DR. KENNETH P TOLER JR.


Address: 1200 N State St, Ste 330, Jackson, MS 39202-2027
Phone: 6013532020

DR. KENNETH P TOLER JR. (NPI# 1841295573) 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) 1841295573
Entity Type Individual
Full Name DR. KENNETH P TOLER JR.
Credential M.D.
Practice Address 1200 N State St
Ste 330
Jackson
MS 39202-2027
Practice Telephone 6013532020
Practice Fax Number 6017145110
Mailing Telephone 6013532020
Mailing Fax Number 6017145110
Enumeration Date 2005-06-17
Last Update Date 2019-03-18
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207W00000X Ophthalmology 13218 MS Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
AL 009976275 05
MS 00115308 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
1190 N State St, Ste 403, Jackson, MS 392022413 6013532020 6017145110

Office Location

Street Address 1200 N STATE ST
STE 330
City JACKSON
State MS
Zip Code 39202-2027

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467012203 Meredith Celeste Boston Nurse Practitioner 1200 N State St, Jackson, MS 39202-2000 2019-06-14
1477089233 Brian Scott Mcmanus Student in an Organized Health Care Education/Training Program 1200 N State St, Ummc - Department of Otolaryngology, Jackson, MS 39202-2000 2017-05-11
1902346364 Medical Foundation of Central Ms Inc Physical Therapist 1200 N State St, Suite 210, Jackson, MS 39202-2000 2017-03-06
1295283687 Medical Foundation of Central Ms Inc Family Medicine 1200 N State St, Suite Ll-10, Jackson, MS 39202-2000 2016-09-14
1326412289 Charles M Remus Physical Therapy Assistant 1200 N State St, Suite 500, Jackson, MS 39202-2000 2015-11-16
1760858286 Medical Foundation of Central Ms Inc. Family Medicine 1200 N State St, 5th Floor, Jackson, MS 39202-2000 2015-08-19
1003103516 Rebecca Chick Pace Internal Medicine 1200 N State St, Suite 500, Jackson, MS 39202-2000 2011-07-05
1356638845 Christina C. Glover Internal Medicine 1200 N State St, Suite 500, Jackson, MS 39202-2000 2011-07-05
1447578752 Mark Gill Kosko Ophthalmology 1200 N State St, Ste 330, Jackson, MS 39202-2027 2010-05-11
1679702302 Ayesha Khalid Internal Medicine 1200 N State St, Ste 500, Jackson, MS 39202-2000 2009-07-02
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982234183 Eva Mackenzie Carmody Physician Assistant 1190 N State St Suite 502, Jackson, MS 39202 2020-01-16
1750868691 Katherine Walters Nurse Practitioner 501 Marshall St., Suite 400, Jackson, MS 39202 2018-07-24
1932638749 Tylan Lee Social Worker 860 East River Place Suite 100, Jackson, MS 39202 2017-06-06
1417314725 Euna Jyles Counselor 860 E River Pl, Jackson, MS 39202 2016-01-19
1255712048 Edward Jonathan Breight Specialist/Technologist 1325 East Fortication Street, Jackson, MS 39202 2015-06-17
1881037703 Kara Spinks Logan Surgery 1190 N State St Ste 502, Jackson, MS 39202 2013-04-10
1477876530 Mick Inc. Technician 334 Josanna Street, Suite #209, Jackson, MS 39202 2010-03-03
1073724910 Paul Frederic Dare Anesthesiology 1151 North State St., Suite 311, Jackson Anesthesia Associates, Jackson, MS 39202 2007-05-24
1225247703 Lynn Kincannon Holland Counselor 911 Manship Street, Unit A, Jackson, MS 39202 2007-05-22
1457568149 Incare Inc Pulmonary Function Technologist 1151 North State St, Suite 406, Jackson, MS 39202 2007-05-16
Find all providers in zip 39202

Taxonomy Information

Taxonomy Code 207W00000X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology

Taxonomy Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
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 Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639532468 Lee Finley Jones Ophthalmology 1501 Lakeland Dr Ste 100, Jackson, MS 39216-4869 2016-03-30
1861777161 Parkside Eye Clinic P.C. Ophthalmology 2108 Fourth Street, Jackson, MI 49203-4518 2011-10-18
1043514607 Jeevak Lal Ophthalmology 5887 N Rickfield Rd, Jackson, MI 49201-8314 2010-12-22
1447568241 Laura L Dipuma Ophthalmology 2027 Greystone Sq, Jackson, TN 38305-3576 2010-09-15
1477879062 James Arnold Luebbers Ophthalmology 687 East Kelly Ave., Bx 3797, Jackson, WY 83001-3797 2010-04-08
1366624801 Premier Eye Care, Pllc Ophthalmology 30 Howell Ln, Jackson, KY 41339-8657 2007-11-27
1932224748 Eyecare Professionals Pa Ophthalmology 1501 Lakeland Drive, Suite 100, Jackson, MS 39216-4848 2007-03-20
1053410126 Ophthalmic Plastic Surgery Specialists Pllc Ophthalmology 1421 North State St, Ste 304, Jackson, MS 39202 2006-09-22
1114020906 James Alvin Bruce Jr. Ophthalmology 2500 Lakeland Dr, Ste A, Jackson, MS 39232 2006-09-06
1639272693 Charles Gerard Sherwood Ophthalmology 1500 Woodrow Wilson Ave, G. V. 'sonny' Montgomery Va Medical Center, Jackson, MS 39216 2006-09-06
Find all providers in JACKSON

Competitor

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City JACKSON
Zip Code 39202

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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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