DR. SHANI KIRK MECK (NPI# 1417058678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417058678 |
Entity Type | Individual |
Full Name | DR. SHANI KIRK MECK |
Credential | M.D. |
Practice Address |
1020 River Oaks Dr Suite 320 Jackson MS 39232-9500 |
Practice Telephone | 6019361400 |
Practice Fax Number | 6019360671 |
Mailing Telephone | 6019361400 |
Mailing Fax Number | 6019360671 |
Enumeration Date | 2006-09-26 |
Last Update Date | 2008-05-27 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207V00000X | Obstetrics & Gynecology | 15963 | MS | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | MEDICAL LICENSE | 15963 | 01 |
MS | 0124465 | 05 |
Street Address |
1020 RIVER OAKS DR SUITE 320 |
City | JACKSON |
State | MS |
Zip Code | 39232-9500 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801026604 | Alicia Danielle Waits | Nurse Practitioner | 1020 River Oaks Dr, Suite 420, Jackson, MS 39232-9500 | 2009-07-15 |
1821276106 | William G. Bush M.d., P.l.l.c | Obstetrics & Gynecology | 1020 River Oaks Dr, Suite 410, Jackson, MS 39232-9500 | 2008-02-08 |
1174744379 | Southern Women's Health, Pllc | Obstetrics & Gynecology | 1020 River Oaks Dr, Suite 310, Jackson, MS 39232-9512 | 2007-05-02 |
1609957554 | Ralph Hunter Didlake | Surgery | 1020 River Oaks Dr, Ste 140, Jackson, MS 39232-9500 | 2006-10-18 |
1235220112 | East Lakeland Ob Gyn Associates, P.a. | Obstetrics & Gynecology | 1020 River Oaks Dr, Suite 320, Jackson, MS 39232-9500 | 2006-09-27 |
1770674467 | Sharon K. Brown | Nurse Practitioner | 1020 River Oaks Dr, Suite 320, Jackson, MS 39232-9500 | 2006-09-27 |
1417058785 | Freda Mckissic Bush | Obstetrics & Gynecology | 1020 River Oaks Dr, Suite 320, Jackson, MS 39232-9500 | 2006-09-26 |
1649371816 | Missy Jackson Mcminn | Obstetrics & Gynecology | 1020 River Oaks Dr, Suite 320, Jackson, MS 39232-9500 | 2006-09-26 |
1487755641 | Donna Glynn Breeland | Obstetrics & Gynecology | 1020 River Oaks Dr, Suite 320, Jackson, MS 39232-9500 | 2006-09-26 |
1427159839 | Mary Kathleen Sartin | Nurse Practitioner | 1020 River Oaks Dr, Suite 320, Jackson, MS 39232-9500 | 2006-09-26 |
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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 | 207V00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528477007 | Shandeidra Nicole Bonds-singleton | Obstetrics & Gynecology | 657 Skyline Dr Dept Of, Jackson, TN 38301-3903 | 2014-08-08 |
1477995454 | Camille Stephanie Mellijor-figg | Obstetrics & Gynecology | 430 S Cache St, Jackson, WY 83001-8692 | 2013-07-19 |
1245535392 | River Oaks Management Company, LLC | Obstetrics & Gynecology | 1860 Hospital Dr, Suite 103, Jackson, MS 39204-3410 | 2011-01-21 |
1134374291 | Joy Luck | Obstetrics & Gynecology | 2009 W Michigan Ave, Jackson, MI 49202-4010 | 2008-11-17 |
1720241532 | Henry Earl West | Obstetrics & Gynecology | 657 Skyline Dr Ste B, Jackson, TN 38301-3903 | 2008-07-02 |
1649432626 | William Ashley Hood D.o. | Obstetrics & Gynecology | 1020 River Oaks Dr Ste 430, Jackson, MS 39232-9500 | 2008-06-30 |
1790956837 | Jackson Ob-gyn Plc | Obstetrics & Gynecology | 306 W Washington, Ste 102, Jackson, MI 49201 | 2008-03-17 |
1295863611 | Richard Nmi Ignatius | Obstetrics & Gynecology | 23 Conor Rd, Jackson, NJ 08527-3781 | 2007-02-28 |
1902941768 | Jackson Healthcare for Women Pa | Obstetrics & Gynecology | 1047 N Flowood Dr, Jackson, MS 39232-9533 | 2007-02-20 |
1689747396 | Shore Point Obstetrics & Gynecology, P.C. | Obstetrics & Gynecology | 22 Linda Dr, Jackson, NJ 08527-5026 | 2006-11-17 |
Find all providers in JACKSON |
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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.