NEUROMODULATION SPECIALISTS LLC (NPI# 1679096192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679096192 |
| Entity Type | Organization |
| Organization Name | NEUROMODULATION SPECIALISTS LLC |
| Practice Address |
4105 Hospital St # 112c Pascagoula MS 39581-5312 |
| Mailing Address |
Po Box 1078 Pascagoula MS 39568-1078 |
| Practice Telephone | 2286275192 |
| Mailing Telephone | 2286275192 |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2017-07-18 |
| Authorized Official Name | THOMAS L YEARWOOD (OWNER) |
| Authorized Official Telephone | 2286275192 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP3300X |
Clinic/Center Specialization: Pain |
11988 | MS | Ambulatory Health Care Facilities |
| Street Address |
4105 HOSPITAL ST # 112C |
| City | PASCAGOULA |
| State | MS |
| Zip Code | 39581-5312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760945448 | Jacquelyn B Ellison | Nurse Practitioner | 4105 Hospital Road, Ste 103, Pascagoula, MS 39581 | 2019-04-10 |
| 1104346816 | Jennifer Ngoc Bui | Dentist | 4001 Denny Ave Suite 1, Pascagoula, MS 39581 | 2017-06-23 |
| 1528486289 | Thomas Stallworth | Nurse Practitioner | 4105 Hospital St Ste 104, Pascagoula, MS 39581 | 2014-03-31 |
| 1487919957 | Candace Noel Pendowski | Nurse Practitioner | 4211 Hospital St Suite 208, Pascagoula, MS 39581 | 2012-07-10 |
| 1649548892 | Kim M. Tumminello | Nurse Practitioner | 4253 Denny Avenue, Pascagoula, MS 39581 | 2011-12-02 |
| 1649547860 | Abrian Norell Flowers | Physical Therapist | 3537 Denny Avenue, Suite 115, Pascagoula, MS 39581 | 2011-11-17 |
| 1164724118 | Coast To Coast Rehab LLC | Rehabilitation Practitioner | 3537 Denny Ave, Suite 115, Pascagoula, MS 39581 | 2010-11-24 |
| 1740500958 | Joshua Eric Tucker | Physical Medicine & Rehabilitation | 4105 Hospital St Ste 112b, Pascagoula, MS 39581 | 2010-06-10 |
| 1720164916 | Vernon W Doster | Family Medicine | 3616 Hospital Street, Suite D, Pascagoula, MS 39581 | 2006-10-31 |
| 1841387727 | David Bruce Allen | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4300 Hospital Rd, Suite 105, Pascagoula, MS 39581 | 2006-10-10 |
| Find all providers in zip 39581 | ||||
| Taxonomy Code | 261QP3300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Pain |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104300854 | Willow Pain and Wellness, LLC | Clinic/Center | 255 Medical Center Dr., Batesville, MS 38606 | 2018-09-19 |
| 1265527899 | Methodist Pain Management, LLC | Clinic/Center | One Layfair Dr, Suite 400, Jackson, MS 39232 | 2006-10-03 |
| 1710929310 | Trinity Pain Clinic, P.a. | Clinic/Center | 1307 Airport Rd N, Suite 2a, Flowood, MS 39232-8897 | 2006-06-11 |
| 1790385417 | Panola Physician Group, LLC | Clinic/Center | 2089 Southridge Dr, Tupelo, MS 38801-6478 | 2020-10-30 |
| 1093188096 | Willow Pain and Wellness, LLC | Clinic/Center | 2215 Jefferson Davis Dr, Oxford, MS 38655-5221 | 2015-11-12 |
| 1639583941 | Comprehensive Pain Specialists | Clinic/Center | 120 Stone Creek Blvd, Flowood, MS 39232-8205 | 2014-06-13 |
| 1336408186 | Premier Pain Care, P.C. | Clinic/Center | 514f E Woodrow Wilson Ave, Jackson, MS 39216-4538 | 2012-05-15 |
| 1770743031 | Newsouth Neurospine, LLC | Clinic/Center | 2470 Flowood Dr, Flowood, MS 39232-9019 | 2008-06-11 |
| 1174689533 | Pain Treatment Center | Clinic/Center | 106 Asbury Cir, Hattiesburg, MS 39402-1302 | 2006-12-29 |
| 1508922865 | Institute for Spinal Pain Treatment | Clinic/Center | 1 Lincoln Parkway, Suite 106, Hattiesburg, MS 39402 | 2006-12-29 |
| Find all providers with the same taxonomy | ||||
| City | PASCAGOULA |
| Zip Code | 39581 |
Please comment or provide details below to improve the information on NEUROMODULATION SPECIALISTS LLC.
| 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.