DIAGNOSTIC RADIOLOGY ASSOCIATES, PA (NPI# 1407860315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407860315 |
| Entity Type | Organization |
| Organization Name | DIAGNOSTIC RADIOLOGY ASSOCIATES, PA |
| Practice Address |
1050 N Flowood Dr Suite A-4 Flowood MS 39232-9738 |
| Mailing Address |
Po Box 4710 Jackson MS 39296-4710 |
| Practice Telephone | 6019360494 |
| Mailing Telephone | 6019360494 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2014-02-26 |
| Authorized Official Name | MR. JEFFREY SCOTT FORTSON (OPERATIONS MANAGER) |
| Authorized Official Telephone | 7705903848 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085B0100X |
Radiology Specialization: Body Imaging |
MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | RR MEDICARE | CL2516 | 01 |
| MS | 09011383 | 05 |
| Street Address |
1050 N FLOWOOD DR SUITE A-4 |
| City | FLOWOOD |
| State | MS |
| Zip Code | 39232-9738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366425746 | Procare Prosthetics & Orthotics, Inc. | Prosthetic/Orthotic Supplier | 1050 N Flowood Dr, Ste C1, Flowood, MS 39232-9738 | 2005-11-21 |
| 1023649001 | Akemi Jones | Speech-Language Pathologist | 1050 N Flowood Dr, Flowood, MS 39232-9738 | 2020-01-29 |
| 1740835008 | Karla Easterling | Physical Therapist | 1050 N Flowood Dr, Flowood, MS 39232-9738 | 2019-08-05 |
| 1639645401 | Lauren Elizabeth Roberts | Physical Therapist | 1050 N Flowood Dr, Flowood, MS 39232-9738 | 2018-10-19 |
| 1659847473 | Sydney Kirk Sisson | Occupational Therapist | 1050 N Flowood Dr, Flowood, MS 39232-9738 | 2018-10-18 |
| 1417423211 | Kellye Branch Donnell | Physical Therapist | 1050 N Flowood Dr, Flowood, MS 39232-9738 | 2018-10-18 |
| 1366627606 | Back Clinic, LLC | Family Medicine | 1050 N Flowood Dr, Suite A-1, Flowood, MS 39232-9738 | 2008-01-07 |
| 1205027844 | Procare Prosthetics and Orthotics, Inc | Prosthetic/Orthotic Supplier | 1050 N Flowood Dr, C-1, Flowood, MS 39232-9738 | 2007-08-08 |
| 1992900039 | Adl Solutions | Family Medicine | 1050 N Flowood Dr, Suite A-1, Flowood, MS 39232-9738 | 2007-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164071775 | Leanna Nicole Howard | Social Worker | 2945 Layfair Drive, Apt. 1621, Flowood, MS 39232 | 2019-09-06 |
| 1104395565 | Patriot Healthcare of Mississippi, LLC | Family Medicine | 4800 Lakeland Drive, Flowood, MS 39232 | 2018-11-15 |
| 1285101816 | Magnolia Anesthesia Consultants LLC | Anesthesiology | 4209 Lakeland Dr #252, Flowood, MS 39232 | 2018-11-01 |
| 1528543592 | Matthew T Armstrong | Physical Therapist | 104 Burney Drive, Flowood, MS 39232 | 2018-09-26 |
| 1790265627 | Mississippi Brain and Spine, Pllc | Non-Pharmacy Dispensing Site | 1 Layfair Drive, Ste 120, Flowood, MS 39232 | 2018-08-20 |
| 1629574918 | Billy Clifton Osbon Jr. | Pharmacist | 2506 Lakeland Drive, Suite 201, Flowood, MS 39232 | 2018-04-04 |
| 1356851752 | Oakdale Family Dentistry | Clinic/Center | 2139 Hwy 471, Flowood, MS 39232 | 2017-10-11 |
| 1992227177 | Charisma T. Cummings | Nurse Practitioner | 102 Riverview Drive, Suite A, Flowood, MS 39232 | 2017-07-10 |
| 1508398983 | Charles Pearson | Student in an Organized Health Care Education/Training Program | 764 Flowood Dr, Flowood, MS 39232 | 2017-04-03 |
| 1396288197 | Mary Claire Ponder | Nurse Practitioner | 151 E Metro Dr Ste 103, Flowood, MS 39232 | 2016-11-28 |
| Find all providers in zip 39232 | ||||
| Taxonomy Code | 2085B0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Body Imaging |
| A Radiology doctor of Osteopathy that specializes in Body Imaging. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790720779 | Jason Kendell Morris | Radiology | 618 Frederick Dr, Cleveland, MS 38732-2006 | 2006-06-16 |
| 1811229057 | Leena Pande | Radiology | 14231 Seaway Rd Ste 5003, Gulfport, MS 39503-4660 | 2010-02-12 |
| 1033318985 | Sunder Jagwani Md Pa | Radiology | 1401 River Rd, Greenwood, MS 38930-4030 | 2007-07-12 |
| 1902000375 | Simpson Community Healthcare, Inc. | Radiology | 1842 Simpson Highway 149, Mendenhall, MS 39114-3438 | 2007-06-12 |
| 1790993749 | South Sunflower County Hospital | Radiology | 121 E Baker St, Indianola, MS 38751-2450 | 2007-05-21 |
| 1326256371 | South Sunflower County Hospital | Radiology | 121 E Baker St, Indianola, MS 38751-2450 | 2007-05-21 |
| 1487770152 | Oktibbeha County Hospital | Radiology | 400 Hospital Rd, Starkville, MS 39759-2163 | 2007-03-22 |
| 1457491383 | Sunder H Jagwani | Radiology | 1401 River Rd, Greenwood, MS 38930-4030 | 2007-02-08 |
| 1528158532 | Phc-cleveland Inc | Radiology | 901 E Sunflower Rd, Cleveland, MS 38732-2833 | 2006-10-13 |
| 1407941339 | Vicente Co Luciano Jr. | Radiology | 840 N Oak Ave, Ruleville, MS 38771-3227 | 2006-10-04 |
| Find all providers with the same taxonomy | ||||
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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.