MID-SOUTH PERINATAL ASSOCIATES PC (NPI# 1780608331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780608331 |
| Entity Type | Organization |
| Organization Name | MID-SOUTH PERINATAL ASSOCIATES PC |
| Practice Address |
620 Skyline Dr. Jackson TN 38301 |
| Mailing Address |
P.o. Box 11505 Jackson TN 38308 |
| Practice Telephone | 7315416939 |
| Practice Fax Number | 7315416836 |
| Mailing Telephone | 7315416939 |
| Mailing Fax Number | 7315416836 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2019-06-26 |
| Authorized Official Name | NATHAN J HOELDTKE (PRESIDENT/ CEO) |
| Authorized Official Telephone | 7315416836 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
620 SKYLINE DR. |
| City | JACKSON |
| State | TN |
| Zip Code | 38301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634696 | Lindsey Crowder | Social Worker | 127 Mccowat Street, Jackson, TN 38301 | 2020-09-21 |
| 1366928087 | Primary Care - South Limited | Clinic/Center | 1385 South Highland Ave, Suite B-1, Jackson, TN 38301 | 2018-07-16 |
| 1629592522 | Tlc Home Care Services, LLC | In Home Supportive Care | 39 Old Denmark Rd, Jackson, TN 38301 | 2017-08-01 |
| 1841730421 | Southern Hands Quality Care | In Home Supportive Care | 1298 N. Highland Avenue. Suite 14, Jackson, TN 38301 | 2017-03-02 |
| 1881044477 | Katie Mcmickin | Counselor | 163 Sunnyside Dr, Jackson, TN 38301 | 2016-06-15 |
| 1164815064 | Hailey Archer | Dietitian, Registered | 720 W. Forest Ave., Jackson, TN 38301 | 2015-03-17 |
| 1740673714 | Regina Tignor | Nurse Practitioner | 1410 Us Highway 70 Byp, Jackson, TN 38301 | 2015-03-13 |
| 1194114033 | Woman's Clinic | Obstetrics & Gynecology | 242 Coatsland, Jackson, TN 38301 | 2015-01-15 |
| 1659797702 | Worthy Walker Arrington | Nurse Practitioner | 720 West Forest Avenue, Jackson, TN 38301 | 2014-03-13 |
| 1669717302 | Lift Wellness Inc | General Practice | 101 Jackson Walk Plaza, Jackson, TN 38301 | 2012-12-06 |
| Find all providers in zip 38301 | ||||
| Taxonomy Code | 207VM0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Maternal & Fetal Medicine |
| An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861894982 | Saint Peter's Specialty Physicians, P.C. | Obstetrics & Gynecology | 2290 W County Line Rd Ste 101, Jackson, NJ 08527-2156 | 2014-09-19 |
| 1780843995 | Mississippi Maternal-fetal Medicine, P.a. | Obstetrics & Gynecology | 501 Marshall St, Suite 601, Jackson, MS 39202-1651 | 2008-06-03 |
| 1316003114 | Kenneth G.perry Jr., M.d P.a | Obstetrics & Gynecology | 501 Marshall St, Ste 505, Jackson, MS 39202-1651 | 2006-12-28 |
| 1518043512 | Arthur Robert Vendola | Obstetrics & Gynecology | 1100 E Michigan Ave, Suite 202, Jackson, MI 49201-1847 | 2006-10-31 |
| 1326073404 | Rick Martin | Obstetrics & Gynecology | 2500 N State St, Jackson, MS 39216-4500 | 2006-07-11 |
| 1699706390 | James Martin | Obstetrics & Gynecology | 2500 N State St, Jackson, MS 39216-4500 | 2006-07-05 |
| 1033154935 | James Bofill | Obstetrics & Gynecology | 2500 N State St, Jackson, MS 39216-4500 | 2006-06-17 |
| 1184661373 | Robert William Naef IIi | Obstetrics & Gynecology | 501 Marshall St, Suite 601, Jackson, MS 39202-1651 | 2006-05-31 |
| 1093752297 | Kenneth Giles Perry Jr. | Obstetrics & Gynecology | 501 Marshall St, Suite 601, Jackson, MS 39202-1651 | 2006-05-31 |
| 1588649321 | Funminiyi A Taylor | Obstetrics & Gynecology | 2500 N State St, Jackson, MS 39216-4500 | 2005-12-14 |
| 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.