ZACHARY BRIDGES


Address: 969 Lakeland Dr, Jackson, MS 39216-4606
Phone: 6012002000

ZACHARY BRIDGES (NPI# 1710407192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710407192
Entity Type Individual
Full Name ZACHARY BRIDGES
Credential RT(R)
Practice Address 969 Lakeland Dr
Jackson
MS 39216-4606
Mailing Address 719 Black Oak Cir
Pearl
MS 39208-5208
Practice Telephone 6012002000
Enumeration Date 2017-06-26
Last Update Date 2017-06-26
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 247100000X Radiologic Technologist 563727 MS Technologists, Technicians & Other Technical Service Providers

Other Providers ZACHARY BRIDGES

NPI Name Taxonomy Address Enumeration
1619590080 Zachary Bridges Physical Therapist 600 Air Park Rd, Tupelo, MS 38801-7022 2020-05-20
1831441716 Zachary Bridges Physician Assistant 3372 Keith St Nw, Cleveland, TN 37312-3718 2012-10-03

Office Location

Street Address 969 LAKELAND DR
City JACKSON
State MS
Zip Code 39216-4606

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306843131 Joseph N Candelora Pathology 969 Lakeland Dr, Jackson, MS 39216-4606 2005-07-07
1316554736 Brooke Collins 969 Lakeland Dr, Jackson, MS 39216-4606 2020-09-29
1972117232 William Paul Coe Nurse Practitioner 969 Lakeland Dr, Jackson, MS 39216-4606 2020-09-03
1376157099 Kathryn Taylor Parvin Radiology 969 Lakeland Dr, Jackson, MS 39216-4699 2020-09-01
1235741646 Stephanie H Atkins Student in an Organized Health Care Education/Training Program 969 Lakeland Dr, Jackson, MS 39216-4606 2020-08-18
1063038636 Ayanna Washington Registered Nurse 969 Lakeland Dr, Jackson, MS 39216-4606 2020-06-19
1669092227 Christopher L Stephens Nurse Anesthetist, Certified Registered 969 Lakeland Dr, Jackson, MS 39216-4606 2020-04-23
1578190385 Lindsey Elizabeth Jibol Counselor 969 Lakeland Dr, Jackson, MS 39216-4699 2020-03-24
1801436951 Callie Bridges Nurse Anesthetist, Certified Registered 969 Lakeland Dr, Jackson, MS 39216-4606 2020-01-07
1053951194 Zachary Halliwell Nurse Anesthetist, Certified Registered 969 Lakeland Dr, Jackson, MS 39216-4606 2020-01-07
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861011553 Ashley Melancon Prewitt Registered Nurse St. Dominic's North Campus, Behavioral Health, Jackson, MS 39216 2020-04-13
1194353391 Brianna Arrington Student in an Organized Health Care Education/Training Program Med/ Peds, 2500 N. State St., Jackson, MS 39216 2020-04-01
1720616485 Roshina Khalid Khan Student in an Organized Health Care Education/Training Program Department of Anesthesiology, Ummc, 2500 N. State St., Jackson, MS 39216 2020-03-30
1275183550 Amanda Lynn Morellato Dentist Ummc School of Dentistry, 2500 North State Street, Jackson, MS 39216 2019-09-18
1396305553 Abhishek Chhabra Student in an Organized Health Care Education/Training Program Lakeland Family Medicine Clinic, 878 Lakeland Dr., Jackson, MS 39216 2019-06-19
1427615996 Hometown Diagnostics Clinical Medical Laboratory Translational Research Center Tr311, 2500 North State Street, Jackson, MS 39216 2019-05-21
1346807773 Shukundala C Smith Behavior Technician New Learning Resources 2510 Lakeland Terrace, Jackson, MS 39216 2019-05-21
1063901098 G Eli Howell Md Pllc Plastic Surgery 971 Lakeland Dr Ste 225, Jackson, MS 39216 2018-05-04
1588168132 Caleb Zumbro Student in an Organized Health Care Education/Training Program Ummc Med/peds, 2500 N. State St., Jackson, MS 39216 2018-03-20
1639677230 Walgreen Co Pharmacy 971 Lakeland Dr Ste 101, Jackson, MS 39216 2018-01-29
Find all providers in zip 39216

Taxonomy Information

Taxonomy Code 247100000X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Radiologic Technologist

Taxonomy Definition

An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356721245 Davin Ray Modisette Radiologic Technologist 18 Northland Dr, Jackson, TN 38301-3308 2015-06-04
1487091997 Jason Wayne Jones Radiologic Technologist 205 N East Ave, Jackson, MI 49201-1753 2013-05-24
1528254554 Douglas E Brown Radiologic Technologist 1855 Lakeland Dr, Suite J10, Jackson, MS 39216-4913 2007-09-24

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1245852573 United Diagnostic Services Ms LLC Radiologic Technologist 6897 Crumpler Blvd Ste 201d, Olive Branch, MS 38654-1927 2020-05-08
1922497387 Charles Alumbaugh Radiologic Technologist 9 Lake Loop, Petal, MS 39465-9002 2015-01-22
1437569811 Kali Benet' Ford Radiologic Technologist 734 Hartwood Cv, Brandon, MS 39042-6008 2014-05-06
1417288630 Kimberly Rose Easterling Radiologic Technologist 6221 Hermosa Dr, Ocean Springs, MS 39564-2512 2010-01-28
1174793202 Darren Scott Allsup Radiologic Technologist 146 Garden Terrace Dr, Oxford, MS 38655-9329 2008-03-05
1811931025 Lynn T Carvel Radiologic Technologist 9085 Sandidge Center Cove, Olive Branch, MS 38654 2006-06-16

Competitor

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City JACKSON
Zip Code 39216

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Dataset Information

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.

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