ROBERT E DILWORTH (NPI# 1639205610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639205610 |
| Entity Type | Individual |
| Full Name | ROBERT E DILWORTH |
| Credential | M.D. |
| Practice Address |
1600 22nd Ave Medical Towers 3, 3rd Fl Meridian MS 39301-3223 |
| Mailing Address |
Po Box 2839 Meridian MS 39302-2839 |
| Practice Telephone | 6016931055 |
| Practice Fax Number | 6014825312 |
| Mailing Telephone | 6017033480 |
| Mailing Fax Number | 6017030124 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2016-06-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 07241 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 15013 | 05 | |
| MS | MS LICENSE | 07241 | 01 |
| Street Address |
1600 22ND AVE MEDICAL TOWERS 3, 3RD FL |
| City | MERIDIAN |
| State | MS |
| Zip Code | 39301-3223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609867209 | Joel Charles Reynolds | Internal Medicine | 1600 22nd Ave, Meridian, MS 39301-3223 | 2005-11-02 |
| 1730671538 | Erin Cooley | Nurse Practitioner | 1600 22nd Ave, Meridian, MS 39301-3223 | 2018-06-06 |
| 1043662851 | Sarah Neely Ivey | Nurse Practitioner | 1600 22nd Ave, Meridian, MS 39301-3223 | 2016-07-05 |
| 1114399375 | Brandi L Robinson | Nurse Practitioner | 1600 22nd Ave, Meridian, MS 39301-3223 | 2015-10-28 |
| 1710227905 | Casey Tillery | Nurse Practitioner | 1600 22nd Ave, Medical Towers IIi, Meridian, MS 39301-3223 | 2013-02-25 |
| 1760627111 | Jessica T Meyer | Nurse Practitioner | 1600 22nd Ave, Medical Towers IIi, Meridian, MS 39301-3223 | 2008-12-12 |
| 1396980116 | Valerie Nicole Evans | Family Medicine | 1600 22nd Ave, Meridian, MS 39301-3223 | 2008-12-08 |
| 1396927448 | Attila Roka | Internal Medicine | 1600 22nd Ave, Meridian, MS 39301-3223 | 2007-11-30 |
| 1225232895 | Larry Shea Shea Hailey | Internal Medicine | 1600 22nd Ave, Medical Towers IIi, Meridian, MS 39301-3223 | 2007-06-14 |
| 1346466596 | Eric Vincent Plott | Internal Medicine | 1600 22nd Ave, Meridian, MS 39301-3223 | 2007-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407460439 | Kayla Lee Monsour | Pharmacist | 1415 24th Avenue, Meridian, MS 39301 | 2020-09-08 |
| 1306478359 | K&r Optical Solutions Corporation | Eyewear Supplier (Equipment, not the service) | 3126 8th St., Suite A, Meridian, MS 39301 | 2020-02-07 |
| 1912537317 | Courtney M Hollie | Counselor | 1054 Ms-19, Meridian, MS 39301 | 2020-01-24 |
| 1932636495 | Rcg Mississippi, Inc. | Clinic/Center | 1300 38th Ave E, Meridian, MS 39301 | 2017-05-16 |
| 1811428915 | Tierria Mcglothin | Nurse Practitioner | 1054 Highway 19 S, Meridian, MS 39301 | 2017-03-21 |
| 1154869303 | Lindsay Nemanich | Physical Therapist | 3716 Ms-39, Meridian, MS 39301 | 2017-02-08 |
| 1700323599 | Wal-mart Stores East Lp | Pharmacy | 3310-a Highway 39 North, Meridian, MS 39301 | 2017-01-31 |
| 1972977460 | Southeast Pharmacy LLC | Pharmacy | 2402 Long Creek Road, Meridian, MS 39301 | 2015-11-20 |
| 1235508342 | East Mississippi Oral & Facial Surgery, LLC | Clinic/Center | 1212 24th Avenue, Meridian, MS 39301 | 2015-09-18 |
| 1831580778 | Clarkdale Pharmacy and Gifts LLC | Pharmacy | 6935c Hwy 145, Meridian, MS 39301 | 2015-02-13 |
| Find all providers in zip 39301 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699242123 | Treasure Valley Urology Pllc | Urology | 3090 E Gentry Way Ste 220, Meridian, ID 83642-3550 | 2018-11-02 |
| 1346407921 | Helen Jia-ru Kuo | Urology | 2855 E. Magic View Drive, Meridian, ID 83642 | 2008-05-21 |
| 1912088295 | Urology Clinic of Meridian, P.a. | Urology | 1302 20th Ave, Meridian, MS 39301-4120 | 2006-10-17 |
| 1710097068 | Jared G Heiner | Urology | 3085 E Magic View Dr Ste 140, Meridian, ID 83642-3745 | 2006-08-30 |
| 1174156418 | Lea Jo Piper | Urology | 2855 E Magic View Dr, Meridian, ID 83642-6245 | 2020-02-14 |
| 1316331705 | Adam Schatz | Urology | 2855 E Magic View Dr, Meridian, ID 83642-6245 | 2015-03-24 |
| 1083025951 | Andrew Gowdey | Urology | 1800 12th St, Meridian, MS 39301-4158 | 2014-05-14 |
| 1659663482 | Lisa Michela Parrillo | Urology | 2855 E Magic View Dr, Meridian, ID 83642-6245 | 2011-05-12 |
| 1831497940 | Anderson Physician Alliance, Inc | Urology | 1302 20th Ave, Meridian, MS 39301-4120 | 2011-03-14 |
| 1689828162 | Michael B. Taylor | Urology | 520 S Eagle Rd, Suite 3112, Meridian, ID 83642-6351 | 2008-11-10 |
| Find all providers in MERIDIAN | ||||
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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.