OXFORD BARIATRIC, GENERAL & METABOLIC SURGERY, PLLC (NPI# 1790806396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790806396 |
| Entity Type | Organization |
| Organization Name | OXFORD BARIATRIC, GENERAL & METABOLIC SURGERY, PLLC |
| Practice Address |
2215 Jefferson Davis Dr Oxford MS 38655-5221 |
| Practice Telephone | 6622343303 |
| Practice Fax Number | 6622328936 |
| Mailing Telephone | 6622343303 |
| Mailing Fax Number | 6622328936 |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2009-08-28 |
| Authorized Official Name | MRS. MICKI JOHNSON (OFFICE MANAGER) |
| Authorized Official Telephone | 6622343303 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 0118175 | 05 | |
| MS | 00125938 | 05 |
| Street Address |
2215 JEFFERSON DAVIS DR |
| City | OXFORD |
| State | MS |
| Zip Code | 38655-5221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093188096 | Willow Pain and Wellness, LLC | Clinic/Center | 2215 Jefferson Davis Dr, Oxford, MS 38655-5221 | 2015-11-12 |
| 1689915175 | Teresa Varner Hewlett | Nurse Practitioner | 2215 Jefferson Davis Dr, Oxford, MS 38655-5221 | 2013-03-07 |
| 1902146624 | Christianne M. Curbow | Internal Medicine | 2215 Jefferson Davis Dr, Oxford, MS 38655-5221 | 2013-02-15 |
| 1376740803 | Kirk L. Kinard | Pain Medicine | 2215 Jefferson Davis Dr, Oxford, MS 38655-5221 | 2007-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619585809 | Oxford Treatment Center, LLC | Substance Abuse Rehabilitation Facility | 616 Commerce Parkway, Oxford, MS 38655 | 2020-07-14 |
| 1760044465 | Lindsay Low Beauchamp | Speech-Language Pathologist | 169 Ms-6 #102, Oxford, MS 38655 | 2019-07-02 |
| 1861058075 | Tomiko D Mackey | Social Worker | 100 Carriage Cove, Oxford, MS 38655 | 2019-05-13 |
| 1174090039 | Derionne Brooks | Specialist/Technologist | 972 Hathorn Road, University, MS 38655 | 2018-10-30 |
| 1497236327 | Providence Companion Care | Nurse's Aide | 317 Heritage Dr Ste 3b, Oxford, MS 38655 | 2018-08-28 |
| 1255817292 | Marcela Caroline Weber | Counselor | 152 Mississippi 7 South, Oxford, MS 38655 | 2018-07-12 |
| 1649775123 | Oxford Outpatient Center, LLC | Clinic/Center | 611 Commerce Pkwy, Oxford, MS 38655 | 2018-03-27 |
| 1073039962 | Sharon Yvette Holloway | Social Worker | 152 Hwy and South, Oxford, Ms 38655, Oxford, MS 38655 | 2017-08-22 |
| 1447774682 | Courtney M Purvis | Physical Therapist | 300 Enterprise Dr Ste B, Oxford, MS 38655 | 2017-07-31 |
| 1649716580 | Taylor Lynn Smith | Counselor | 152 Ms-7, Oxford, MS 38655 | 2017-01-17 |
| Find all providers in zip 38655 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548498975 | Shane Michael Hodge | Surgery | 102 Professional Park Ste C, Oxford, NC 27565-2554 | 2009-06-24 |
| 1639347461 | Einas Joseph | Surgery | 119 S Washington St Ste 1, Oxford, MI 48371-6423 | 2008-02-14 |
| 1679504476 | Michael Hogin Lovelace | Surgery | 2169 S Lamar Blvd, Oxford, MS 38655-5223 | 2006-07-06 |
| 1780620971 | Michael Lewis King | Surgery | 2215 Jefferson Davis Dr., Oxford, MS 38655-5222 | 2006-06-22 |
| 1518903178 | Richard Walker Byars | Surgery | 506 Azalea Dr, Oxford, MS 38655-8100 | 2006-06-21 |
| 1952372500 | Granville Health Inc | Surgery | 102 Professional Park, Suite C, Oxford, NC 27565-2501 | 2006-01-31 |
| 1710957352 | Chad Caldwell | Surgery | 103 Professional Park, Oxford, NC 27565-2581 | 2006-01-25 |
| 1518950245 | Rolf F Brunckhorst Jr. | Surgery | 5241 Morning Sun Rd, Oxford, OH 45056-8928 | 2005-08-29 |
| 1477817567 | Joy D Hughes | Surgery | 2169 S Lamar Blvd, Oxford, MS 38655-5223 | 2012-07-03 |
| 1700142593 | Naveen Kumar | Surgery | 102 Professional Park Ste C, Oxford, NC 27565-2554 | 2012-04-05 |
| Find all providers in OXFORD | ||||
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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.