MEDICAL FOUNDATION OF CENTRAL MS INC. (NPI# 1760905509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760905509 |
Entity Type | Organization |
Organization Name | MEDICAL FOUNDATION OF CENTRAL MS INC. |
Other Organization Name | BAPTIST MEDICAL CLINIC EAR NOSE AND THROAT |
Practice Address |
401 Baptist Dr Ste 206 Madison MS 39110-2011 |
Mailing Address |
1600 N State St Ste 400 Jackson MS 39202-1689 |
Practice Telephone | 6019731583 |
Practice Fax Number | 6019731609 |
Mailing Telephone | 6019441717 |
Mailing Fax Number | 6019449780 |
Enumeration Date | 2017-07-24 |
Last Update Date | 2017-07-24 |
Authorized Official Name | JUSTIN RHODES (PRESIDENT BAPTIST MEDICAL CLINICS) |
Authorized Official Telephone | 6012924261 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Baptist Medical Clinic Ear Nose and Throat | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912459223 | Medical Foundation of Central Ms Inc. | Internal Medicine | 903 E Sunflower Rd, Suite 500, Cleveland, MS 38732-2835 | 2016-11-03 |
1528428216 | Medical Foundation of Central Ms Inc. | Internal Medicine | 1100 Highway 16 E, Carthage, MS 39051-4222 | 2016-02-24 |
1760858286 | Medical Foundation of Central Ms Inc. | Family Medicine | 1200 N State St, 5th Floor, Jackson, MS 39202-2000 | 2015-08-19 |
1417334178 | Medical Foundation of Central Ms Inc. | Obstetrics & Gynecology | 1600 N State St, Suite 400, Jackson, MS 39202-1689 | 2015-05-01 |
Street Address |
401 BAPTIST DR STE 206 |
City | MADISON |
State | MS |
Zip Code | 39110-2011 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659630911 | Tyler Wayne Winford | Otolaryngology | 401 Baptist Dr Ste 206, Madison, MS 39110-2011 | 2012-05-08 |
1326561721 | Kasi Cassandra Saucier | Audiologist | 401 Baptist Dr Ste 206, Madison, MS 39110-2011 | 2017-07-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134784689 | Therapy South - Gluckstadt LLC | Physical Therapist | 1716 Us 51, Ste N, Madison, MS 39110 | 2019-05-09 |
1871054098 | Summit Medical Solutions | Durable Medical Equipment & Medical Supplies | 107 Azalea Street, Madison, MS 39110 | 2019-03-29 |
1912488198 | Madison Medical Compounding Pharmacy | Pharmacy | 111 Fountains Blvd. Building B Ste. A, Madison, MS 39110 | 2018-08-24 |
1679061469 | Nuvena Vein Clinic | Anesthesiology | 120 Fountains Blvd, Madison, MS 39110 | 2018-04-26 |
1467960484 | Brick City Drugs, LLC | Durable Medical Equipment & Medical Supplies | 159 Fountains Blvd, Madison, MS 39110 | 2018-01-11 |
1093227589 | Hannah Monk Hawthorne | Counselor | 930 Ebenezer Blvd., Suite D, Madisin, MS 39110 | 2017-10-25 |
1548786650 | Kimberly Allen | Pharmacist | 1100 Us- 51, Madison, MS 39110 | 2017-08-21 |
1891218186 | Delta Elizabeth Stark | Chiropractor | 1085 Gluckstadt Rd., Bld 300 Ste E, Madison, MS 39110 | 2017-07-19 |
1861914848 | Laura Hartlein | Dietitian, Registered | 200 Park Circle Dr. #2, Flowood, MS 39110 | 2017-07-12 |
1831620608 | Ona Irby | Occupational Therapist | 105 Munich Dr, Madison, MS 39110 | 2017-03-23 |
Find all providers in zip 39110 |
Taxonomy Code | 207Y00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184010977 | Chad Michael Ennis | Otolaryngology | 1 S Park St Fl 6, Madison, WI 53715-1375 | 2015-04-08 |
1659630911 | Tyler Wayne Winford | Otolaryngology | 401 Baptist Dr Ste 206, Madison, MS 39110-2011 | 2012-05-08 |
1700145091 | Kenneth Brian Lewoczko | Otolaryngology | 600 Highland Ave., H4/831, Uw Hospital and Clinics, Madison, WI 53792 | 2012-05-08 |
1871814715 | Norval Eldred Bernhardt | Otolaryngology | 9 Holt Ct, Madison, WI 53719-3036 | 2010-06-15 |
1215057492 | North Alabama Ent Associates, P.C. | Otolaryngology | 8337 Highway 72 W, Suite 301, Madison, AL 35758-9547 | 2007-03-30 |
1609831387 | Ashley G Anderson | Otolaryngology | 531 N Pinckney St Unit E, Madison, WI 53703-1432 | 2006-04-18 |
1265432827 | Michael H Mcdonald Mdsc | Otolaryngology | 3209 Dryden Dr, Madison, WI 53704-3015 | 2005-07-26 |
1700382470 | Nainika Nanda | Otolaryngology | 600 Highland Ave, Madison, WI 53792-0001 | 2018-04-02 |
1518311752 | Thomas Gessert | Otolaryngology | 600 Highland Ave, Madison, WI 53792-0001 | 2016-04-13 |
1568825834 | Lucas Gregory Leonhard | Otolaryngology | 600 Highland Ave, Madison, WI 53792-0001 | 2016-04-03 |
Find all providers in MADISON |
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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.