INTERNAL MEDICINE PRIMARY CARE PA (NPI# 1629542832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629542832 |
| Entity Type | Organization |
| Organization Name | INTERNAL MEDICINE PRIMARY CARE PA |
| Practice Address |
140 Daughdrill Sta Flowood MS 39232-8406 |
| Practice Telephone | 6015190509 |
| Mailing Telephone | 6015190509 |
| Enumeration Date | 2019-01-22 |
| Last Update Date | 2019-01-22 |
| Authorized Official Name | IMAD TAHBOUB (OWNER) |
| Authorized Official Telephone | 6015190509 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
140 DAUGHDRILL STA |
| City | FLOWOOD |
| State | MS |
| Zip Code | 39232-8406 |
| 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 | 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 |
|---|---|---|---|---|
| 1275148264 | Ludmila Nahar | Internal Medicine | 18 Windwood Cv, Flowood, MS 39232-7921 | 2020-09-15 |
| 1245502723 | Psp Medical Clinic | Internal Medicine | 544 Keyway Drive, Flowood, MS 39232 | 2012-01-31 |
| 1003914813 | George E Patton Jr. | Internal Medicine | 1050 River Oaks Dr Ste 100, Flowood, MS 39232-9564 | 2006-09-20 |
| 1467567990 | Magnolia Internal Medical Clinic | Internal Medicine | 5 River Bend Pl, Suite C, Flowood, MS 39232-7618 | 2006-08-21 |
| 1063445575 | Annette Kay Low | Internal Medicine | 1040 River Oaks Dr Ste 304, Flowood, MS 39232-9575 | 2006-07-08 |
| 1205802667 | Matthew T Gaines | Internal Medicine | 1030 River Oaks Dr, Flowood, MS 39232 | 2006-02-27 |
| 1891290243 | Ochsner Mississippi, LLC | Internal Medicine | 2470 Flowood Dr, Flowood, MS 39232-9019 | 2018-03-28 |
| 1437662673 | Infinity Wellness Solutions | Internal Medicine | 232 Market St, Pbm# 1799, Flowood, MS 39232 | 2017-11-09 |
| 1427464304 | Monet Casey | Internal Medicine | 1030 River Oaks Dr, Flowood, MS 39232 | 2014-07-10 |
| 1417397837 | Julia Ashley Thompson | Internal Medicine | 1010 Lakeland Pl, Flowood, MS 39232-6678 | 2013-06-29 |
| Find all providers in FLOWOOD | ||||
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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.