DR. ACHYUTHA S PUJARI (NPI# 1518911445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518911445 |
Entity Type | Individual |
Full Name | DR. ACHYUTHA S PUJARI |
Credential | MD |
Practice Address |
1203 Ave B Ste 200 Ellisville MS 39437-2080 |
Mailing Address |
Po Box 247 Laurel MS 39441-0247 |
Practice Telephone | 6014773550 |
Practice Fax Number | 6014772236 |
Mailing Telephone | 6013996167 |
Mailing Fax Number | 6013996281 |
Enumeration Date | 2006-05-22 |
Last Update Date | 2014-02-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
18395 | MS | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | 06877724 | 05 |
Street Address |
1203 AVE B STE 200 |
City | ELLISVILLE |
State | MS |
Zip Code | 39437-2080 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710253877 | Carley Renee Robinson | Nurse Practitioner | 1203 Ave B, Ste 200, Ellisville, MS 39437-2080 | 2012-03-22 |
1316980097 | Donald Scoggin | Nurse Practitioner | 1203 Ave B, Ellisville, MS 39437 | 2006-06-13 |
1427098003 | South Central Clinics, Inc. | Clinic/Center | 1203 Ave B, Suite 200, Ellisville, MS 39437 | 2006-06-08 |
1821044454 | Bridget Cahill | Nurse Practitioner | 1203 Ave B, Ste 300, Ellisville, MS 39437-2080 | 2006-05-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881227759 | Courtney J. Sims | Nurse Practitioner | 80 Hal Crocker Road, Ellisville, MS 39437 | 2020-02-19 |
1891228581 | Magnolia Gardens Assisted Living | Assisted Living Facility | 303 East Ivy, Ellisville, MS 39437 | 2017-04-10 |
1972851814 | Dental Group of Ellisville, Pllc | Dentist | 97 Hal Crocker Road, Ellisville, MS 39437 | 2012-08-27 |
1891920518 | Amy E Young | Speech-Language Pathologist | 471 Hwy 590, Ellisville, MS 39437 | 2009-05-26 |
1053486852 | Natalia Angelia Stevenson | Nurse Practitioner | Ellisville State School, 1101 Hwy 11 South, Ellisville, MS 39437 | 2006-11-21 |
1831275189 | Womens Pavilion of South Mississippi, Pllc | Obstetrics & Gynecology | 1242 Hwy 29 North, Ellisville, MS 39437 | 2006-10-30 |
1861578635 | Jennifer Reeder Mascagni | Nurse Practitioner | 1203 Ave B Ste 200, Ellisville, MS 39437 | 2006-10-27 |
1851499982 | Kathleen Frances Mccoy | Physical Therapist | 1101 Hwy 11 South, Ellisville, MS 39437 | 2006-09-20 |
1861498610 | Patricia A. Tibbs | Pediatrics | 1203 Avenue B, Ellisville, MS 39437 | 2005-06-27 |
1700954765 | Shelia Dianne Bradford | Nurse Practitioner | 1203 Avenue B, Ellisville, MS 39437 | 2006-11-30 |
Find all providers in zip 39437 |
Taxonomy Code | 2080A0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Adolescent Medicine |
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144632662 | Touching Hands Healing Hearts Pllc | Pediatrics | 108 Bay Harbour Pl, Brandon, MS 39047-6108 | 2014-06-02 |
1447507009 | S.ali A Naqvi | Pediatrics | 234 S 12th Ave, Laurel, MS 39440-4325 | 2012-08-13 |
1477745511 | Susan P Parks | Pediatrics | 222 Rankin Rd, Canton, MS 39046-4874 | 2007-08-13 |
1033210315 | Natchez Pediatric Clinic Pllc | Pediatrics | 136 Jefferson Davis Blvd., Suite A, Natchez, MS 39120 | 2006-09-26 |
1487677340 | Chiazo Nnawuchi-ekenna | Pediatrics | 4505 Hospital St, Ste C, Pascagoula, MS 39581-3609 | 2006-07-25 |
1659366854 | Michelle J Gibson | Pediatrics | 5440 Watkins Dr, Suite B, Jackson, MS 39206-2034 | 2005-09-13 |
1881167435 | Sara Kain | Pediatrics | 2888 S Lamar Blvd, Oxford, MS 38655-5347 | 2019-01-07 |
1194111666 | Grant Patrick Saxton | Pediatrics | 1002 Jefferson Street, Suite 200, Laurel, MS 39440-4306 | 2015-04-11 |
1821342379 | South Central Regional Medical Center | Pediatrics | 234 S 12th Ave, Laurel, MS 39440-4325 | 2012-11-06 |
1144418609 | Lafayette Pediatric Clinic | Pediatrics | 2166 S Lamar Blvd, Oxford, MS 38655-5224 | 2007-10-10 |
Find all providers with the same taxonomy |
City | ELLISVILLE |
Zip Code | 39437 |
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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.