MEDICAL FOUNDATION OF CENTRAL MS INC. (NPI# 1417334178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417334178 |
| Entity Type | Organization |
| Organization Name | MEDICAL FOUNDATION OF CENTRAL MS INC. |
| Other Organization Name | BAPTIST MEDICAL CLINIC GYNECOLOGY/ONCOLOGY |
| Practice Address |
1600 N State St Suite 400 Jackson MS 39202-1689 |
| Mailing Address |
501 Marshall St Suite G07 Jackson MS 39202-1651 |
| Practice Telephone | 6019441717 |
| Practice Fax Number | 6019449780 |
| Mailing Telephone | 6012924261 |
| Mailing Fax Number | 6012924262 |
| Enumeration Date | 2015-05-01 |
| Last Update Date | 2015-05-01 |
| Authorized Official Name | ELIZABETH MULLINS (PRESIDENT BAPTIST MEDICAL CLINIC) |
| Authorized Official Telephone | 6012924261 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Baptist Medical Clinic Gynecology/Oncology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760905509 | Medical Foundation of Central Ms Inc. | Otolaryngology | 401 Baptist Dr Ste 206, Madison, MS 39110-2011 | 2017-07-24 |
| 1912459223 | Medical Foundation of Central Ms Inc. | Internal Medicine | 903 E Sunflower Rd, Suite 500, Cleveland, MS 38732-2835 | 2016-11-03 |
| 1528428216 | Medical Foundation of Central Ms Inc. | Internal Medicine | 1100 Highway 16 E, Carthage, MS 39051-4222 | 2016-02-24 |
| 1760858286 | Medical Foundation of Central Ms Inc. | Family Medicine | 1200 N State St, 5th Floor, Jackson, MS 39202-2000 | 2015-08-19 |
| Street Address |
1600 N STATE ST SUITE 400 |
| City | JACKSON |
| State | MS |
| Zip Code | 39202-1689 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003830563 | Robert Adams | Psychologist | 1600 N State St, Ste 400, Jackson, MS 39202-1689 | 2006-07-27 |
| 1821475617 | Medical Foundation of Central Ms, Inc | Psychiatry & Neurology | 1600 N State St, Suite 400, Jackson, MS 39202-1689 | 2015-04-30 |
| 1730511064 | Joseph Shannon Davis | Nurse Anesthetist, Certified Registered | 1600 N State St, Suite 400, Jackson, MS 39202-1689 | 2013-08-09 |
| 1598014045 | Sara Harbaugh Mcgrath | Counselor | 1600 N State St, Suite 100, Jackson, MS 39202-1689 | 2012-08-30 |
| 1013280494 | Baptist Jackson Heart Cardiology Clinic-kosciusko | Internal Medicine | 1600 N State St, Suite 400, Jackson, MS 39202-1689 | 2012-02-16 |
| 1831462217 | Baptist Jackson Heart Cardiology Clinic-yazoo City | Internal Medicine | 1600 N State St, Suite 400, Jackson, MS 39202-1689 | 2012-02-16 |
| 1902178346 | Baptist Jackson Heart Cardiology Clinic-magee | Internal Medicine | 1600 N State St, Suite 400, Jackson, MS 39202-1689 | 2012-02-01 |
| 1457649873 | Continuumrx, Inc. | Durable Medical Equipment & Medical Supplies | 1600 N State St, Suite 102, Jackson, MS 39202-1689 | 2011-07-19 |
| 1194059964 | Lacy M Deese, LLC | Counselor | 1600 N State St, Suite 100, Jackson, MS 39202-1689 | 2009-09-28 |
| 1295963742 | Murphy S. Martin, M.d., Pllc | Internal Medicine | 1600 N State St, Suite 110, Jackson, MS 39202-1689 | 2009-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982234183 | Eva Mackenzie Carmody | Physician Assistant | 1190 N State St Suite 502, Jackson, MS 39202 | 2020-01-16 |
| 1750868691 | Katherine Walters | Nurse Practitioner | 501 Marshall St., Suite 400, Jackson, MS 39202 | 2018-07-24 |
| 1932638749 | Tylan Lee | Social Worker | 860 East River Place Suite 100, Jackson, MS 39202 | 2017-06-06 |
| 1417314725 | Euna Jyles | Counselor | 860 E River Pl, Jackson, MS 39202 | 2016-01-19 |
| 1255712048 | Edward Jonathan Breight | Specialist/Technologist | 1325 East Fortication Street, Jackson, MS 39202 | 2015-06-17 |
| 1881037703 | Kara Spinks Logan | Surgery | 1190 N State St Ste 502, Jackson, MS 39202 | 2013-04-10 |
| 1477876530 | Mick Inc. | Technician | 334 Josanna Street, Suite #209, Jackson, MS 39202 | 2010-03-03 |
| 1073724910 | Paul Frederic Dare | Anesthesiology | 1151 North State St., Suite 311, Jackson Anesthesia Associates, Jackson, MS 39202 | 2007-05-24 |
| 1225247703 | Lynn Kincannon Holland | Counselor | 911 Manship Street, Unit A, Jackson, MS 39202 | 2007-05-22 |
| 1457568149 | Incare Inc | Pulmonary Function Technologist | 1151 North State St, Suite 406, Jackson, MS 39202 | 2007-05-16 |
| Find all providers in zip 39202 | ||||
| Taxonomy Code | 207VX0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecologic Oncology |
| An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. |
| 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 |
|---|---|---|---|---|
| 1396161493 | James L. Moore, Jr., M.d., P.a. | Obstetrics & Gynecology | 501 Marshall St Ste 600, Jackson, MS 39202-1650 | 2014-03-13 |
| 1245499110 | John P Mladineo | Obstetrics & Gynecology | 210 Ridge Dr, Jackson, MS 39216-4111 | 2008-06-05 |
| 1346510559 | St Dominic Medical Associates | Obstetrics & Gynecology | 971 Lakeland Dr, Suite 750, Jackson, MS 39216-4643 | 2012-01-04 |
| 1962639104 | Christen Lynel Walters Haygood | Obstetrics & Gynecology | 971 Lakeland Dr, Suite 750, Jackson, MS 39216-4643 | 2009-06-15 |
| 1891951836 | Mississippi Oncology Associates | Obstetrics & Gynecology | 971 Lakeland Dr, Suite 750, Jackson, MS 39216-4643 | 2008-07-30 |
| 1225073026 | James Blythe | Obstetrics & Gynecology | 2500 N State St, Jackson, MS 39216-4500 | 2006-06-17 |
| 1265479471 | James Love Moore Jr. | Obstetrics & Gynecology | 501 Marshall St, Suite 600, Jackson, MS 39202-1651 | 2006-05-31 |
| 1134111867 | Mildred Ridgway | Obstetrics & Gynecology | 971 Lakeland Dr, Ste 750, Jackson, MS 39216-4643 | 2005-08-18 |
| 1194717363 | Donald Paul Seago | Obstetrics & Gynecology | 971 Lakeland Dr, Ste 750, Jackson, MS 39216-4643 | 2005-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457836637 | Lakeland Premier Women's Clinic Pllc | Obstetrics & Gynecology | 2506 Lakeland Dr Ste 600, Flowood, MS 39232-7640 | 2018-10-03 |
| 1508813825 | Michael A Finan | Obstetrics & Gynecology | 2809 Denny Ave, Pascagoula, MS 39581-5301 | 2006-05-30 |
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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.