AGELESS MEN'S HEALTH, LLC


Address: 1022 Common Wealth Blvd, Tupelo, MS 38801
Phone: 9017573643

AGELESS MEN'S HEALTH, LLC (NPI# 1841639648) 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) 1841639648
Entity Type Organization
Organization Name AGELESS MEN'S HEALTH, LLC
Other Organization Name AGELESS MEN'S HEALTH
Practice Address 1022 Common Wealth Blvd
Tupelo
MS 38801
Mailing Address 3085 Fountainside Dr
Suite 108
Germantown
TN 38138-7842
Practice Telephone 9017573643
Practice Fax Number 9017577762
Mailing Telephone 9017573643
Mailing Fax Number 9017577762
Enumeration Date 2013-06-14
Last Update Date 2013-06-18
Authorized Official Name MS. MELISSA C MCCLELLAN (VP OF BUSINESS OPERATIONS)
Authorized Official Telephone 9017573643
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist Other Service Providers

Other Provider/Organization Names

Other Name Type Code
Ageless Men's Health Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1023427259 Ageless Men's Health, LLC Specialist 6915 Crumpler Blvd, Suite C, Olive Branch, MS 38654-1965 2014-08-13
1124322474 Ageless Men's Health, LLC Nurse Practitioner 7111 Southcrest Pkwy, Suite 109, Southaven, MS 38671-4850 2010-12-30
1003098997 Ageless Men's Health, LLC Clinical Medical Laboratory 530 Oak Court Dr, Suite 125, Memphis, TN 38117-3726 2007-12-03

Office Location

Street Address 1022 COMMON WEALTH BLVD
City TUPELO
State MS
Zip Code 38801

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194339275 Friendship, LLC Pharmacy 4123 W Main St, Tupelo, MS 38801 2020-09-04
1003443458 Nicole Sherice Taylor Nurse Practitioner 845 South Gloster Street, Tupelo, MS 38801 2020-03-25
1821556838 Wilco Healthcare of North Mississippi, Pllc Point of Service 1514 Co Rd 41, Tupelo, MS 38801 2019-03-08
1821565235 Stephanie K Cagle Nurse Practitioner 218 S Thomas St Ste 120-121, Tupelo, MS 38801 2018-10-24
1073092326 Lauren Parrish Nurse Practitioner 1573 Medical Park Circle, Tupelo, MS 38801 2018-08-08
1467948687 North Mississippi Medcial Center, Inc. Nurse Practitioner 990 S Madison St Ste 2, Tupelo, MS 38801 2018-07-11
1043700933 Hooks Diabetes & Medicine Clinic Non-Pharmacy Dispensing Site 2610 Traceland Drive, Ste A, Tupelo, MS 38801 2018-05-16
1073035903 Annette C Riddle Counselor 1004 Eisenhower Drive, Tupelo, MS 38801 2017-07-12
1548709678 Jaime Summers Nurse Practitioner 2780 West Jackson St, Tupelo, MS 38801 2017-02-22
1073975611 Heath Bryan Coleman, Dds of Mississippi II, Pllc Dentist 1168 Cross Creek Drive, Tupelo, MS 38801 2016-03-23
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952617722 Lenora Lee Grayson Specialist 208 Ridgelake Dr, Tupelo, MS 38801-8887 2010-08-31
1962718759 Stephanie Quinn Walker Specialist 2260 Camelot Cir, Tupelo, MS 38804-6000 2010-08-31
1083804819 Toni R Hill Specialist 505 Barnes St, Tupelo, MS 38804-2137 2007-07-27
1679690101 Charles Edward Bouldin Specialist 4749 S Eason Blvd, Suite A, Tupelo, MS 38801-6547 2007-03-22
1407867807 Heritage Obstetrics & Gynecolgy Clinic of Nm Pa Specialist 606 Brunson Dr, Tupelo, MS 38801-4947 2006-08-10
1013994060 The Woman's Clinic of Tupelo Specialist 1512 Medical Park Cir, Tupelo, MS 38801-6560 2005-12-29
1699768754 Walter W Eckman Specialist 408 Council Cir, Tupelo, MS 38801-4949 2005-08-24
1922585629 Michael E Steuer Md PC Specialist 609 Brunson Dr, Tupelo, MS 38801-4948 2018-07-25
1063536126 Kenneth A Grinspun, M.d. P.a. Specialist 1464 Medical Park Cir, Tupelo, MS 38801-6595 2007-03-16
1700914579 Cardiology Associates of North Ms, Pa Specialist 830 S Gloster St, 3rd Floor East Tower, Tupelo, MS 38801-4934 2007-03-01
Find all providers in TUPELO

Competitor

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City TUPELO
Zip Code 38801

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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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