R DEAVER COLLINS MD PA (NPI# 1780028670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780028670 |
Entity Type | Organization |
Organization Name | R DEAVER COLLINS MD PA |
Practice Address |
1190 N State St Suite 302 Jackson MS 39202-2413 |
Practice Telephone | 6013537090 |
Mailing Telephone | 6013537090 |
Enumeration Date | 2013-04-22 |
Last Update Date | 2013-04-22 |
Authorized Official Name | DR. ROBERT DEAVER COLLINS (PRESIDENT) |
Authorized Official Telephone | 6013537090 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
AC1150414 | MS | Allopathic & Osteopathic Physicians |
Street Address |
1190 N STATE ST SUITE 302 |
City | JACKSON |
State | MS |
Zip Code | 39202-2413 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881699775 | Richard L Blount | Ophthalmology | 1190 N State St, Ste 403, Jackson, MS 39202-2413 | 2005-06-16 |
1871086207 | Sarah Kelly Erwin | Dietitian, Registered | 1190 N State St, Jackson, MS 39202-2413 | 2018-06-11 |
1184081234 | Tammy Sims Davis | Physician Assistant | 1190 N State St, Suite 502, Jackson, MS 39202-2413 | 2016-01-20 |
1720453145 | Jarrod Bryant | Physical Therapist | 1190 N State St, Jackson, MS 39202-2413 | 2015-12-10 |
1750756201 | Mississippi Baptist Health Systems | Physical Therapist | 1190 N State St, Jackson, MS 39202-2413 | 2015-12-09 |
1164897807 | Benjamin Adcock | Physical Therapist | 1190 N State St, Jackson, MS 39202-2413 | 2015-12-07 |
1275903684 | Brian Gates | Nurse Practitioner | 1190 N State St, Suite 300, Jackson, MS 39202-2413 | 2015-09-28 |
1376940130 | Joel Christopher Boothe | Registered Nurse | 1190 N State St, Suite 301, Jackson, MS 39202-2413 | 2014-11-21 |
1134546294 | Tammy Bartholomew | Social Worker | 1190 N State St, Suite 301, Jackson, MS 39202-2413 | 2014-03-26 |
1366866154 | Courtney Wright | Physician Assistant | 1190 N State St, Suite 502, Jackson, MS 39202-2413 | 2014-02-13 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982234183 | Eva Mackenzie Carmody | Physician Assistant | 1190 N State St Suite 502, Jackson, MS 39202 | 2020-01-16 |
1750868691 | Katherine Walters | Nurse Practitioner | 501 Marshall St., Suite 400, Jackson, MS 39202 | 2018-07-24 |
1932638749 | Tylan Lee | Social Worker | 860 East River Place Suite 100, Jackson, MS 39202 | 2017-06-06 |
1417314725 | Euna Jyles | Counselor | 860 E River Pl, Jackson, MS 39202 | 2016-01-19 |
1255712048 | Edward Jonathan Breight | Specialist/Technologist | 1325 East Fortication Street, Jackson, MS 39202 | 2015-06-17 |
1881037703 | Kara Spinks Logan | Surgery | 1190 N State St Ste 502, Jackson, MS 39202 | 2013-04-10 |
1477876530 | Mick Inc. | Technician | 334 Josanna Street, Suite #209, Jackson, MS 39202 | 2010-03-03 |
1073724910 | Paul Frederic Dare | Anesthesiology | 1151 North State St., Suite 311, Jackson Anesthesia Associates, Jackson, MS 39202 | 2007-05-24 |
1225247703 | Lynn Kincannon Holland | Counselor | 911 Manship Street, Unit A, Jackson, MS 39202 | 2007-05-22 |
1457568149 | Incare Inc | Pulmonary Function Technologist | 1151 North State St, Suite 406, Jackson, MS 39202 | 2007-05-16 |
Find all providers in zip 39202 |
Taxonomy Code | 207RR0500X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Rheumatology |
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
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 |
---|---|---|---|---|
1952745663 | Neal Shparago Do Pa | Internal Medicine | 1190 N State St Ste 302, Jackson, MS 39202-2413 | 2013-04-24 |
1487747234 | Rheumatology Associates, Pllc | Internal Medicine | 1190 N State St Ste 303, Jackson, MS 39202-2413 | 2006-10-02 |
1497702484 | Madhu Arora | Internal Medicine | 1201 E Michigan, Ste 100, Jackson, MI 49201 | 2006-05-27 |
1598202459 | W.a. Foote Memorial Hospital, Inc | Internal Medicine | 205 N. East Ave, Attn: Provider Enrollment, Jackson, MI 49201 | 2017-01-30 |
1356732481 | St Dominic Medical Associates LLC | Internal Medicine | 971 Lakeland Dr, Suite, Jackson, MS 39216-4643 | 2015-02-11 |
1124432398 | Cathy Patricia Lee Ching | Internal Medicine | 2500 N State St, Jackson, MS 39216-4500 | 2014-06-16 |
1457763336 | Nancy Salloum Harrison | Internal Medicine | 2500 N State St, Jackson, MS 39216-4500 | 2014-05-27 |
1215224886 | Amanda Horne Fowler | Internal Medicine | 2500 N State St, Dept. of Medicine, Jackson, MS 39216-4500 | 2011-07-05 |
1578873683 | River Oaks Management Company, LLC | Internal Medicine | 1860 Chadwick Dr, Suite 201, Jackson, MS 39204-3463 | 2010-10-08 |
1275713471 | Mississippi Arthritis Clinic Pllc | Internal Medicine | 971 Lakeland Dr, Ste 1157, Jackson, MS 39216-4643 | 2007-11-06 |
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.