CROSSGATES HMA MEDICAL GROUP, LLC (NPI# 1386942357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386942357 |
| Entity Type | Organization |
| Organization Name | CROSSGATES HMA MEDICAL GROUP, LLC |
| Other Organization Name | CARE PLUS PEDIATRICS AT THE RESERVOIR |
| Practice Address |
1020 Spillway Cir Suite 6 Brandon MS 39047-6035 |
| Mailing Address |
5811 Pelican Bay Blvd Suite 500 Naples FL 34108-2733 |
| Practice Telephone | 6018290214 |
| Practice Fax Number | 6018290375 |
| Mailing Telephone | 2395983131 |
| Mailing Fax Number | 2395920438 |
| Enumeration Date | 2011-03-01 |
| Last Update Date | 2012-11-27 |
| Authorized Official Name | MR. MICHAEL L GINGRAS (VICE PRESIDENT) |
| Authorized Official Telephone | 2395983131 |
| Is Organization Subpart | Y |
| Parent Organization Name | HEALTH MANAGEMENT ASSOCIATES, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Care Plus Pediatrics at the Reservoir | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942490826 | Crossgates Hma Medical Group, LLC | Surgery | 346 Crossgates Boulevard, Suite 101, Brandon, MS 39042-2608 | 2007-07-27 |
| 1568652352 | Crossgates Hma Medical Group, LLC | Hospitalist | 350 Crossgates Boulevard, Brandon, MS 39042-2601 | 2007-07-27 |
| 1770682882 | Crossgates Hma Medical Group, LLC | Family Medicine | 6455 Highway 18, Puckett, MS 39151 | 2006-09-22 |
| 1467715854 | Crossgates Hma Medical Group, LLC | Anesthesiology | 350 Crossgates Blvd, Brandon, MS 39042-2601 | 2012-06-20 |
| 1184991440 | Crossgates Hma Medical Group, LLC | Surgery | 1030 River Oaks Dr, Flowood, MS 39232-9553 | 2011-11-30 |
| 1366726408 | Crossgates Hma Medical Group, LLC | Hospitalist | 1850 Chadwick Dr, Jackson, MS 39204-3404 | 2011-10-07 |
| 1730461658 | Crossgates Hma Medical Group, LLC | Pediatrics | 1201 Highway 49 S, Suite 1, Richland, MS 39218-9425 | 2011-09-16 |
| 1972885093 | Crossgates Hma Medical Group, LLC | Family Medicine | 1201 Highway 49 S, Suite 1, Richland, MS 39218-9425 | 2011-09-14 |
| 1720396864 | Crossgates Hma Medical Group, LLC | Pediatrics | 348 Crossgates Blvd, Suite 1500, Brandon, MS 39042-2700 | 2010-09-23 |
| 1164612750 | Crossgates Hma Medical Group, LLC | Orthopaedic Surgery | 346 Crossgates Boulevard, Suite 102, Brandon, MS 39042-2608 | 2007-07-30 |
| Street Address |
1020 SPILLWAY CIR SUITE 6 |
| City | BRANDON |
| State | MS |
| Zip Code | 39047-6035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396368783 | Siyuan Chen Kennedy | Counselor | 108 Sandstone Drive, Brandon, MS 39047 | 2020-05-20 |
| 1568019784 | Juarez Brown Emerson | Registered Nurse | 426 Pinebrook Circle, Brandon, MS 39047 | 2019-08-22 |
| 1649764127 | Specialty Diagnostics LLC | Family Medicine | 1149 Old Fannin Rd Ste 22, Brandon, MS 39047 | 2018-06-19 |
| 1528423035 | Kathlene Strangeman | Social Worker | 111 Lakeshore Dr Apt G403, Brandon, MS 39047 | 2015-12-28 |
| 1174935076 | Anthony Davis | Counselor | 198 Bellegrove Cir, Brandon, MS 39047 | 2014-05-27 |
| 1144659178 | Medical Foundation of Central Ms, Inc | Family Medicine | 1887 Spillway Rd., Brandon, MS 39047 | 2013-11-12 |
| 1437429941 | Picton Timothy Evans | Pharmacist | 150 B Cumberland Ed, Brandon, MS 39047 | 2012-01-01 |
| 1275828030 | Kathryn Audell Piburn | Nurse Practitioner | 1887 Spillway Rd Ste 140, Brandon, MS 39047 | 2011-06-09 |
| 1801930532 | Susanne Reynolds Moore | Dentist | 1149 Old Fannin Rd, Suite 26, Brandon, MS 39047 | 2007-02-16 |
| 1194898429 | Brookshire Grocery Company | Durable Medical Equipment & Medical Supplies | 143 Plaza Drive Ext, Attention Pharmacy Dept, Brandon, MS 39047 | 2006-11-16 |
| Find all providers in zip 39047 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720603129 | Kids' Corner Pediatrics | Pediatrics | 1114 Bell Shoals Road, Brandon, FL 33511-8813 | 2020-06-11 |
| 1245855063 | Pediatric Associates of Tampa Bay, LLC | Pediatrics | 901 E Bloomingdale Ave # 501, Brandon, FL 33511-8118 | 2020-06-09 |
| 1801263983 | Healthy Family Medical Group, LLC | Pediatrics | 1138 Nikki View Dr, Brandon, FL 33511-4868 | 2015-08-25 |
| 1417171794 | Rankin Children's Group, Pllc | Pediatrics | 1405 Crossgates Dr. West, Brandon, MS 39042 | 2007-04-11 |
| 1801979703 | Ann Marie Lee | Pediatrics | 1405 Crossgate Dr W, Brandon, MS 39042-2233 | 2006-10-23 |
| 1265548200 | Luz M Torres | Pediatrics | 313 S Lakewood Dr, Brandon, FL 33511-2815 | 2006-08-22 |
| 1295848554 | Anilkumar R Patel | Pediatrics | 407 N Parsons Avenue, Ste # 102a, Brandon, FL 33510 | 2006-08-17 |
| 1174536767 | Alicia Medrano Ong | Pediatrics | 1037 Professional Park Dr, Brandon, FL 33511-4886 | 2006-08-14 |
| 1982624789 | Ishrat Unnisa Kazmi | Pediatrics | 131 N Oakwood Ave, Brandon, FL 33510-4629 | 2006-07-21 |
| 1265451074 | Laura B Mullins | Pediatrics | 1405 Crossgates Dr W, Brandon, MS 39042-2233 | 2006-07-19 |
| Find all providers in BRANDON | ||||
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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.