |
Mailing Address |
10327 Shady Pine Dr Ocean Springs MS 39565-9325 |
Practice Telephone | 2285476614 |
Mailing Telephone | 2285476614 |
Enumeration Date | 2018-12-05 |
Last Update Date | 2018-12-05 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
PT3173 | MS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
6017 Washington Ave, Ocean Springs, MS 395642648 | 2285476614 |
Street Address |
6017 WASHINGTON AVE |
City | OCEAN SPRINGS |
State | MS |
Zip Code | 39564-2648 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053705129 | Amy Renae Herbert | Speech-Language Pathologist | 6017 Washington Ave, Ocean Springs, MS 39564-2648 | 2015-03-26 |
1003466871 | Jessica Carter | Occupational Therapist | 6017 Washington Ave, Ocean Springs, MS 39564-2648 | 2019-09-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750996401 | Shelby Bourgeois | Speech-Language Pathologist | 108 Heron Park Pl, Ocean Springs, MS 39564 | 2020-09-10 |
1467010520 | Rachel Stephenie Knox | Student in an Organized Health Care Education/Training Program | 81mdss/gme 301 Fisher St., Rm 1g123, Keesler Afb, MS 39564 | 2019-06-04 |
1457839292 | Polly Anne Lampon | Registered Nurse | 2301 Rue Beaux Chenes, Ocean Springs, MS 39564 | 2018-08-03 |
1578062725 | Gulf Coast Sleep Medicine LLC | Clinic/Center | 2112 Bienville Blvd., Suite P, Ocean Springs, MS 39564 | 2018-02-02 |
1598212623 | Edward Victor Brown Jr. | Dentist | 15465 Oak Lane, Gulfport, MS 39564 | 2016-09-07 |
1386016749 | L. Randy Buntyn, D.m.d., Pllc | Dentist | 1203 Government St., Ocean Springs, MS 39564 | 2015-10-26 |
1467835629 | Msmobileyes Inc. | Optometrist | 2510 Bileville Blvd, Ocean Springs, MS 39564 | 2015-07-07 |
1659760999 | Clark Jamison Levi | Pharmacist | 1019 Government Street Suite F & D, Ocean Springs, MS 39564 | 2015-01-09 |
1932545480 | Therese Anne Hanna | Nurse Practitioner | 6900 Washington Avenue, Ocean Springs, MS 39564 | 2013-05-10 |
1346589421 | Jennah Claine Ladner | Nurse Practitioner | 1137 Ocean Springs Road, Ocean Springs, MS 39564 | 2013-02-08 |
Find all providers in zip 39564 |
Taxonomy Code | 2251P0200X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447371877 | Bethany B. Dill | Physical Therapist | 3815 Beauville Cv, Ocean Springs, MS 39564-8583 | 2007-04-03 |
1598002685 | Rebecca Jane Oliver | Physical Therapist | 3603 Bienville Blvd, Suite 200, Ocean Springs, MS 39564-5702 | 2013-01-09 |
1073634424 | Bmd Enterprises, Inc. | Physical Therapist | 3815 Beauville Cv, Ocean Springs, MS 39564-8583 | 2007-04-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376916544 | Tracie Lee Thornton | Physical Therapist | 11 Dempsey Conn Rd, Hattiesburg, MS 39401-9041 | 2015-11-09 |
1407270333 | Creative Connections, Pllc | Physical Therapist | 4094 W Topisaw S, Summit, MS 39666-9785 | 2014-02-12 |
1184976037 | Kalyn Mcnair Dragon | Physical Therapist | 11845 River Estates Cir, Biloxi, MS 39532-8603 | 2012-10-02 |
1780978502 | Sporty Sprouts Inc | Physical Therapist | 104 Faith Way, Brandon, MS 39042-8676 | 2011-06-09 |
1962739722 | Coastal Plains Interagency Coordinating Council | Physical Therapist | 4063 Ginger Drie, Suite A, D'lberville, MS 39540-3705 | 2009-11-15 |
1174721047 | Kimberly Garrett Cooper | Physical Therapist | 112 Riverbend Cv, Brandon, MS 39047-8647 | 2007-07-03 |
1417560913 | Mckenzie Alexandra Mcclanahan | Physical Therapist | 1751 Dancy Blvd Ste 2, Horn Lake, MS 38637-1916 | 2020-08-25 |
1629680277 | Elizabeth Sueing C Sueing | Physical Therapist | 83 Airways Pl, Southaven, MS 38671-5885 | 2020-08-17 |
1336758267 | Rachel Blake Tyrone | Physical Therapist | 83 Airways Pl, Southaven, MS 38671-5885 | 2020-07-27 |
1245871664 | Kari Schumann | Physical Therapist | 83 Airways Pl, Southaven, MS 38671-5885 | 2019-10-07 |
Find all providers with the same taxonomy |
City | OCEAN SPRINGS |
Zip Code | 39564 |
Please comment or provide details below to improve the information on MRS. MALINDA C. FAYARD.
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.