DR. RALPH HUNTER DIDLAKE (NPI# 1609957554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609957554 |
| Entity Type | Individual |
| Full Name | DR. RALPH HUNTER DIDLAKE |
| Credential | M.D. |
| Practice Address |
1020 River Oaks Dr Ste 140 Jackson MS 39232-9500 |
| Mailing Address |
2500 North State Street The University of Mississippi Medical Center Jackson MS 39216 |
| Practice Telephone | 6019399093 |
| Practice Fax Number | 6019395379 |
| Mailing Telephone | 6018154964 |
| Mailing Fax Number | 6019842970 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2010-11-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 08725 | MS | Allopathic & Osteopathic Physicians |
| Street Address |
1020 RIVER OAKS DR STE 140 |
| City | JACKSON |
| State | MS |
| Zip Code | 39232-9500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801026604 | Alicia Danielle Waits | Nurse Practitioner | 1020 River Oaks Dr, Suite 420, Jackson, MS 39232-9500 | 2009-07-15 |
| 1821276106 | William G. Bush M.d., P.l.l.c | Obstetrics & Gynecology | 1020 River Oaks Dr, Suite 410, Jackson, MS 39232-9500 | 2008-02-08 |
| 1174744379 | Southern Women's Health, Pllc | Obstetrics & Gynecology | 1020 River Oaks Dr, Suite 310, Jackson, MS 39232-9512 | 2007-05-02 |
| 1235220112 | East Lakeland Ob Gyn Associates, P.a. | Obstetrics & Gynecology | 1020 River Oaks Dr, Suite 320, Jackson, MS 39232-9500 | 2006-09-27 |
| 1770674467 | Sharon K. Brown | Nurse Practitioner | 1020 River Oaks Dr, Suite 320, Jackson, MS 39232-9500 | 2006-09-27 |
| 1417058785 | Freda Mckissic Bush | Obstetrics & Gynecology | 1020 River Oaks Dr, Suite 320, Jackson, MS 39232-9500 | 2006-09-26 |
| 1649371816 | Missy Jackson Mcminn | Obstetrics & Gynecology | 1020 River Oaks Dr, Suite 320, Jackson, MS 39232-9500 | 2006-09-26 |
| 1487755641 | Donna Glynn Breeland | Obstetrics & Gynecology | 1020 River Oaks Dr, Suite 320, Jackson, MS 39232-9500 | 2006-09-26 |
| 1427159839 | Mary Kathleen Sartin | Nurse Practitioner | 1020 River Oaks Dr, Suite 320, Jackson, MS 39232-9500 | 2006-09-26 |
| 1790886133 | Beverly Ann Mcmillan | Obstetrics & Gynecology | 1020 River Oaks Dr, Suite 320, Jackson, MS 39232-9500 | 2006-09-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164071775 | Leanna Nicole Howard | Social Worker | 2945 Layfair Drive, Apt. 1621, Flowood, MS 39232 | 2019-09-06 |
| 1104395565 | Patriot Healthcare of Mississippi, LLC | Family Medicine | 4800 Lakeland Drive, Flowood, MS 39232 | 2018-11-15 |
| 1285101816 | Magnolia Anesthesia Consultants LLC | Anesthesiology | 4209 Lakeland Dr #252, Flowood, MS 39232 | 2018-11-01 |
| 1528543592 | Matthew T Armstrong | Physical Therapist | 104 Burney Drive, Flowood, MS 39232 | 2018-09-26 |
| 1790265627 | Mississippi Brain and Spine, Pllc | Non-Pharmacy Dispensing Site | 1 Layfair Drive, Ste 120, Flowood, MS 39232 | 2018-08-20 |
| 1629574918 | Billy Clifton Osbon Jr. | Pharmacist | 2506 Lakeland Drive, Suite 201, Flowood, MS 39232 | 2018-04-04 |
| 1356851752 | Oakdale Family Dentistry | Clinic/Center | 2139 Hwy 471, Flowood, MS 39232 | 2017-10-11 |
| 1992227177 | Charisma T. Cummings | Nurse Practitioner | 102 Riverview Drive, Suite A, Flowood, MS 39232 | 2017-07-10 |
| 1508398983 | Charles Pearson | Student in an Organized Health Care Education/Training Program | 764 Flowood Dr, Flowood, MS 39232 | 2017-04-03 |
| 1396288197 | Mary Claire Ponder | Nurse Practitioner | 151 E Metro Dr Ste 103, Flowood, MS 39232 | 2016-11-28 |
| Find all providers in zip 39232 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851731103 | Zachary James Virgin | Surgery | 300 W Washington Ave Ste 300, Jackson, MI 49201-2160 | 2013-07-01 |
| 1407290372 | Derek S. Palmer | Surgery | 120 District Blvd Apt 433, Jackson, MS 39211-6389 | 2013-04-23 |
| 1881037703 | Kara Spinks Logan | Surgery | 1190 N State St Ste 502, Jackson, MS 39202 | 2013-04-10 |
| 1639419997 | Fred Silvestri Md, LLC | Surgery | 4 Long Bay Rd, Jackson, NJ 08527-2662 | 2013-02-25 |
| 1528356482 | James P. Spell | Surgery | 21 Lamplighter Rd., Jackson, MS 39208 | 2011-07-13 |
| 1629371018 | Richard L Yelverton Md Pa | Surgery | 1040 River Oaks Dr Ste 102, Jackson, MS 39232-9539 | 2010-12-07 |
| 1619125952 | Otha Edward Williams Jr. | Surgery | 1736 Lake Trace Dr, Jackson, MS 39211-3353 | 2008-08-28 |
| 1770604803 | Rajesh Kuruba | Surgery | 1500 E Woodrow Wilson Ave., Jackson, MS 39216-5199 | 2007-04-03 |
| 1679692396 | Reginald Willis Martin | Surgery | 971 Lakeland Dr Ste 211, Jackson, MS 39216-4607 | 2007-03-28 |
| 1295878783 | P George Poore | Surgery | 555 East Broadway Ste 212, Jackson, WY 83001-4777 | 2007-02-14 |
| Find all providers in JACKSON | ||||
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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.