MICHAEL EDWIN BEARB (NPI# 1720022130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720022130 |
| Entity Type | Individual |
| Full Name | MICHAEL EDWIN BEARB |
| Credential | M.D. |
| Practice Address |
810 W Forest Ave Jackson TN 38301-3942 |
| Mailing Address |
Po Box 3572 Jackson TN 38303-3572 |
| Practice Telephone | 7316681853 |
| Practice Fax Number | 7316647731 |
| Mailing Telephone | 7316681853 |
| Mailing Fax Number | 7316647731 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2011-01-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
24779 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3078790 | 05 |
| Street Address |
810 W FOREST AVE |
| City | JACKSON |
| State | TN |
| Zip Code | 38301-3942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467448753 | Don M Jackson | Nurse Anesthetist, Certified Registered | 810 W Forest Ave, Jackson, TN 38301-3942 | 2005-09-22 |
| 1528190196 | Ruben Fernandez Jr. | Anesthesiology | 810 W Forest Ave, Jackson, TN 38301-3942 | 2007-03-09 |
| 1043309271 | Cardiac Anesthesia Group | Anesthesiology | 810 W Forest Ave, Jackson, TN 38301-3942 | 2006-10-12 |
| 1376513580 | John K Forbes | Nurse Anesthetist, Certified Registered | 810 W Forest Ave, Jackson, TN 38301-3942 | 2006-01-23 |
| 1326018466 | Majorie A Looney | Nurse Anesthetist, Certified Registered | 810 W Forest Ave, Jackson, TN 38301-3942 | 2006-01-23 |
| 1740250893 | Kara Mason | Nurse Anesthetist, Certified Registered | 810 W Forest Ave, Jackson, TN 38301-3942 | 2006-01-23 |
| 1295705358 | Sandra Weaver | Nurse Anesthetist, Certified Registered | 810 W Forest Ave, Jackson, TN 38301-3942 | 2006-01-23 |
| 1336125285 | Marcus E Meekins | Anesthesiology | 810 W Forest Ave, Jackson, TN 38301-3942 | 2005-12-21 |
| 1063408797 | Pamela J Austin | Nurse Anesthetist, Certified Registered | 810 W Forest Ave, Jackson, TN 38301-3942 | 2005-09-27 |
| 1861488595 | Cynthia G Anderson | Nurse Anesthetist, Certified Registered | 810 W Forest Ave, Jackson, TN 38301-3942 | 2005-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634696 | Lindsey Crowder | Social Worker | 127 Mccowat Street, Jackson, TN 38301 | 2020-09-21 |
| 1366928087 | Primary Care - South Limited | Clinic/Center | 1385 South Highland Ave, Suite B-1, Jackson, TN 38301 | 2018-07-16 |
| 1629592522 | Tlc Home Care Services, LLC | In Home Supportive Care | 39 Old Denmark Rd, Jackson, TN 38301 | 2017-08-01 |
| 1841730421 | Southern Hands Quality Care | In Home Supportive Care | 1298 N. Highland Avenue. Suite 14, Jackson, TN 38301 | 2017-03-02 |
| 1881044477 | Katie Mcmickin | Counselor | 163 Sunnyside Dr, Jackson, TN 38301 | 2016-06-15 |
| 1164815064 | Hailey Archer | Dietitian, Registered | 720 W. Forest Ave., Jackson, TN 38301 | 2015-03-17 |
| 1740673714 | Regina Tignor | Nurse Practitioner | 1410 Us Highway 70 Byp, Jackson, TN 38301 | 2015-03-13 |
| 1194114033 | Woman's Clinic | Obstetrics & Gynecology | 242 Coatsland, Jackson, TN 38301 | 2015-01-15 |
| 1659797702 | Worthy Walker Arrington | Nurse Practitioner | 720 West Forest Avenue, Jackson, TN 38301 | 2014-03-13 |
| 1669717302 | Lift Wellness Inc | General Practice | 101 Jackson Walk Plaza, Jackson, TN 38301 | 2012-12-06 |
| Find all providers in zip 38301 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982996567 | Mb Costello Enterprises LLC | Anesthesiology | 1501 Lakeland Dr Ste 251, Jackson, MS 39216-4848 | 2011-05-13 |
| 1841286853 | Frank Edwin Jordan | Anesthesiology | 160c W University Pkwy, Jackson, TN 38305-1667 | 2005-09-26 |
| 1841774262 | Wa Foote Memorial Hospital Inc | Anesthesiology | 205 N East Ave, Jackson, MI 49201-1753 | 2018-09-21 |
| 1316331218 | Bhumika Sherdiwala | Anesthesiology | 817 Court St, Jackson, CA 95642-2156 | 2015-03-27 |
| 1962823344 | Jackson Pain Center Pa | Anesthesiology | 1151 N State St, Suite 311, Jackson, MS 39202-2407 | 2014-01-02 |
| 1265720791 | Joel Dale Nutt | Anesthesiology | 2500 N State St, Jackson, MS 39216-4500 | 2011-07-18 |
| 1114233228 | Jackson Interventional Pain Center LLC | Anesthesiology | 379 Hospital Blvd, Jackson, TN 38305-2177 | 2010-08-26 |
| 1447446570 | Pain Consultants of West Tennessee | Anesthesiology | 160 W University Pkwy Ste C, Jackson, TN 38305-1667 | 2007-09-21 |
| 1982811097 | Mississippi Pain Management | Anesthesiology | 1 Layfair Dr, Ste 400, Jackson, MS 39232-9717 | 2007-05-17 |
| 1528190196 | Ruben Fernandez Jr. | Anesthesiology | 810 W Forest Ave, Jackson, TN 38301-3942 | 2007-03-09 |
| Find all providers in JACKSON | ||||
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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.