CEDAR LAKE MEDICAL CENTER, PA (NPI# 1508068230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508068230 |
| Entity Type | Organization |
| Organization Name | CEDAR LAKE MEDICAL CENTER, PA |
| Practice Address |
1759 Medical Park Dr Biloxi MS 39532-2132 |
| Practice Telephone | 2283850075 |
| Practice Fax Number | 2283850073 |
| Mailing Telephone | 2283850075 |
| Mailing Fax Number | 2283850073 |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. MARY SEYFARTH (MANAGER) |
| Authorized Official Telephone | 22838500075 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
1759 MEDICAL PARK DR |
| City | BILOXI |
| State | MS |
| Zip Code | 39532-2132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437264504 | Rickey L Chance | Family Medicine | 1759 Medical Park Dr, Biloxi, MS 39532-2132 | 2006-08-20 |
| 1124510284 | Kristie Len Ladner | Specialist/Technologist | 1759 Medical Park Dr, Biloxi, MS 39532-2154 | 2018-06-05 |
| 1316484116 | Emily Kate Lukens | Nurse Practitioner | 1759 Medical Park Dr, Biloxi, MS 39532-2154 | 2017-01-31 |
| 1528483393 | Coastal Meds | Pharmacy | 1759 Medical Park Dr, Ste. C, Biloxi, MS 39532-2154 | 2014-03-03 |
| 1144569658 | Coastal Meds, LLC | Pharmacy | 1759 Medical Park Dr, Suite C, Biloxi, MS 39532-2154 | 2013-02-04 |
| 1386883791 | Jessica Havard Moran | Nurse Practitioner | 1759 Medical Park Dr, Biloxi, MS 39532-2154 | 2009-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427693613 | Bloom Mental Health LLC | Nurse Practitioner | 933 Tommy Munro Dr., Suite C, Biloxi, MS 39532 | 2019-11-12 |
| 1003397530 | The National Diabetes & Obesity Research Institute At Tradition, Missi | Dietitian, Registered | 19289 St. Joseph Street, Suite C, Biloxi, MS 39532 | 2018-08-23 |
| 1134588999 | Victoria Leonard Scott | Counselor | 6905 Gregory Dr, Biloxi, MS 39532 | 2016-02-22 |
| 1639552490 | Laura O'keefe | Nurse Practitioner | 1720a Medical Park Dr Ste 150, Biloxi, MS 39532 | 2015-06-29 |
| 1659767150 | D'iberville Home Program LLC | Clinic/Center | 14215 Cook Road, Biloxi, MS 39532 | 2015-04-10 |
| 1467842476 | Alicia Michelle Mcdaniel | Nurse Practitioner | 14209 Cook Rd Suite 200, Biloxi, MS 39532 | 2015-01-28 |
| 1437402393 | Lisa Q. Brown | Occupational Therapist | 680 Bay Cove Drive, Residents At Baycove, Biloxi, MS 39532 | 2012-10-17 |
| 1962759381 | Joshua Shumway | Physical Therapist | 220 Ploesti Dr, Keesler Afb, MS 39532 | 2012-08-06 |
| 1386912483 | Polk's Crossgates Discount Drugs Inc. | Pharmacy | 1845 Popps Ferry Road, Biloxi, MS 39532 | 2011-12-05 |
| 1346566957 | Kerri Lyn Manjarrez | Social Worker | 12304 Tiffany Lane, Biloxi, MS 39532 | 2010-04-08 |
| Find all providers in zip 39532 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225340599 | Hoyet Arlon Hand | Family Medicine | 967 Cedar Lake Rd, Suite B, Biloxi, MS 39532-2128 | 2010-07-02 |
| 1083885941 | James Walter Cook | Family Medicine | 468 Tuscano Ln, Biloxi, MS 39531-2513 | 2008-03-19 |
| 1326102807 | Karen Y Mullen | Family Medicine | 13066 Hwy 67, Suites A & B, Biloxi, MS 39532 | 2006-12-20 |
| 1437264504 | Rickey L Chance | Family Medicine | 1759 Medical Park Dr, Biloxi, MS 39532-2132 | 2006-08-20 |
| 1558396010 | Phillip Lance Barnes | Family Medicine | 201 Lameuse St, Biloxi, MS 39530-3107 | 2006-07-12 |
| 1912964024 | Thomas T Trieu | Family Medicine | 1025 Division St, Suite B, Biloxi, MS 39530-2906 | 2006-05-01 |
| 1417912486 | North Bay Family Medical Clinic, Pa | Family Medicine | 15012 Lemoyne Blvd, Biloxi, MS 39532-5205 | 2006-04-20 |
| 1598751281 | Earnest Calvin Simmons | Family Medicine | 150 Reynoir St., Room 633, Biloxi, MS 39530 | 2005-09-27 |
| 1457951808 | Biloxi Medical Clinic, Inc | Family Medicine | 2490 Pass Rd, Biloxi, MS 39531-2838 | 2020-10-27 |
| 1356900534 | Seren Emerson Ainsworth II | Family Medicine | 15012 Lemoyne Blvd, Biloxi, MS 39532 | 2019-06-11 |
| Find all providers in BILOXI | ||||
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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.