SHELBY K BRANTLEY (NPI# 1679503023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679503023 |
| Entity Type | Individual |
| Full Name | SHELBY K BRANTLEY |
| Credential | M.D. |
| Practice Address |
2550 Flowood Dr Suite 200 Flowood MS 39232-9303 |
| Practice Telephone | 6019399999 |
| Practice Fax Number | 6019390590 |
| Mailing Telephone | 6019399999 |
| Mailing Fax Number | 6019390590 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 208200000X | Plastic Surgery | 11700 | MS | Allopathic & Osteopathic Physicians |
| X | 2082S0099X |
Plastic Surgery Specialization: Plastic Surgery Within the Head and Neck |
11700 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00114322 | 05 |
| Street Address |
2550 FLOWOOD DR SUITE 200 |
| City | FLOWOOD |
| State | MS |
| Zip Code | 39232-9303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255329371 | Suthin Songcharoen | Specialist | 2550 Flowood Dr, #300, Flowood, MS 39232-9303 | 2005-10-12 |
| 1578920450 | Anna Walters | Nurse Anesthetist, Certified Registered | 2550 Flowood Dr, Suite 400, Flowood, MS 39232-9303 | 2016-01-22 |
| 1255701561 | Kay Aultman Eduardo | Occupational Therapist | 2550 Flowood Dr, Suite 102, Flowood, MS 39232-9303 | 2015-09-29 |
| 1679905210 | Mississippi Ear, Nose and Throat Surgical Associates, PC | Specialist | 2550 Flowood Dr, Suite 303, Flowood, MS 39232-9303 | 2013-08-06 |
| 1134485725 | Ashley Paige Beam | Registered Nurse | 2550 Flowood Dr, #400, Flowood, MS 39232-9303 | 2012-04-08 |
| 1619244589 | Flowood River Oaks Hma Medical Group, LLC | Dietitian, Registered | 2550 Flowood Dr, Suite 302, Flowood, MS 39232-9303 | 2011-11-21 |
| 1275820722 | Sharon N Hong | Internal Medicine | 2550 Flowood Dr, Suite 300, Flowood, MS 39232-9303 | 2011-07-06 |
| 1346571775 | Rankin Laboratories LLC | Pathology | 2550 Flowood Dr, Suite 301, Flowood, MS 39232-9303 | 2010-01-25 |
| 1861623688 | Kevin Sijansky | Anesthesiology | 2550 Flowood Dr, Suite # 400, Flowood, MS 39232-9303 | 2009-07-28 |
| 1407912702 | Shellie E Cheatham | Nurse Anesthetist, Certified Registered | 2550 Flowood Dr, Suite 400, Flowood, MS 39232-9303 | 2006-12-29 |
| 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 | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346424298 | Rs Runnels Jr. M.d. Pllc | Plastic Surgery | 1055 River Oaks Dr, Flowood, MS 39232-9595 | 2007-12-27 |
| 1639221179 | Rudolph Scott Runnels Jr. | Plastic Surgery | 1055 River Oaks Drive, Flowood, MS 39232-9595 | 2007-01-17 |
| 1578631248 | Suman K. Das Md Pa | Plastic Surgery | 2629 Courthouse Crl, Flowood, MS 39232-9521 | 2006-12-01 |
| 1376564021 | Dev Anand Manisundaram | Plastic Surgery | 2550 Flowood Dr, Suite 200, Flowood, MS 39232-9303 | 2006-07-21 |
| 1124050950 | Michael G Kanosky | Plastic Surgery | 2550 Flowood Dr, Suite 200, Flowood, MS 39232-9303 | 2006-07-06 |
| 1942232772 | Michael E Jabaley | Plastic Surgery | 2550 Flowood Dr, Suite 200, Flowood, MS 39232-9303 | 2006-07-06 |
| 1851323687 | Stephen Davidson | Plastic Surgery | 2550 Flowood Dr, Suite 200, Flowood, MS 39232-9303 | 2006-07-06 |
| 1578592226 | Eric E Wegener | Plastic Surgery | 2550 Flowood Dr, Suite 200, Flowood, MS 39232-9303 | 2006-07-02 |
| 1578508735 | Adrian R Smith | Plastic Surgery | 2550 Flowood Dr, Suite 200, Flowood, MS 39232-9303 | 2006-06-19 |
| 1124063920 | Kenneth R Barraza | Plastic Surgery | 2550 Flowood Dr, Suite 200, Flowood, MS 39232-9303 | 2006-06-17 |
| 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.