BASTIAN CENTER OF PEDIATRIC ENDOCRINOLOGY, PLLC (NPI# 1578719571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578719571 |
| Entity Type | Organization |
| Organization Name | BASTIAN CENTER OF PEDIATRIC ENDOCRINOLOGY, PLLC |
| Practice Address |
1860 Chadwick Dr Suite 206 Jackson MS 39204-3463 |
| Practice Telephone | 6013761545 |
| Mailing Telephone | 6013761545 |
| Enumeration Date | 2008-08-11 |
| Last Update Date | 2008-08-11 |
| Authorized Official Name | WILLIAM BASTIAN (PROVIDER/OWNER) |
| Authorized Official Telephone | 6013761545 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
19260 | MS | Allopathic & Osteopathic Physicians |
| Street Address |
1860 CHADWICK DR SUITE 206 |
| City | JACKSON |
| State | MS |
| Zip Code | 39204-3463 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891792842 | Eric L Rushing | Radiology | 1860 Chadwick Dr, Suite B, Jackson, MS 39204-3463 | 2005-07-06 |
| 1750735452 | Connie Williams | Nurse Practitioner | 1860 Chadwick Dr, Suite 256, Jackson, MS 39204-3463 | 2016-04-19 |
| 1346634888 | Dawn Taylor Joiner | Nurse Practitioner | 1860 Chadwick Dr, Jackson, MS 39204-3463 | 2015-03-23 |
| 1295125813 | Jennifer Easley | Nurse Practitioner | 1860 Chadwick Dr, Suite 205, Jackson, MS 39204-3463 | 2015-02-03 |
| 1689077919 | Anna Cline | Counselor | 1860 Chadwick Dr, Suite 305, Jackson, MS 39204-3463 | 2014-10-01 |
| 1659618106 | Central Mississippi Civic Improvement Association, Inc. | Community Health Worker | 1860 Chadwick Dr, Jackson, MS 39204-3463 | 2013-01-03 |
| 1902140635 | Cardiovascular Institute of Mississippi, LLC | Internal Medicine | 1860 Chadwick Dr, Suite 256, Jackson, MS 39204-3463 | 2012-11-19 |
| 1811244593 | Megan Egbert Slade | Nurse Practitioner | 1860 Chadwick Dr, Suite 256, Jackson, MS 39204-3463 | 2012-08-13 |
| 1437416351 | Vicksburg Hma Physician Management LLC | Family Medicine | 1860 Chadwick Dr, Jackson, MS 39204-3463 | 2012-04-17 |
| 1548539117 | Mall Services, LLC | Clinic/Center | 1860 Chadwick Dr, Suite 305, Jackson, MS 39204-3463 | 2011-12-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639797442 | Walk By Faith Not By Sight Homecare | Student in an Organized Health Care Education/Training Program | 2310 Us-80 West, Suite F 1154, Jackson, MS 39204 | 2020-07-08 |
| 1427593888 | Care First Home Care Agency, Inc | In Home Supportive Care | 931 Hwy 80 Suite 2 B-9, Jackson, MS 39204 | 2016-12-21 |
| 1134678808 | Yolonda Kinzie | Registered Nurse | 1134 Winter St., Jackson, MS 39204 | 2016-09-23 |
| 1578983938 | Seaneather Arline Mcgill | Nurse's Aide | 2024 Shady Lane Dr, Jackson, MS 39204 | 2014-04-23 |
| 1942591128 | Real Solutilons, LLC | Exclusive Provider Organization | 831 Hwy 80 W., Jackson, MS 39204 | 2011-04-22 |
| 1548405236 | Visions Physical Therapy | Specialist/Technologist | 4700 Robinson Rd, Jackson, MS 39204 | 2008-12-09 |
| 1588759393 | Donald H Butts | Specialist | 1920 Chadwick Drive, Suite 109, Jackson, MS 39204 | 2006-10-04 |
| 1003907460 | Patrick E Weldon | Psychiatry & Neurology | 1860 Chadwick Drive, Suite 258, Jackson, MS 39204 | 2006-09-28 |
| 1922117662 | Elgin Kenneth Walley | Dentist | 2174 Henry Hill Drive, Jackson, MS 39204 | 2006-08-29 |
| 1376555045 | Linda Nell Hunter | Nurse Practitioner | 1860 Chadwick Dr Ste 150a, Jackson, MS 39204 | 2006-08-12 |
| Find all providers in zip 39204 | ||||
| Taxonomy Code | 2080P0205X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Endocrinology |
| A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. |
| 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 |
|---|---|---|---|---|
| 1265896807 | Ali Kemal Topaloglu | Pediatrics | 2500 N State St, University of Mississippi Med Ctr. Ped Endocrinology, Jackson, MS 39216-4500 | 2016-04-10 |
| 1780824714 | Sara A Silver | Pediatrics | 2500 N State St, Jackson, MS 39216-4500 | 2009-03-04 |
| 1982868030 | Anju Pokkaruparambil Sukumaran | Pediatrics | 2500 N State St, Jackson, MS 39216-4500 | 2008-07-17 |
| 1821275405 | Simeen Pasha | Pediatrics | 2500 N State St, Jackson, MS 39216-4500 | 2008-01-26 |
| 1285787044 | Upa Pllc Endocrinology | Pediatrics | 2500 N State St, Jackson, MS 39216-4500 | 2007-01-18 |
| 1972515930 | Naznin M Dixit | Pediatrics | 2500 N State St, Jackson, MS 39216-4500 | 2006-08-11 |
| 1720020258 | George William Moll Jr. | Pediatrics | 2500 N State St, Jackson, MS 39216-4500 | 2006-06-11 |
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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.