MS PMR & PMC, PLLC (NPI# 1619178100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619178100 |
| Entity Type | Organization |
| Organization Name | MS PMR & PMC, PLLC |
| Practice Address |
144 S Thomas St Building 1, Suite 101-2 Tupelo MS 38801-5312 |
| Practice Telephone | 6628418830 |
| Practice Fax Number | 6628418832 |
| Mailing Telephone | 6628418830 |
| Mailing Fax Number | 6628418832 |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2008-07-21 |
| Authorized Official Name | BRUCE EDWARD PORTER (MANAGING MEMBER) |
| Authorized Official Telephone | 6628418830 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
18599 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 05458278 | 05 |
| Street Address |
144 S THOMAS ST BUILDING 1, SUITE 101-2 |
| City | TUPELO |
| State | MS |
| Zip Code | 38801-5312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942248208 | Joseph Morris Alexander | Psychologist | 144 S Thomas St, Ste 104a, Tupelo, MS 38801-5312 | 2006-06-02 |
| 1356749709 | Joy Johnson Counseling | Counselor | 144 S Thomas St, Ste 104a, Tupelo, MS 38801-5312 | 2014-12-17 |
| 1972924033 | Brian Thomas, Psy.d. Pllc | Clinical Neuropsychologist | 144 S Thomas St, Ste 103 Room 1, Tupelo, MS 38801-5312 | 2013-12-16 |
| 1538419718 | Gilbert's Hospice Care, LLC | Hospice Care, Community Based | 144 S Thomas St, Suite 105, Tupelo, MS 38801-5337 | 2012-09-14 |
| 1598883266 | Bruce Edward Porter | Physical Medicine & Rehabilitation | 144 S Thomas St, Building Number 1 Suite 101-2, Tupelo, MS 38801-5312 | 2007-03-27 |
| 1184792160 | Gerry Bowen Green | Dentist | 144 S Thomas St, Tupelo, MS 38801-5312 | 2006-11-30 |
| 1295845832 | Susan Fretwell Garner | Nurse Practitioner | 144 S Thomas St, Tupelo, MS 38801-5312 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194339275 | Friendship, LLC | Pharmacy | 4123 W Main St, Tupelo, MS 38801 | 2020-09-04 |
| 1003443458 | Nicole Sherice Taylor | Nurse Practitioner | 845 South Gloster Street, Tupelo, MS 38801 | 2020-03-25 |
| 1821556838 | Wilco Healthcare of North Mississippi, Pllc | Point of Service | 1514 Co Rd 41, Tupelo, MS 38801 | 2019-03-08 |
| 1821565235 | Stephanie K Cagle | Nurse Practitioner | 218 S Thomas St Ste 120-121, Tupelo, MS 38801 | 2018-10-24 |
| 1073092326 | Lauren Parrish | Nurse Practitioner | 1573 Medical Park Circle, Tupelo, MS 38801 | 2018-08-08 |
| 1467948687 | North Mississippi Medcial Center, Inc. | Nurse Practitioner | 990 S Madison St Ste 2, Tupelo, MS 38801 | 2018-07-11 |
| 1043700933 | Hooks Diabetes & Medicine Clinic | Non-Pharmacy Dispensing Site | 2610 Traceland Drive, Ste A, Tupelo, MS 38801 | 2018-05-16 |
| 1073035903 | Annette C Riddle | Counselor | 1004 Eisenhower Drive, Tupelo, MS 38801 | 2017-07-12 |
| 1548709678 | Jaime Summers | Nurse Practitioner | 2780 West Jackson St, Tupelo, MS 38801 | 2017-02-22 |
| 1073975611 | Heath Bryan Coleman, Dds of Mississippi II, Pllc | Dentist | 1168 Cross Creek Drive, Tupelo, MS 38801 | 2016-03-23 |
| Find all providers in zip 38801 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598883266 | Bruce Edward Porter | Physical Medicine & Rehabilitation | 144 S Thomas St, Building Number 1 Suite 101-2, Tupelo, MS 38801-5312 | 2007-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417342452 | Total Rehabilitation Solutions, LLC | Physical Medicine & Rehabilitation | 232b Eisenhower Dr, Biloxi, MS 39531-3601 | 2015-04-06 |
| 1598847683 | Mansoor -- Hasan | Physical Medicine & Rehabilitation | Gv Sonny Montgomery Vamc Phy&rehab (117), 1500 E Woodrow Wilson Drive, Jackson, MS 39157 | 2006-10-19 |
| 1336534270 | Hattiesburg Clinic Pa | Physical Medicine & Rehabilitation | 1 Lincoln Pkwy Ste 103, Hattiesburg, MS 39402-3261 | 2015-03-30 |
| 1528276284 | Matthew Quin Barfield | Physical Medicine & Rehabilitation | 4105 Hospital St, Suite 112b, Pascagoula, MS 39581-5312 | 2007-05-18 |
| 1033271416 | Gulf States Physical Medicine & Rehabilitation | Physical Medicine & Rehabilitation | 1190 N State St, Suite 202, Jackson, MS 39202-2413 | 2006-12-14 |
| 1811929292 | Yvette Susi Folse | Physical Medicine & Rehabilitation | 3688 Veterans Memorial Dr, Suite 200, Hattiesburg, MS 39401-8246 | 2006-07-07 |
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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.