MILDRED IONA CLARKE (NPI# 1427512698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427512698 |
Entity Type | Individual |
Full Name | MILDRED IONA CLARKE |
Credential | M.D. |
Practice Address |
Coahoma Town Hall (city Hall) 325 Cherry St Circle 38617 Coahoma Miss. MS 38617 |
Mailing Address |
599 St. Marks Ave Bklyn N.y. NY 11216 |
Practice Telephone | 6623372964 |
Mailing Telephone | 7187591574 |
Enumeration Date | 2019-01-22 |
Last Update Date | 2019-01-22 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207V00000X | Obstetrics & Gynecology | V009. | MS | Allopathic & Osteopathic Physicians |
Y | 207V00000X | Obstetrics & Gynecology | 098478 | NY | Allopathic & Osteopathic Physicians |
Street Address |
COAHOMA TOWN HALL (CITY HALL) 325 CHERRY ST CIRCLE 38617 |
City | COAHOMA MISS. |
State | MS |
Zip Code | 38617 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730298712 | Specialty Services, Inc. | Durable Medical Equipment & Medical Supplies | 1627 Highway 61 Jonestown Rd, Coahoma, MS 38617-9790 | 2006-08-30 |
1659448934 | Specialty Services, Inc. | Pharmacy | 1627 Highway 61 Jonestown Rd, Coahoma, MS 38617-9790 | 2006-11-29 |
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 |
---|---|---|---|---|
1396303962 | Medical Foundation Inc | Obstetrics & Gynecology | Rush Medical Group / Philadelphia, 1106 Central Drive, Ste 3, Philadelphia, MS 39350 | 2019-05-30 |
1093211427 | Natchez Women's Center | Obstetrics & Gynecology | 46 Sgt Prentiss Dr Ste 301, Natchez, MS 39120-4753 | 2018-04-04 |
1013469816 | Alliance Health Partners LLC | Obstetrics & Gynecology | 255 Medical Center Dr, Suite B, Batesville, MS 38606 | 2016-10-27 |
1639412026 | Elaine K Kao | Obstetrics & Gynecology | 14231 Seaway Rd Ste 3004, Gulfport, MS 39503-4653 | 2013-04-03 |
1538423967 | Miguel A Luna Russo | Obstetrics & Gynecology | 1041s Madison St, Tupelo, MS 38801-6309 | 2012-06-29 |
1063771350 | Shimeka Lanette Banks | Obstetrics & Gynecology | 1307-b Airport Road North, Flowood, MS 39232-8897 | 2012-05-08 |
1043578784 | Meridian Ob/gyn, Pllc | Obstetrics & Gynecology | 1020 22nd Ave, Meridian, MS 39301-5001 | 2012-05-01 |
1609142306 | Eric Todd Siegel | Obstetrics & Gynecology | 128 Highland Pkwy Ste 202, Picayune, MS 39466-5578 | 2012-03-27 |
1386914000 | Oney Carstaffen Raines IIi | Obstetrics & Gynecology | 16 54th St, Gulfport, MS 39507-4601 | 2012-01-11 |
1770873721 | Michelle N. Taheri | Obstetrics & Gynecology | 1020 River Oaks Dr., Suite 320, Flowood, MS 39232 | 2011-04-11 |
Find all providers with the same taxonomy |
City | COAHOMA MISS. |
Zip Code | 38617 |
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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.