TELEHEALTHONE, LLC (NPI# 1609284330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609284330 |
| Entity Type | Organization |
| Organization Name | TELEHEALTHONE, LLC |
| Practice Address |
1037 Lake Village Cir Suite A Brandon MS 39047-6725 |
| Practice Telephone | 6015078177 |
| Mailing Telephone | 6015078177 |
| Enumeration Date | 2014-07-25 |
| Last Update Date | 2014-07-25 |
| Authorized Official Name | DAVID POWE (MANAGER/MEMBER) |
| Authorized Official Telephone | 6015078177 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336596170 | Telehealthone, LLC | Nurse Practitioner | 301 Yazoo Street, Lexington, MS 39095 | 2016-05-23 |
| 1740637586 | Telehealthone, LLC | Nurse Practitioner | 5760 Hwy 80 East, Pearl, MS 39208 | 2016-05-23 |
| 1962859702 | Telehealthone, LLC | Nurse Practitioner | 200 Clinton Plaza, Clinton, MS 39056 | 2016-05-23 |
| 1558718304 | Telehealthone, LLC | Nurse Practitioner | 225 Meadowbrook Road, Jackson, MS 39206 | 2016-05-23 |
| 1861852840 | Telehealthone, LLC | Nurse Practitioner | 101 Mansker Drive, Flora, MS 39071-9790 | 2016-03-03 |
| 1427418409 | Telehealthone, LLC | Nurse Practitioner | 1301 East Peace Street, Canton, MS 39046-7900 | 2016-03-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | TELEHEALTHONE, LLC | 152 Watford Pkwy Dr, Canton, MS 39046-7900 |
| Street Address |
1037 LAKE VILLAGE CIR SUITE A |
| City | BRANDON |
| State | MS |
| Zip Code | 39047-6725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396368783 | Siyuan Chen Kennedy | Counselor | 108 Sandstone Drive, Brandon, MS 39047 | 2020-05-20 |
| 1568019784 | Juarez Brown Emerson | Registered Nurse | 426 Pinebrook Circle, Brandon, MS 39047 | 2019-08-22 |
| 1649764127 | Specialty Diagnostics LLC | Family Medicine | 1149 Old Fannin Rd Ste 22, Brandon, MS 39047 | 2018-06-19 |
| 1528423035 | Kathlene Strangeman | Social Worker | 111 Lakeshore Dr Apt G403, Brandon, MS 39047 | 2015-12-28 |
| 1174935076 | Anthony Davis | Counselor | 198 Bellegrove Cir, Brandon, MS 39047 | 2014-05-27 |
| 1144659178 | Medical Foundation of Central Ms, Inc | Family Medicine | 1887 Spillway Rd., Brandon, MS 39047 | 2013-11-12 |
| 1437429941 | Picton Timothy Evans | Pharmacist | 150 B Cumberland Ed, Brandon, MS 39047 | 2012-01-01 |
| 1275828030 | Kathryn Audell Piburn | Nurse Practitioner | 1887 Spillway Rd Ste 140, Brandon, MS 39047 | 2011-06-09 |
| 1801930532 | Susanne Reynolds Moore | Dentist | 1149 Old Fannin Rd, Suite 26, Brandon, MS 39047 | 2007-02-16 |
| 1194898429 | Brookshire Grocery Company | Durable Medical Equipment & Medical Supplies | 143 Plaza Drive Ext, Attention Pharmacy Dept, Brandon, MS 39047 | 2006-11-16 |
| Find all providers in zip 39047 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780241729 | Southeast Reginald Solutions,pllc | General Practice | 310 River Forest Ln, Brandon, MS 39047-7020 | 2019-05-24 |
| 1700397239 | Marysol Camejo Romero | General Practice | 728 Benwick Dr, Brandon, MS 39047-8111 | 2017-10-24 |
| 1700149143 | Orlando Enrique Mieles | General Practice | 500 Vonderburg Dr Ste 305, Brandon, FL 33511-5976 | 2012-06-20 |
| 1871850412 | Zulayne Vera | General Practice | 813 S Parsons Ave, Brandon, FL 33511-6063 | 2012-04-20 |
| 1205025277 | Valrico Medical Care, P.a. | General Practice | 143 N Oakwood Ave, Brandon, FL 33510-4629 | 2007-10-16 |
| 1871535393 | Aida Cuascut-reyes | General Practice | 653 W Lumsden Rd, Brandon, FL 33511-5911 | 2006-06-11 |
| 1417906611 | Dwic of Tampa Bay, Inc. | General Practice | 408 E Brandon Blvd, Brandon, FL 33511-5318 | 2006-05-08 |
| 1609853225 | Jorge L Acevedo Vazquez | General Practice | 501 Eichenfeld Dr, Ste 101, Brandon, FL 33511-5994 | 2005-12-23 |
| 1255325361 | Miguel Angel Mazariegos | General Practice | 205 S Moon Ave, Suite 105, Brandon, FL 33511-5716 | 2005-09-02 |
| 1386646750 | Maria Josefina Prieto | General Practice | 109 Margaret St, Brandon, FL 33511-5203 | 2005-08-15 |
| Find all providers in BRANDON | ||||
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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.