CALHOUN MEDICAL CLINIC, LLC (NPI# 1558713511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558713511 |
| Entity Type | Organization |
| Organization Name | CALHOUN MEDICAL CLINIC, LLC |
| Practice Address |
5135 Hwy 84w Laurel MS 39443 |
| Practice Telephone | 6013403544 |
| Practice Fax Number | 6016512926 |
| Mailing Telephone | 6013403544 |
| Mailing Fax Number | 6016512926 |
| Enumeration Date | 2016-07-01 |
| Last Update Date | 2016-07-01 |
| Authorized Official Name | MRS. CHARLOTTE F DELOACH (CFO) |
| Authorized Official Telephone | 6014332998 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 14545 | MS | Allopathic & Osteopathic Physicians |
| Street Address |
5135 HWY 84W |
| City | LAUREL |
| State | MS |
| Zip Code | 39443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699154005 | Rachel Peterson | Speech-Language Pathologist | 2740 Pleasant Grove Rd, Laurel, MS 39443 | 2015-05-19 |
| 1114007994 | Marsha Myrick Sanders | Pharmacist | 15 Lakeshore Dr, Laurel, MS 39443 | 2006-10-16 |
| 1770068637 | Happy Feet | Nursing Care | 614 Chippewah Dr, Laurel, MS 39443 | 2018-09-26 |
| 1487261087 | William Andrew Harrelson | Student in an Organized Health Care Education/Training Program | 215 Union Line Rd, Laurel, MS 39443-0772 | 2020-09-28 |
| 1578634127 | Jones County School | Clinic/Center | 990 Highway 15 S, Laurel, MS 39443-0801 | 2006-11-13 |
| 1942689351 | Brittany Bell | Speech-Language Pathologist | 22 Bell Rd, Laurel, MS 39443-0921 | 2015-05-19 |
| 1396144135 | Lydia Michelle Walters | Nurse Practitioner | 30 Bullock Rd, Laurel, MS 39443-0956 | 2014-08-18 |
| 1447482237 | Jerry V Ridge | Counselor | 7 Line Rd, Laurel, MS 39443-2663 | 2009-08-13 |
| 1780816553 | Janet Powell Mcmillan | Nurse Practitioner | 69 Watertank Rd, Laurel, MS 39443-2954 | 2009-08-12 |
| 1922293364 | Theresa Mann | Respiratory Therapist, Registered | 73 Glade Circle Dr, Laurel, MS 39443-4722 | 2007-09-10 |
| Find all providers in zip 39443 | ||||
| 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 |
|---|---|---|---|---|
| 1407499452 | Julius Atemafac | Family Medicine | 13944 Baltimore Ave Ste 102, Laurel, MD 20707-5000 | 2019-10-22 |
| 1679050462 | Nicole K Dennis | Family Medicine | 9260 Canterbury Riding, Laurel, MD 20723-1425 | 2018-07-24 |
| 1073051892 | Carol Richardson | Family Medicine | 103 S 12th Ave, Laurel, MS 39440-4322 | 2017-02-01 |
| 1700215399 | Komal A Malik, Md, PC | Family Medicine | 8315 Cherry Ln, Laurel, MD 20707-4830 | 2013-11-05 |
| 1982998209 | Sarah Zaheer | Family Medicine | Centennial Medical Group, 10981 Johns Hopkins Road, Laurel, MD 20723 | 2011-06-03 |
| 1073832044 | Kaveh Sadeghi | Family Medicine | 14113 Baltimore Ave Ste A, Laurel, MD 20707 | 2010-05-28 |
| 1730339995 | Komal A. Malik | Family Medicine | 8315 Cherry Lane, Laurel, MD 20707 | 2008-09-24 |
| 1427218577 | Samuel J. Recob | Family Medicine | 218 E 2nd St, Laurel, NE 68745-1989 | 2008-06-12 |
| 1730204256 | Joyce E. Stout, Md, Pa | Family Medicine | 116 E Front St Ste C, Laurel, DE 19956-1722 | 2007-03-21 |
| 1811051816 | P. Vance Prewitt | Family Medicine | 402 E 4th St, Laurel, DE 19956-1552 | 2006-12-21 |
| Find all providers in LAUREL | ||||
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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.