MARY CHRISTINA GLICK


Address: 435 Katherine Drive, Suite B, Flowood, MS 39232
Phone: 6019326455

MARY CHRISTINA GLICK (NPI# 1457450058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457450058
Entity Type Individual
Full Name MARY CHRISTINA GLICK
Credential M.D.
Practice Address 435 Katherine Drive
Suite B
Flowood
MS 39232
Practice Telephone 6019326455
Practice Fax Number 6019817935
Mailing Telephone 6019326455
Mailing Fax Number 6019817935
Enumeration Date 2006-09-21
Last Update Date 2017-02-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080N0001X Pediatrics
Specialization: Neonatal-Perinatal Medicine
09307 MS Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MS 0014803 05
MS 03521709 05

Office Location

Street Address 435 KATHERINE DRIVE
SUITE B
City FLOWOOD
State MS
Zip Code 39232

Providers in the same zip code

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 Information

Taxonomy Code 2080N0001X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Neonatal-Perinatal Medicine

Taxonomy Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487784898 Newborn Associates P A Pediatrics 5 River Bend Pl Ste C, Flowood, MS 39232-7618 2007-03-06
1831536713 William Ellison Smithhart Pediatrics 5 River Bend Pl Ste C, Flowood, MS 39232-7618 2013-05-31
1730236605 Danny Boyd Mccaughan Pediatrics 5 River Bend Place, Suite C, Flowood, MS 39232 2007-01-04
1467509331 Patrick W O'mara Pediatrics 5 River Bend Place, Suite C, Flowood, MS 39232 2007-01-04
1093891657 David M Temple Pediatrics 5 River Bend Place, Suite C, Flowood, MS 39232 2006-10-27
1235215948 Carold Jason Miller Pediatrics 5 River Bend Place, Suite C, Flowood, MS 39232 2006-10-27
1609952241 Jack D Owens Pediatrics 5 River Bend Place, Suite C, Flowood, MS 39232 2006-10-27
1639255284 Kenny K Robbins Pediatrics 5 River Bend Place, Flowood, MS 39232 2006-10-27
1104925882 David F Wender Pediatrics 5 River Bend Place, Suite C, Flowood, MS 39232 2006-09-21

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1124104765 Mitzi Gail Ferguson Pediatrics 1991 Lakeland Dr Ste C, Jackson, MS 39216-5000 2006-10-27
1043264872 Praveen Kumar Pediatrics 2500 N. State Street, Univ of Ms Med Ctr., Newborn Medicine, Jackson, MS 39216-4505 2006-05-19
1891743928 R. Alan Brinson Pediatrics 5003 Hardy Street, Suite 302, Hattiesburg, MS 39402 2006-05-04
1306806070 Roland Leon Boyd Pediatrics 1730 14th St, C, Meridian, MS 39301-4140 2006-03-25
1235102906 Ginger L Pole Pediatrics 4566 S Eason Blvd, Tupelo, MS 38801-6540 2006-02-10
1902381189 William Needham Pediatrics 2500 N State St, Jackson, MS 39216-4500 2018-10-03
1215378658 Jennifer Anne Caldwell Pediatrics 4500 13th Street, Gulfport, MS 39501 2013-07-15
1851659353 Renjithkumar Kalikkot Thekkeveedu Pediatrics 2500 N State St, Jackson, MS 39216-4500 2012-05-03
1275811168 Parvesh Mohan Garg Pediatrics 2500 N State St, Jackson, MS 39216-4500 2011-07-27
1174817340 Preeti Singh Pediatrics 4566 S Eason Blvd, Tupelo, MS 38801-6540 2011-06-06
Find all providers with the same taxonomy

Competitor

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City FLOWOOD
Zip Code 39232

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Dataset Information

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.

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