ABERDEEN FAMILY MEDICAL (NPI# 1598989774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598989774 |
| Entity Type | Organization |
| Organization Name | ABERDEEN FAMILY MEDICAL |
| Practice Address |
305 Highway 145 N Aberdeen MS 39730-2370 |
| Mailing Address |
123 Main St N Amory MS 38821-3416 |
| Practice Telephone | 6623698018 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2008-06-13 |
| Authorized Official Name | CHRIS DEDEAUX (CLINIC ADMINISTRATOR) |
| Authorized Official Telephone | 6622567112 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
305 HIGHWAY 145 N |
| City | ABERDEEN |
| State | MS |
| Zip Code | 39730-2370 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104885359 | Helen Mason | Nurse Practitioner | 305 Highway 145 N, Aberdeen, MS 39730-2370 | 2006-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083767271 | Aberdeen Health Clinic Inc | Internal Medicine | 501 Chestnut Street, Aberdeen, MS 39730 | 2007-01-19 |
| 1205992153 | Woodie Darnell Herron | Family Medicine | 200 East Commerce Street, Aberdeen, MS 39730 | 2006-12-28 |
| 1578638532 | Leonard J Goodgame Jr. | Dentist | 207 West Commerce, Aberdeen, MS 39730 | 2006-11-22 |
| 1295813210 | Thomas Banks Shepherd Jr. | Dentist | 116 E Washington Street, Aberdeen, MS 39730 | 2006-11-01 |
| 1619490810 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 200 Highway 145 N, Aberdeen, MS 39730 | 2017-07-19 |
| 1538454855 | Mark Fitzhugh Breland | Dentist | 513 W Commerce St, Aberdeen, MS 39730 | 2011-06-15 |
| 1649446212 | Cheyenne's Total Care/transporation | Non-emergency Medical Transport (VAN) | 122 W Commerce St, Aberdeen, MS 39730 | 2008-05-05 |
| 1386689438 | Pioneer Health Services of Monroe County, Inc. | Clinic/Center | 502 Jackson Street, Suite 5, Aberdeen, MS 39730-0000 | 2006-06-20 |
| 1578675328 | Renal Care Group Tupelo, LLC | Clinic/Center | 308 Highway 8 W, Aberdeen, MS 39730-2106 | 2006-08-31 |
| 1881006807 | Roy Donald Duncan | Urology | 300 Forrest Hill Cir, Aberdeen, MS 39730-2147 | 2014-05-26 |
| Find all providers in zip 39730 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1861602500 | Clifford Matushin PC | Internal Medicine | 201 S Lloyd St Ste 140, Aberdeen, SD 57401-4519 | 2007-05-23 |
| 1942342928 | Stefan Anthony Eltgroth | Internal Medicine | 2105 Oakington Road Kirk Us Army Health Clinic, Aberdeen, MD 21005 | 2007-02-13 |
| 1083767271 | Aberdeen Health Clinic Inc | Internal Medicine | 501 Chestnut Street, Aberdeen, MS 39730 | 2007-01-19 |
| 1295886307 | Kathleen Van De Walle Do PC | Internal Medicine | 1314 N Main St, Aberdeen, SD 57401-2032 | 2007-01-15 |
| 1043373905 | Hany G Bashandy Md Ps | Internal Medicine | 1020 Anderson Dr Ste 205, Aberdeen, WA 98520-1055 | 2006-12-19 |
| 1952410185 | Kathleen Elaine Vandewalle I | Internal Medicine | 1314 North Main Street, Aberdeen, SD 57401-2700 | 2006-08-30 |
| 1548283617 | Philip Gibbs | Internal Medicine | 611 North F St, Aberdeen, WA 98520 | 2006-07-26 |
| 1811932080 | Thomas H Lineberger | Internal Medicine | 1902c North Sandhills Blvd, Aberdeen, NC 28315-2347 | 2006-06-19 |
| 1205870136 | John Robert Fritz | Internal Medicine | 1228 18th Ave Ne, Aberdeen, SD 57401-1535 | 2006-06-14 |
| 1346294873 | Nagy N Guirguis | Internal Medicine | 301 Church St, Aberdeen, NJ 07747-1554 | 2006-05-20 |
| Find all providers in ABERDEEN | ||||
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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.