MR. RANDY L MCDUFFY (NPI# 1437155918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437155918 |
Entity Type | Individual |
Full Name | MR. RANDY L MCDUFFY |
Practice Address |
1507 W Quitman St Iuka MS 38852-1132 |
Practice Telephone | 6624231000 |
Practice Fax Number | 6624231316 |
Mailing Telephone | 6624231000 |
Mailing Fax Number | 6624231316 |
Enumeration Date | 2005-06-21 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
R803373 | MS | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | 02353870 | 05 |
Street Address |
1507 W QUITMAN ST |
City | IUKA |
State | MS |
Zip Code | 38852-1132 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609871607 | Kelly S Segars Jr. | Family Medicine | 1507 W Quitman St, Iuka, MS 38852-1132 | 2005-06-16 |
1114530342 | Andrew Blake Mccaulley | Nurse Practitioner | 1507 W Quitman St, Iuka, MS 38852-1133 | 2020-08-27 |
1427565076 | Jessica Kate Glover | Nurse Practitioner | 1507 W Quitman St, Iuka, MS 38852-1132 | 2018-01-04 |
1164891438 | Sara Cooley | Nurse Practitioner | 1507 W Quitman St, Iuka, MS 38852-1132 | 2015-09-17 |
1215367230 | Hilary Ashton Glover | Nurse Practitioner | 1507 W Quitman St, Iuka, MS 38852-1132 | 2013-11-13 |
1831466291 | Amanda Kaye Pryce-jones | Nurse Practitioner | 1507 W Quitman St, Iuka, MS 38852-1132 | 2011-11-29 |
1649429481 | Teresa M South | Nurse Practitioner | 1507 W Quitman St, Iuka, MS 38852-1132 | 2008-09-17 |
1013189927 | Elizabeth Senn Dawson | Nurse Practitioner | 1507 W Quitman St, Iuka, MS 38852-1132 | 2008-03-31 |
1073566550 | Kelly S Segars Md PC | Specialist | 1507 W Quitman St, Iuka, MS 38852-1132 | 2006-05-18 |
1750387890 | Diane L Davis | Nurse Practitioner | 1507 W Quitman St, Iuka, MS 38852-1132 | 2005-06-23 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346850278 | Amy Melissa Selmon | Registered Nurse | 904 North Pearl Street, Iuka, MS 38852 | 2020-08-05 |
1619346475 | Michelle Johnson | Social Worker | 1223 Maria Ln, Iuka, MS 38852 | 2015-09-22 |
1538580386 | Mary Beth Sheffield | Dietitian, Registered | 179 Cr 995, Iuka, MS 38852 | 2013-12-20 |
1467887190 | Region Iv Mental Health Services Beacon House | Community/Behavioral Health | 2040 Paul Edmondson Drive, Iuka, MS 38852 | 2013-09-12 |
1801018106 | Preferred Care Rehab | Occupational Therapist | 502 Battleground Drive, Iuka, MS 38852 | 2007-05-03 |
1770706863 | Felix Morris M.d., LLC | Internal Medicine | 1777 Curtis Drive, Iuka, MS 38852 | 2007-04-10 |
1235272790 | Jocelyn B Doran | Dentist | 238 Kaki Street, Iuka, MS 38852 | 2007-02-15 |
1902953631 | Jimmy Ray Sanchez II | Chiropractor | 2009 Constitution Dr, Iuka, MS 38852 | 2007-01-04 |
1952476707 | Family Home Care, Inc. | Durable Medical Equipment & Medical Supplies | 1105 Battleground Drive, Iuka, MS 38852 | 2006-11-21 |
1669481875 | Barnett Apothecary, LLC | Pharmacist | 606 Battleground Dr, Iuka, MS 38852 | 2006-08-05 |
Find all providers in zip 38852 |
Taxonomy Code | 363LA2100X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Acute Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306450358 | Sara Leanne Davis | Nurse Practitioner | 230 Possum Ridge Rd, Hollandale, MS 38748-3755 | 2020-09-06 |
1598385130 | Christy Busby | Nurse Practitioner | 128 Warren St, Pontotoc, MS 38863-1519 | 2020-04-23 |
1104459742 | Amanda Paige Michael | Nurse Practitioner | 200 Quail Run, Booneville, MS 38829-9001 | 2020-02-21 |
1891328340 | U Matter LLC | Nurse Practitioner | 2440 N Hills St Ste 126, Meridian, MS 39305-2634 | 2020-02-12 |
1255978367 | Tanya Haley Mcgee | Nurse Practitioner | 229 Old Yorkville Rd S, Columbus, MS 39702-8440 | 2019-12-08 |
1447893888 | Spectrum The Other Clinic | Nurse Practitioner | 2910 Magnolia Pl, Hattiesburg, MS 39402-2428 | 2019-10-17 |
1053962068 | Lauren Lanier Guthrie | Nurse Practitioner | 102 Friars Cv, Clinton, MS 39056-3411 | 2019-09-23 |
1588212229 | David Buckheister | Nurse Practitioner | 612 Liz Cir, Gulfport, MS 39503-3712 | 2019-08-27 |
1821583196 | Amanda Houston Trent | Nurse Practitioner | 4381 S Eason Blvd Ste 203, Tupelo, MS 38801-6557 | 2018-06-28 |
1093224446 | Jennifer Hurley | Nurse Practitioner | 2809n Denny Ave, Pascagoula, MS 39581-5301 | 2017-09-28 |
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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.