HEART ASSOCIATES OF CENTRAL MS (NPI# 1508036575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508036575 |
| Entity Type | Organization |
| Organization Name | HEART ASSOCIATES OF CENTRAL MS |
| Practice Address |
5903 Ridgewood Rd Suite230 Jackson MS 39211-3700 |
| Practice Telephone | 6018993250 |
| Practice Fax Number | 6019290241 |
| Mailing Telephone | 6018993250 |
| Mailing Fax Number | 6019290241 |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2008-03-06 |
| Authorized Official Name | BRAD SINCLAIR (REGIONAL DIRECTOR) |
| Authorized Official Telephone | 6019363102 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Street Address |
5903 RIDGEWOOD RD SUITE230 |
| City | JACKSON |
| State | MS |
| Zip Code | 39211-3700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255330163 | Select Specialty Hospital - Jackson Inc | Long Term Care Hospital | 5903 Ridgewood Rd, Jackson, MS 39211-3700 | 2005-07-21 |
| 1083079545 | Genevieve Celeste Garrett | Social Worker | 5903 Ridgewood Rd, Jackson, MS 39211-3700 | 2015-12-28 |
| 1528443975 | Medical Assurance LLC | Internal Medicine | 5903 Ridgewood Rd, Suite 320, Jackson, MS 39211-3700 | 2015-07-28 |
| 1255719068 | Medical Care Alliance LLC | Clinic/Center | 5903 Ridgewood Rd, Suite 310, Jackson, MS 39211-3700 | 2015-05-13 |
| 1881087427 | Infusion Center Pharmacy | Clinic/Center | 5903 Ridgewood Rd, Suite 110, Jackson, MS 39211-3700 | 2015-03-06 |
| 1063786036 | The Pain Clinic of Mississippi, Pllc | Pain Medicine | 5903 Ridgewood Rd, Suite 440, Jackson, MS 39211-3700 | 2012-03-08 |
| 1720213069 | Reddix Medical Group | Clinic/Center | 5903 Ridgewood Rd, Suite 310, Jackson, MS 39211-3700 | 2009-05-15 |
| 1154569853 | Leslie Rooks | Registered Nurse | 5903 Ridgewood Rd, Jackson, MS 39211-3700 | 2009-02-03 |
| 1720258403 | Neurosurgical Associates | Neurological Surgery | 5903 Ridgewood Rd, Suite 101, Jackson, MS 39211-3700 | 2008-03-10 |
| 1841496239 | Howard R Holaday, M.d., P.a. | Neurological Surgery | 5903 Ridgewood Rd, Suite 101, Jackson, MS 39211-3700 | 2007-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760092878 | Bio-medical Applications of Mississippi, Inc. | Clinic/Center | 5722 I-55 N Frontage Road, Jackson, MS 39211 | 2020-08-04 |
| 1548881048 | Gloria Dansby-giles | Counselor | 4500 Interstate 55, North; Suite 220, Jackson, MS 39211 | 2020-05-06 |
| 1821628223 | Alice Powell Taylor | St. Dominic Weight Loss Solutions, 3800 Interstate 55 North Frontage Road Suite 102, Jackson, MS 39211 | 2020-01-24 | |
| 1356980643 | Bethany Powers | Pharmacist | 4910 Interstate 55 North Frontage Rd, Jackson, MS 39211 | 2020-01-03 |
| 1316585581 | Deborah Magoun Rosenbaum | Pharmacist | [email protected], 4910 I-55 North, Jackson, MS 39211 | 2019-12-18 |
| 1285108357 | Eric Wood | Counselor | 4623 Maurey Rd, Jackson, MS 39211 | 2019-01-11 |
| 1649758301 | Isluv Robertson | Registered Nurse | 1405 E Northside Dr, Jackson, MS 39211 | 2018-08-03 |
| 1659863066 | Jonbrighton Childs Russell | Student in an Organized Health Care Education/Training Program | 4343 Dalrymple Ct, Jackson, MS 39211 | 2018-05-31 |
| 1225557598 | Regina Ann Day | Dietitian, Registered | 3800 I 55 North Frontage Road, Jackson, MS 39211 | 2017-09-18 |
| 1023558525 | Agilitas Usa Inc | Clinic/Center | 120 District Blvd E, Suite D102, Jackson, MS 39211 | 2017-03-02 |
| Find all providers in zip 39211 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053935437 | Cvc Pllc | Internal Medicine | 22 Deepwood Dr, Jackson, TN 38305-9679 | 2020-06-02 |
| 1912143991 | Theophilus James Humphreys | Internal Medicine | 164 W University Pkwy Ste A, Jackson, TN 38305-1621 | 2008-12-23 |
| 1548423114 | Olurotimi Badero | Internal Medicine | 5240 Robinson Rd, Jackson, MS 39204-4134 | 2008-07-03 |
| 1740480961 | Cardiovascular Clinic of West Tn PC | Internal Medicine | 2968 North Highland Avenue, Jackson, TN 38305-3609 | 2007-07-25 |
| 1013112457 | The Cardiovascular Clinic of West Tennessee,p.c. | Internal Medicine | 162 Murray Guard Dr, Suite A, Jackson, TN 38305-3609 | 2007-06-17 |
| 1497829550 | Shawn A Baldwin | Internal Medicine | 27a Medical Center Dr, Jackson, TN 38301-3949 | 2006-11-20 |
| 1083715254 | Kenny K. Charn | Internal Medicine | 201 Clinton Rd, Suite 105, Jackson, CA 95642-2648 | 2006-09-26 |
| 1861590457 | Sandra Speckels Mccearley | Internal Medicine | 970 Lakeland Dr Ste 61, Jackson, MS 39216 | 2006-09-20 |
| 1063425734 | Mabbu Jayakumar | Internal Medicine | 168 W University Pkwy Ste C, Jackson, TN 38305-1624 | 2006-08-14 |
| 1851305429 | Jackson Cardiology Associates, P.a. | Internal Medicine | 971 Lakeland Dr Ste 850, Jackson, MS 39216-4608 | 2006-07-28 |
| 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.