STEPHANIE WARNER (NPI# 1720182322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720182322 |
| Entity Type | Individual |
| Full Name | STEPHANIE WARNER |
| Credential | MD |
| Practice Address |
200 Hospital Dr Tylertown MS 39667-2020 |
| Practice Telephone | 6018765303 |
| Practice Fax Number | 6018760653 |
| Mailing Telephone | 6018765303 |
| Mailing Fax Number | 6018760653 |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2012-06-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 10709 | MS | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 11330 | NV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 06706285 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346754454 | Stephanie Warner | Naturopath | 2505 Se 11th Ave Ste 268, Portland, OR 97202-1063 | 2017-11-28 |
| 1457995185 | Stephanie Warner | Behavior Technician | 2521 N Elms Rd, Flushing, MI 48433-9423 | 2019-11-06 |
| 1801283098 | Stephanie Warner | Massage Therapist | 706 S Butterfield Rd, Mundelein, IL 60060-9458 | 2015-04-25 |
| 1740434232 | Stephanie Michelle Warner | Counselor | 90 N 31st St, Clinton, OK 73601-9116 | 2008-11-10 |
| Street Address |
200 HOSPITAL DR |
| City | TYLERTOWN |
| State | MS |
| Zip Code | 39667-2020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891320164 | Katherine Elizabeth Schubert | Nurse Practitioner | 200 Hospital Dr, Tylertown, MS 39667-2020 | 2020-03-07 |
| 1093137309 | Carol Hobgood | Nurse Practitioner | 200 Hospital Dr, Tylertown, MS 39667-2020 | 2014-01-07 |
| 1982964565 | Christopher Blackwell | Nurse Practitioner | 200 Hospital Dr, Tylertown, MS 39667-2020 | 2012-05-17 |
| 1407166762 | Walthall Rural Health Clinic | Family Medicine | 200 Hospital Dr, Tylertown, MS 39667-2020 | 2010-10-20 |
| 1144530403 | Walthal Rural Health Clinic | Internal Medicine | 200 Hospital Dr, Tylertown, MS 39667-2020 | 2010-10-20 |
| 1518275544 | Walthall Rural Health Clinic | Family Medicine | 200 Hospital Dr, Tylertown, MS 39667-2020 | 2010-09-24 |
| 1255649604 | Walthall General Hospital | General Acute Care Hospital | 200 Hospital Dr, Tylertown, MS 39667 | 2010-09-20 |
| 1033433628 | Family Medicine Associates, Pa | Family Medicine | 200 Hospital Dr, Tylertown, MS 39667-2020 | 2010-03-25 |
| 1861674921 | Vonzell Osborne Williams | Internal Medicine | 200 Hospital Dr, Tylertown, MS 39667-2020 | 2007-11-30 |
| 1053424093 | Regina A Williams | Nurse Practitioner | 200 Hospital Dr, Tylertown, MS 39667-2020 | 2006-08-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891212221 | Lavarshia Newsome-pittman | Pharmacist | 3000 Plaza Drive, Tylertown, MS 39667 | 2017-08-25 |
| 1891171039 | Tanya Marie Holmes-morris | Home Health Aide | 42 West Mt. Olive Rd, Tylertown, MS 39667 | 2015-08-10 |
| 1376776930 | Family Health Care Clinic, Inc. | Clinic/Center | 225 Saint Paul Road, Tylertown, MS 39667 | 2009-08-31 |
| 1427221290 | Family Health Care Clinic, Inc. | Clinic/Center | 113 Enoch St, Tylertown, MS 39667 | 2008-04-11 |
| 1275651879 | John C Barrett | Dentist | 75 Old Hwy 98 E, Tylertown, MS 39667 | 2007-03-26 |
| 1497895551 | L & L Hospice, Inc. | Hospice Care, Community Based | 423 A Beulah, Tylertown, MS 39667 | 2007-02-07 |
| 1114009610 | Ruthie L Lewis | Licensed Practical Nurse | 423a Beulah Avenue, Tylertown, MS 39667 | 2006-10-20 |
| 1245512417 | Walthall General Hospital | Internal Medicine | 100 Hospital Drive, Tylertown, MS 39667 | 2011-09-14 |
| 1407499296 | Belinda May Ratcliff | Pharmacist | 201 Hospital Dr, Tylertown, MS 39667-2019 | 2019-10-23 |
| 1639720717 | Tylertown Pharmacy LLC | Pharmacy | 201 Hospital Dr, Tylertown, MS 39667-2019 | 2019-09-20 |
| Find all providers in zip 39667 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245512417 | Walthall General Hospital | Internal Medicine | 100 Hospital Drive, Tylertown, MS 39667 | 2011-09-14 |
| 1144530403 | Walthal Rural Health Clinic | Internal Medicine | 200 Hospital Dr, Tylertown, MS 39667-2020 | 2010-10-20 |
| 1861674921 | Vonzell Osborne Williams | Internal Medicine | 200 Hospital Dr, Tylertown, MS 39667-2020 | 2007-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275148264 | Ludmila Nahar | Internal Medicine | 18 Windwood Cv, Flowood, MS 39232-7921 | 2020-09-15 |
| 1013533637 | Ochsner Mississippi, LLC | Internal Medicine | 111 N Cleveland Ave, Long Beach, MS 39560-4713 | 2020-06-19 |
| 1215556048 | Hannah Roberts Badon | Internal Medicine | 2450 Wild Valley Dr, Jackson, MS 39211-6224 | 2020-04-12 |
| 1649809476 | Rachel Horn Mullins | Internal Medicine | 5379 Fairway St, Jackson, MS 39211-4251 | 2020-04-03 |
| 1497391288 | Ahmad Abdali Haidar Md Pa | Internal Medicine | 200 Golf Course Dr, Carriere, MS 39426-9037 | 2019-11-27 |
| 1437711991 | Amanda L Wiltshire | Internal Medicine | 1300 Sunset Dr Ste A, Grenada, MS 38901-4081 | 2019-07-05 |
| 1447812540 | Waqaar Ahmed Arshad | Internal Medicine | 3226 Kendrick Rd Apt 14, Corinth, MS 38834-9207 | 2019-06-28 |
| 1023675048 | Fitvisits LLC | Internal Medicine | 731 S Pear Orchard Rd Ste 16, Ridgeland, MS 39157-4800 | 2019-05-24 |
| 1629542832 | Internal Medicine Primary Care Pa | Internal Medicine | 140 Daughdrill Sta, Flowood, MS 39232-8406 | 2019-01-22 |
| 1003313180 | Ochsner Mississippi, LLC | Internal Medicine | 4550 Shepherd Sq, Diamondhead, MS 39525-3325 | 2018-04-06 |
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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.