STEPHANIE HARRELL (NPI# 1730541640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730541640 |
| Entity Type | Individual |
| Full Name | STEPHANIE HARRELL |
| Credential | M.D. |
| Practice Address |
309 Llewellyn Ave Mccomb MS 39648-2703 |
| Practice Telephone | 6016847623 |
| Practice Fax Number | 8777959891 |
| Mailing Telephone | 6014473940 |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2019-06-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 26554 | MS | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 601 Childrens Ln, Children's Hospital of The King's Daughters, Norfolk, VA 235071910 | 7576687293 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235219171 | Stephanie Shealy Harrell | Legal Medicine | 2725 Se Maricamp Road, Ocala, FL 34471 | 2006-10-16 |
| 1740318344 | Stephanie Allyn Harrell | Social Worker | 224 Great Bridge Blvd, Chesapeake, VA 23320-3904 | 2007-03-02 |
| Street Address |
309 LLEWELLYN AVE |
| City | MCCOMB |
| State | MS |
| Zip Code | 39648-2703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457857062 | Ochsner Mississippi, LLC | Internal Medicine | 309 Llewellyn Ave, Mccomb, MS 39648-2703 | 2018-04-03 |
| 1942713805 | Ochsner Clinic LLC | General Practice | 309 Llewellyn Ave, Mccomb, MS 39648-2703 | 2017-11-14 |
| 1063925519 | Maranda Jordan Guess | Nurse Practitioner | 309 Llewellyn Ave, Mccomb, MS 39648-2703 | 2017-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952910366 | Ct Stamps Inc | Pharmacy | 206 Marion Avenue, Mccomb, MS 39648 | 2020-07-31 |
| 1952910457 | Fresenius Medical Care East Mccomb Dialysis, LLC | Clinic/Center | 103 Business Center Drive, Mccomb, MS 39648 | 2020-07-30 |
| 1902423312 | Joseph Edward Mingo II | Counselor | 513 Lee St, Mccomb, MS 39648 | 2020-07-01 |
| 1427608769 | Benda Truvillion | Technician | 2128 Park Dr. Ext., Mccomb, MS 39648 | 2019-09-18 |
| 1295228187 | Edna Ruth Winston | Counselor | Sw Ms Mental Health Complex, 1701 White St, Mccomb, MS 39648 | 2018-06-14 |
| 1386153450 | Sholitha Nunnery | Counselor | 502 North Cherry Street, Mccomb, MS 39648 | 2017-09-21 |
| 1548600612 | Jordan Harrington | Nurse Practitioner | 303 Marion Ave., Mccomb, MS 39648 | 2013-07-03 |
| 1891096236 | Zwound Care | Family Medicine | 1126 Country Club Road, Mccomb, MS 39648 | 2010-11-16 |
| 1588891717 | Kelly Edmondson | Physical Therapy Assistant | 1301a Harrison Ave, Mccomb, MS 39648 | 2009-06-15 |
| 1962647651 | Gwendolyn Michelle Brown | Home Health Aide | 1114 1/2 Venable St., Mccomb, MS 39648 | 2008-12-09 |
| Find all providers in zip 39648 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902888316 | Mccomb Children's Clinic, Ltd | Pediatrics | 300 Rawls Dr Ste 100, Mccomb, MS 39648-2852 | 2005-11-19 |
| 1750363156 | Michael Artigues | Pediatrics | 300 Rawls Dr Suite 100, Mccomb, MS 39648-2852 | 2005-11-19 |
| 1366542151 | Floyd Thomas Carey | Pediatrics | 300 Rawls Dr Ste 100, Mccomb, MS 39648-2852 | 2006-09-22 |
| 1013999416 | Helen K Clayton | Pediatrics | 300 Rawls Dr Suite 100, Mccomb, MS 39648 | 2005-11-19 |
| 1073594743 | Christopher Charles | Pediatrics | 300 Rawls Dr, Mccomb, MS 39648-2852 | 2005-11-09 |
| 1134117294 | Patrick Evan Tarpy | Pediatrics | 300 Rawls Dr, Suite 100, Mccomb, MS 39648-2852 | 2005-10-12 |
| 1952399016 | Antoinette Marie Hubble | Pediatrics | 300 Rawls Dr, Suite 100, Mccomb, MS 39648-2852 | 2005-10-12 |
| 1376531368 | Milton Shelby Smith | Pediatrics | 300 Rawls Dr, Suite 100, Mccomb, MS 39648-2852 | 2005-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508464181 | Meredith Sanford | Pediatrics | 101 Farm View Dr, Oxford, MS 38655-7728 | 2020-10-15 |
| 1255947297 | Gluckstadt Tc Kids, LLC | Pediatrics | 101 Lexington Dr Ste A, Madison, MS 39110-6986 | 2020-09-16 |
| 1982224895 | Vpa PC | Pediatrics | 111 E Capitol St Ste 215, Jackson, MS 39201-2108 | 2020-04-21 |
| 1992356166 | Marcie P Errington | Pediatrics | 3110 Sumrall Rd, Crystal Springs, MS 39059-8955 | 2019-09-27 |
| 1235635566 | North Mississippi Medcial Center, Inc. | Pediatrics | 1150 S Green St Ste D, Tupelo, MS 38804-4901 | 2018-04-04 |
| 1538675798 | The Pedz Clinic | Pediatrics | 610 3rd St Sw, Magee, MS 39111-3994 | 2017-12-22 |
| 1841715539 | Happicare One LLC Ppec Pediatric Daycare | Pediatrics | 213 W Park Ave, Greenwood, MS 38930-3008 | 2017-08-03 |
| 1336598028 | Andrea Logan Md | Pediatrics | 3631 Bienville Blvd Ste B, Ocean Springs, MS 39564-5702 | 2016-06-03 |
| 1891179768 | Desoto Children's Clinic - Olive Branch | Pediatrics | 7145 Goodman Road, Olive Branch, MS 38654 | 2015-07-10 |
| 1093109316 | Justin M. Lay | Pediatrics | 7726 Old Canton Road, Madison, MS 39110 | 2015-03-25 |
| Find all providers with the same taxonomy | ||||
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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.