MISSISSIPPI METHODIST HOSPITAL & REHABILITATION CENTER, INC. (NPI# 1790711273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790711273 |
| Entity Type | Organization |
| Organization Name | MISSISSIPPI METHODIST HOSPITAL & REHABILITATION CENTER, INC. |
| Other Organization Name | METHODIST REHAB CENTER |
| Practice Address |
1350 E Woodrow Wilson Ave Jackson MS 39216-5112 |
| Practice Telephone | 6019812611 |
| Practice Fax Number | 6013645369 |
| Mailing Telephone | 6019812611 |
| Mailing Fax Number | 6013645369 |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2010-10-15 |
| Authorized Official Name | MR. GARY ARMSTRONG (EXECUTIVE VICE PRESIDENT) |
| Authorized Official Telephone | 6013643365 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | 43-278 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 08420277 | 05 |
| Other Name | Type Code |
|---|---|
| Methodist Rehab Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598803926 | Mississippi Methodist Hospital & Rehabilitation Center, Inc. | Durable Medical Equipment & Medical Supplies | 1607 Louisville Ave, Monroe, LA 71201-6027 | 2007-02-01 |
| 1770621963 | Mississippi Methodist Hospital & Rehabilitation Center, Inc. | Durable Medical Equipment & Medical Supplies | 1 Layfair Dr Ste 300, Flowood, MS 39232-9717 | 2007-02-01 |
| 1104138940 | Mississippi Methodist Hospital & Rehabilitation Center, Inc. | Prosthetic/Orthotic Supplier | 804 1st St, Cleveland, MS 38732-2310 | 2010-07-09 |
| 1942359765 | Mississippi Methodist Hospital & Rehabilitation Center, Inc. | Rehabilitation Unit | 1350 E Woodrow Wilson Ave, Jackson, MS 39216-5112 | 2007-01-10 |
| 1841349792 | Mississippi Methodist Hospital & Rehabilitation Center, Inc. | General Acute Care Hospital | 1350 E Woodrow Wilson Ave, Jackson, MS 39216-5112 | 2007-01-09 |
| Street Address |
1350 E WOODROW WILSON AVE |
| City | JACKSON |
| State | MS |
| Zip Code | 39216-5112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922585967 | William Matthew Cliburn | Nurse Practitioner | 1350 E Woodrow Wilson Ave, Jackson, MS 39216-5112 | 2018-07-23 |
| 1104329556 | Elizabeth Luker | Nurse Practitioner | 1350 E Woodrow Wilson Ave, Jackson, MS 39216-5112 | 2018-03-13 |
| 1346563137 | Danny Ray Burgess | Psychologist | 1350 E Woodrow Wilson Ave, Jackson, MS 39216-5112 | 2010-03-08 |
| 1356572432 | Susan F Hermes | Psychologist | 1350 E Woodrow Wilson Ave, Jackson, MS 39216-5112 | 2009-08-06 |
| 1659531713 | Patricia Weaver Baird | Occupational Therapist | 1350 E Woodrow Wilson Ave, Jackson, MS 39216-5112 | 2008-06-12 |
| 1053579409 | Katie Ogletree Black | Occupational Therapist | 1350 E Woodrow Wilson Ave, Jackson, MS 39216-5112 | 2008-06-01 |
| 1740456235 | Jessica G Martinez | Occupational Therapist | 1350 E Woodrow Wilson Ave, Jackson, MS 39216-5112 | 2008-05-05 |
| 1629243100 | Peggy L Kelly | Occupational Therapist | 1350 E Woodrow Wilson Ave, Jackson, MS 39216-5112 | 2008-04-25 |
| 1477728905 | Lisa T Indest | Physical Therapist | 1350 E Woodrow Wilson Ave, Jackson, MS 39216-5112 | 2008-04-25 |
| 1386819852 | Kristi B Crisler | Speech-Language Pathologist | 1350 E Woodrow Wilson Ave, Jackson, MS 39216-5112 | 2008-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861011553 | Ashley Melancon Prewitt | Registered Nurse | St. Dominic's North Campus, Behavioral Health, Jackson, MS 39216 | 2020-04-13 |
| 1194353391 | Brianna Arrington | Student in an Organized Health Care Education/Training Program | Med/ Peds, 2500 N. State St., Jackson, MS 39216 | 2020-04-01 |
| 1720616485 | Roshina Khalid Khan | Student in an Organized Health Care Education/Training Program | Department of Anesthesiology, Ummc, 2500 N. State St., Jackson, MS 39216 | 2020-03-30 |
| 1275183550 | Amanda Lynn Morellato | Dentist | Ummc School of Dentistry, 2500 North State Street, Jackson, MS 39216 | 2019-09-18 |
| 1396305553 | Abhishek Chhabra | Student in an Organized Health Care Education/Training Program | Lakeland Family Medicine Clinic, 878 Lakeland Dr., Jackson, MS 39216 | 2019-06-19 |
| 1427615996 | Hometown Diagnostics | Clinical Medical Laboratory | Translational Research Center Tr311, 2500 North State Street, Jackson, MS 39216 | 2019-05-21 |
| 1346807773 | Shukundala C Smith | Behavior Technician | New Learning Resources 2510 Lakeland Terrace, Jackson, MS 39216 | 2019-05-21 |
| 1063901098 | G Eli Howell Md Pllc | Plastic Surgery | 971 Lakeland Dr Ste 225, Jackson, MS 39216 | 2018-05-04 |
| 1588168132 | Caleb Zumbro | Student in an Organized Health Care Education/Training Program | Ummc Med/peds, 2500 N. State St., Jackson, MS 39216 | 2018-03-20 |
| 1639677230 | Walgreen Co | Pharmacy | 971 Lakeland Dr Ste 101, Jackson, MS 39216 | 2018-01-29 |
| Find all providers in zip 39216 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| 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 Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841636057 | Advanced Rehab and Medical, PC | Physical Medicine & Rehabilitation | 2026 S Highland Ave, Jackson, TN 38301-7740 | 2013-05-14 |
| 1861678856 | Zahirul Talukder | Physical Medicine & Rehabilitation | 2108 4th St, Suite A, Jackson, MI 49203-4518 | 2008-01-21 |
| 1962510396 | Samuel Jaejin Chung | Physical Medicine & Rehabilitation | 2802 North Highland Avenue, Suite C, Jackson, TN 38305-1847 | 2006-08-27 |
| 1487664173 | Jo Lynn Polk | Physical Medicine & Rehabilitation | 4798 Mcwillie Dr, Suite C, Jackson, MS 39206-5608 | 2006-08-08 |
| 1043242548 | Emg Specialty Clinics, P.C. | Physical Medicine & Rehabilitation | 3363 N Highland Ave, Jackson, TN 38305-3487 | 2006-07-07 |
| 1477521532 | Ronald Craig Bingham | Physical Medicine & Rehabilitation | 3035 N Highland Ave, Jackson, TN 38305-3411 | 2006-03-14 |
| 1194716407 | Davidson C. Curwen | Physical Medicine & Rehabilitation | 60 Lynoak Cove, Jackson, TN 38305 | 2005-11-04 |
| 1730714668 | Ivyrehab Network Inc | Physical Medicine & Rehabilitation | 355 N County Line Rd, Jackson, NJ 08527-4426 | 2020-03-11 |
| 1659921948 | Sequoyha Raechelle Outlaw | Physical Medicine & Rehabilitation | 176c W University Pkwy # C, Jackson, TN 38305-1616 | 2019-09-18 |
| 1114589165 | Gregory Anthony White | Physical Medicine & Rehabilitation | 205 N East Ave, Jackson, MI 49201-1753 | 2019-06-30 |
| 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.