HERMOGENES V THOMAS (NPI# 1740349257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740349257 |
Entity Type | Individual |
Full Name | HERMOGENES V THOMAS |
Credential | M.D. |
Practice Address |
4555 Highland Park Dr Meridian MS 39307-5429 |
Mailing Address |
Po Box 4128 Meridian MS 39304-4128 |
Practice Telephone | 6014826186 |
Practice Fax Number | 6014835543 |
Mailing Telephone | 6014826186 |
Mailing Fax Number | 6014835543 |
Enumeration Date | 2006-12-08 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | 204L | MS | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | 00119305 | 05 |
Street Address |
4555 HIGHLAND PARK DR |
City | MERIDIAN |
State | MS |
Zip Code | 39307-5429 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609232123 | Vickie L Warren | Nurse Practitioner | 4555 Highland Park Dr, Meridian, MS 39307-5429 | 2016-01-13 |
1326458837 | Marcy Tingle | Pharmacist | 4555 Highland Park Dr, Meridian, MS 39307-5429 | 2014-05-06 |
1447660956 | Donald Mckay | Pharmacist | 4555 Highland Park Dr, Meridian, MS 39307-5429 | 2014-05-06 |
1356689640 | Angela Marshon Mars | Counselor | 4555 Highland Park Dr, Meridian, MS 39307-5429 | 2013-01-22 |
1891059184 | Curtis Lee Jones | Social Worker | 4555 Highland Park Dr, Meridian, MS 39307-5429 | 2012-07-02 |
1558679902 | Physician Group | Clinic/Center | 4555 Highland Park Dr, Meridian, MS 39307-5429 | 2010-09-20 |
1649587460 | Stella Elizabeth Gervin-ward | Social Worker | 4555 Highland Park Dr, Meridian, MS 39307-5429 | 2010-09-01 |
1629394853 | East Mississippi State Hospital | Nursing Facility/Intermediate Care Facility | 4555 Highland Park Dr, Meridian, MS 39307-5429 | 2010-04-13 |
1093038234 | Magnolia Clinic | Clinic/Center | 4555 Highland Park Dr, Meridian, MS 39307-5429 | 2010-03-02 |
1235373663 | Kim Elliot Nagel | Psychiatry & Neurology | 4555 Highland Park Dr, Meridian, MS 39307-5429 | 2009-04-29 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841824232 | Erica Sheree Smith | Registered Nurse | 1818 College Dr, Meridian, MS 39307 | 2020-02-25 |
1518481480 | Derrick Pringle | Social Worker | 110 48th Ave, Meridian, MS 39307 | 2017-08-01 |
1821519547 | Leslie Rutkowski | Student in an Organized Health Care Education/Training Program | 2514 67th Avenue Loop Suite 112, Meridian, MS 39307 | 2017-07-03 |
1811254931 | Meridian Community College | Dentist | 910 Highway 19 North, Meridian, MS 39307 | 2012-04-13 |
1548533672 | Carvan Lorraine Carter | Counselor | 1807 39th Pl, Meridian, MS 39307 | 2012-02-21 |
1699921148 | Sara B Smith | Counselor | 1415 College Drive, Meridian, MS 39307 | 2008-08-15 |
1285856112 | Jan Parr Boggs | Psychologist | 1508 37th Avenue, Meridian, MS 39307 | 2007-05-02 |
1720694029 | Michelle Gomez Dickerson | Registered Nurse | 1818 College Drive, Meridian, MS 39307 | 2020-09-22 |
1770116030 | Briana Shanee Brunson | Nurse Practitioner | 1818 College Drive, Meridian, MS 39307 | 2020-02-14 |
1619507407 | Brenda A Thompson | Nurse Practitioner | 1818 College Drive, Meridian, MS 39307 | 2020-01-21 |
Find all providers in zip 39307 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
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---|---|---|---|---|
1952701401 | Southern Idaho Health Partners LLC | General Practice | 360 E Montvue Dr, Meridian, ID 83642-6318 | 2014-09-02 |
1992864052 | Gloria F Gomez | General Practice | 1818 College Drive, Meridian, MS 39307-5429 | 2006-12-06 |
1831264878 | Lloyd D Stolworthy | General Practice | 1648 Nw 1st Street, Meridian, ID 83642 | 2006-11-22 |
1578643565 | Norma E. Murillo-smith | General Practice | 905c S Frontage Rd, Meridian, MS 39301-6113 | 2006-10-16 |
1154414191 | Steven M. Piper | General Practice | 1801 Fuller Rd, Meridian, MS 39309-5106 | 2006-10-02 |
1245232495 | Francis E Harman | General Practice | 2024 15th St Fl 2, Meridian, MS 39301-4130 | 2005-06-01 |
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1235601907 | William Carey University | General Practice | 710 William Carey Pkwy, Hattiesburg, MS 39401-7842 | 2018-12-19 |
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1790265932 | Antonio Reyes Del Castillo Jr. | General Practice | 590 Parchman Road 12, Parchman, MS 38738-3001 | 2018-08-16 |
1700397239 | Marysol Camejo Romero | General Practice | 728 Benwick Dr, Brandon, MS 39047-8111 | 2017-10-24 |
1013431519 | Madena Jane Gibson | General Practice | 1695 Moses Rd, Raymond, MS 39154-8766 | 2017-07-27 |
1942740188 | Personalized Wellness | General Practice | 573 Highway 51 Ste D, Ridgeland, MS 39157-2605 | 2017-03-07 |
1366991523 | Jackson State University | General Practice | 1400 Jr Lynch St, Jackson, MS 39217-0002 | 2016-09-29 |
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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.