LUIS V BORRELL (NPI# 1801956438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801956438 |
| Entity Type | Individual |
| Full Name | LUIS V BORRELL |
| Credential | M.D. |
| Practice Address |
4555 Highland Park Dr Meridian MS 39307-5429 |
| Mailing Address |
Po Box 4128 Meridian MS 39304-4128 |
| Practice Telephone | 6014826186 |
| Practice Fax Number | 6014835543 |
| Mailing Telephone | 6014826186 |
| Mailing Fax Number | 6014835543 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 07488 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00112064 | 05 |
| Street Address |
4555 HIGHLAND PARK DR |
| City | MERIDIAN |
| State | MS |
| Zip Code | 39307-5429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740349257 | Hermogenes V Thomas | General Practice | 4555 Highland Park Dr, Meridian, MS 39307-5429 | 2006-12-08 |
| 1609232123 | Vickie L Warren | Nurse Practitioner | 4555 Highland Park Dr, Meridian, MS 39307-5429 | 2016-01-13 |
| 1326458837 | Marcy Tingle | Pharmacist | 4555 Highland Park Dr, Meridian, MS 39307-5429 | 2014-05-06 |
| 1447660956 | Donald Mckay | Pharmacist | 4555 Highland Park Dr, Meridian, MS 39307-5429 | 2014-05-06 |
| 1356689640 | Angela Marshon Mars | Counselor | 4555 Highland Park Dr, Meridian, MS 39307-5429 | 2013-01-22 |
| 1891059184 | Curtis Lee Jones | Social Worker | 4555 Highland Park Dr, Meridian, MS 39307-5429 | 2012-07-02 |
| 1558679902 | Physician Group | Clinic/Center | 4555 Highland Park Dr, Meridian, MS 39307-5429 | 2010-09-20 |
| 1649587460 | Stella Elizabeth Gervin-ward | Social Worker | 4555 Highland Park Dr, Meridian, MS 39307-5429 | 2010-09-01 |
| 1629394853 | East Mississippi State Hospital | Nursing Facility/Intermediate Care Facility | 4555 Highland Park Dr, Meridian, MS 39307-5429 | 2010-04-13 |
| 1093038234 | Magnolia Clinic | Clinic/Center | 4555 Highland Park Dr, Meridian, MS 39307-5429 | 2010-03-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841824232 | Erica Sheree Smith | Registered Nurse | 1818 College Dr, Meridian, MS 39307 | 2020-02-25 |
| 1518481480 | Derrick Pringle | Social Worker | 110 48th Ave, Meridian, MS 39307 | 2017-08-01 |
| 1821519547 | Leslie Rutkowski | Student in an Organized Health Care Education/Training Program | 2514 67th Avenue Loop Suite 112, Meridian, MS 39307 | 2017-07-03 |
| 1811254931 | Meridian Community College | Dentist | 910 Highway 19 North, Meridian, MS 39307 | 2012-04-13 |
| 1548533672 | Carvan Lorraine Carter | Counselor | 1807 39th Pl, Meridian, MS 39307 | 2012-02-21 |
| 1699921148 | Sara B Smith | Counselor | 1415 College Drive, Meridian, MS 39307 | 2008-08-15 |
| 1285856112 | Jan Parr Boggs | Psychologist | 1508 37th Avenue, Meridian, MS 39307 | 2007-05-02 |
| 1720694029 | Michelle Gomez Dickerson | Registered Nurse | 1818 College Drive, Meridian, MS 39307 | 2020-09-22 |
| 1770116030 | Briana Shanee Brunson | Nurse Practitioner | 1818 College Drive, Meridian, MS 39307 | 2020-02-14 |
| 1619507407 | Brenda A Thompson | Nurse Practitioner | 1818 College Drive, Meridian, MS 39307 | 2020-01-21 |
| Find all providers in zip 39307 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1003278730 | Tyler T Birch | Internal Medicine | 520 S Eagle Rd Ste 3102, Meridian, ID 83642-6352 | 2016-03-22 |
| 1932459997 | Thomas L Lucky | Internal Medicine | 1216 Constitution Ave, Meridian, MS 39301-4003 | 2012-09-17 |
| 1720342777 | Spencer Miller | Internal Medicine | 3525 E Louise Drive Suite 400, Meridian, ID 83642-6303 | 2012-06-25 |
| 1891086021 | Byron Elliott Brown | Internal Medicine | 7019 N Penncross Way, Meridian, ID 83646-5185 | 2011-04-21 |
| 1306086541 | Kristi Warren Durgin | Internal Medicine | 1800 45th Ct, Meridian, MS 39305-2733 | 2009-02-28 |
| 1912147240 | Edward G. Scott Jr. | Internal Medicine | 4714 11th Pl, Meridian, MS 39305-2768 | 2009-02-26 |
| 1285851337 | Frederick M Costello | Internal Medicine | 520 S. Eagle Rd, Ste 3104, Meridian, ID 83642 | 2007-04-19 |
| 1396833398 | Olugboyega O Ransome-kuti | Internal Medicine | 2701 Davis Street, Meridian, MS 39301-5708 | 2006-10-11 |
| 1518077437 | James H Gallafent | Internal Medicine | 520 S. Eagle Road, Suite #3102, Meridian, ID 83642 | 2006-08-30 |
| 1497797302 | Ann C Agnew | Internal Medicine | 3080 E Gentry Way Ste 210, Meridian, ID 83642-3013 | 2006-06-12 |
| Find all providers in MERIDIAN | ||||
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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.