LAUREN BRIDGET TREADWELL


Address: 6250 Old Canton Rd, Jackson, MS 39211-2946
Phone: 6019571015

LAUREN BRIDGET TREADWELL (NPI# 1801108196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801108196
Entity Type Individual
Full Name LAUREN BRIDGET TREADWELL
Credential M.D.
Practice Address 6250 Old Canton Rd
Jackson
MS 39211-2946
Mailing Address 965 Ridge Lake Blvd Ste 103
Memphis
TN 38120-9446
Practice Telephone 6019571015
Practice Fax Number 6019569721
Mailing Telephone 9012273255
Mailing Fax Number 9012278591
Enumeration Date 2010-07-02
Last Update Date 2018-02-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 22231 MS Allopathic & Osteopathic Physicians

Office Location

Street Address 6250 OLD CANTON RD
City JACKSON
State MS
Zip Code 39211-2946

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538138391 William Brad Castle Family Medicine 6250 Old Canton Rd, Suite 100, Jackson, MS 39211-2946 2006-03-15
1215302419 Jessica Mcgee Physical Therapist 6250 Old Canton Rd, Jackson, MS 39211-2946 2015-12-14
1477928661 Tiffany Sutton Physical Therapist 6250 Old Canton Rd, Baptist Pt-northtown, Jackson, MS 39211-2946 2015-12-14
1164786588 Baptist Pt - Northtown Physical Therapist 6250 Old Canton Rd, Jackson, MS 39211-2946 2012-06-29
1174881767 Heath Herndon Smylie Physical Therapy Assistant 6250 Old Canton Rd, Jackson, MS 39211-2946 2012-05-02
1275747289 Senior Care Centers of Mississippi, LLC Respite Care 6250 Old Canton Rd, Suite 140, Jackson, MS 39211-2946 2007-05-09
1649249426 Massie H Headley Family Medicine 6250 Old Canton Rd, Suite 100, Jackson, MS 39211-2946 2006-03-15
1164491924 Larry L Collins Internal Medicine 6250 Old Canton Rd, Suite 100, Jackson, MS 39211-2946 2006-03-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1760092878 Bio-medical Applications of Mississippi, Inc. Clinic/Center 5722 I-55 N Frontage Road, Jackson, MS 39211 2020-08-04
1548881048 Gloria Dansby-giles Counselor 4500 Interstate 55, North; Suite 220, Jackson, MS 39211 2020-05-06
1821628223 Alice Powell Taylor St. Dominic Weight Loss Solutions, 3800 Interstate 55 North Frontage Road Suite 102, Jackson, MS 39211 2020-01-24
1356980643 Bethany Powers Pharmacist 4910 Interstate 55 North Frontage Rd, Jackson, MS 39211 2020-01-03
1316585581 Deborah Magoun Rosenbaum Pharmacist [email protected], 4910 I-55 North, Jackson, MS 39211 2019-12-18
1285108357 Eric Wood Counselor 4623 Maurey Rd, Jackson, MS 39211 2019-01-11
1649758301 Isluv Robertson Registered Nurse 1405 E Northside Dr, Jackson, MS 39211 2018-08-03
1659863066 Jonbrighton Childs Russell Student in an Organized Health Care Education/Training Program 4343 Dalrymple Ct, Jackson, MS 39211 2018-05-31
1225557598 Regina Ann Day Dietitian, Registered 3800 I 55 North Frontage Road, Jackson, MS 39211 2017-09-18
1023558525 Agilitas Usa Inc Clinic/Center 120 District Blvd E, Suite D102, Jackson, MS 39211 2017-03-02
Find all providers in zip 39211

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235754995 Oak Street Health Physicians Group of Mississippi, LLC Family Medicine 911 Ellis Ave, Jackson, MS 39209 2020-06-09
1003470758 Central Mississippi Health Services, Inc Family Medicine 3450 Highway 80 W Ste 71, Jackson, MS 39209-7201 2019-04-29
1922515493 Meaghan Schenk Johnson Family Medicine 2969 Curran Dr N # 200, Jackson, MS 39216-4121 2018-01-05
1740795731 Emily Colleen Dunaway Family Medicine 1227 N State St # 101, Jackson, MS 39202-2002 2017-12-12
1679086367 Hope Np House Call Practice Family Medicine 98 Grandview Ave, Jackson, OH 45640-9090 2017-11-16
1427585488 Daniel Matthew Bender Family Medicine 455 W Broadway Ave, Jackson, WY 83001-8639 2017-05-21
1891235289 Logan Hardin Family Medicine 1270 Union University Dr Ste A, Jackson, TN 38305-3856 2017-03-03
1255782843 Seth Tyler Koehler Family Medicine 2600 E Main St, Jackson, MO 63755-2473 2016-06-25
1720495245 Gopi Patel Family Medicine 27 S Cooks Bridge Rd Ste 2-1, Jackson, NJ 08527-2524 2014-07-16
1154735165 Lk Physicians Services Pllc Family Medicine 36 Lake Pointe Dr, Jackson, TN 38305-8113 2014-06-17
Find all providers in JACKSON

Competitor

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City JACKSON
Zip Code 39211

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Dataset Information

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.

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