DR. FERAS JERADEH-BOURSOULIAN


Address: 830 S Gloster St, Tupelo, MS 38801-4934
Phone: 6623773000

DR. FERAS JERADEH-BOURSOULIAN (NPI# 1881910677) 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) 1881910677
Entity Type Individual
Full Name DR. FERAS JERADEH-BOURSOULIAN
Credential MD
Practice Address 830 S Gloster St
Tupelo
MS 38801-4934
Practice Telephone 6623773000
Mailing Telephone 6623773000
Enumeration Date 2010-04-19
Last Update Date 2016-09-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084N0400X Psychiatry & Neurology
Specialization: Neurology
23086 MS Allopathic & Osteopathic Physicians

Office Location

Street Address 830 S GLOSTER ST
City TUPELO
State MS
Zip Code 38801-4934

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629078746 David Smith Talton Thoracic Surgery (Cardiothoracic Vascular Surgery) 830 S Gloster St, Nmmc East Tower 4th Floor, Tupelo, MS 38801-4934 2005-07-29
1265031561 Lauren Hester Nurse Anesthetist, Certified Registered 830 S Gloster St, Tupelo, MS 38801-4934 2020-10-19
1972102275 Matthew Hester Nurse Anesthetist, Certified Registered 830 S Gloster St, Tupelo, MS 38801-4934 2020-10-19
1093313397 Brent Lee Hallmark Nurse Practitioner 830 S Gloster St, Tupelo, MS 38801-4934 2020-10-09
1457958282 Benjamin Johnson Nurse Anesthetist, Certified Registered 830 S Gloster St, Tupelo, MS 38801-4934 2020-10-05
1144837451 Kayla Ann Jenkins Nurse Practitioner 830 S Gloster St, Tupelo, MS 38801-4996 2020-09-30
1720695190 Kimberly Faye Goss Nurse Practitioner 830 S Gloster St, Tupelo, MS 38801-4996 2020-09-29
1316554900 Meaghan Reed Nurse Practitioner 830 S Gloster St, Tupelo, MS 38801-4934 2020-09-28
1659988269 Anna Elizabeth Roberts Nurse Practitioner 830 S Gloster St, Tupelo, MS 38801-4934 2020-09-28
1487261954 Helen Paige Long Nurse Practitioner 830 S Gloster St, Tupelo, MS 38801-4934 2020-09-28
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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 2084N0400X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neurology

Taxonomy Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871101378 North Mississippi Medical Center, Inc. Psychiatry & Neurology 408 Council Cir Ste B, Tupelo, MS 38801-4949 2020-07-21
1528029618 Stephen H Landy Psychiatry & Neurology 311 S Gloster St Ste 103, Tupelo, MS 38801-4747 2006-03-29
1427041664 Justin C. Graff Psychiatry & Neurology 609 Brunson Dr, Tupelo, MS 38801-4948 2005-08-23
1962495192 Samuel D. Newell Jr. Psychiatry & Neurology 845 S Madison St, Tupelo, MS 38801-4905 2005-08-23
1033740089 Landy Headache & Esthetics, LLC Psychiatry & Neurology 311 S Gloster St Ste 103, Tupelo, MS 38801-4747 2020-01-29
1447623590 Rahul Brijballabh Chandak Psychiatry & Neurology 830 S Gloster St, Tupelo, MS 38801-4934 2015-11-10
1386039683 Waqas Israr Gilani Psychiatry & Neurology 845 S Madison St, Tupelo, MS 38801-4905 2015-04-02
1417357427 North Mississippi Medical Center Inc. Psychiatry & Neurology 830 S Gloster St, Tupelo, MS 38801-4934 2014-08-27
1407266539 Iwueke Psychatric Clinic Psychiatry & Neurology 1601 W Main St Ste D, Tupelo, MS 38801-3300 2014-04-29
1902175821 North Mississippi Medical Clinics, Inc Psychiatry & Neurology 4250 S Eason Blvd, Tupelo, MS 38801-6549 2011-12-21
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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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