MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI, INC (NPI# 1902096837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902096837 |
| Entity Type | Organization |
| Organization Name | MEDICAL FOUNDATION OF CENTRAL MISSISSIPPI, INC |
| Other Organization Name | BAPTIST CARDIOLOGY CLINIC |
| Practice Address |
401 Baptist Dr Suite 304 Madison MS 39110-2009 |
| Practice Telephone | 6016053531 |
| Practice Fax Number | 6016053532 |
| Mailing Telephone | 6016053531 |
| Mailing Fax Number | 6016053532 |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2007-07-26 |
| Authorized Official Name | ELIZABETH H MULLINS (DIRECTOR OF CLINIC ADMINISTRATION) |
| Authorized Official Telephone | 6012924261 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | PENDING | 05 |
| Other Name | Type Code |
|---|---|
| Baptist Cardiology Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952557092 | Medical Foundation of Central Mississippi, Inc | Surgery | 501 Marshall St Ste 100, Jackson, MS 39202-1687 | 2008-08-08 |
| 1851515647 | Medical Foundation of Central Mississippi, Inc | Family Medicine | 401 Baptist Dr #104, Madison, MS 39110 | 2007-04-12 |
| 1124241245 | Medical Foundation of Central Mississippi, Inc | Family Medicine | 106 Clinton Parkway, Clinton, MS 39056 | 2007-04-10 |
| 1669695714 | Medical Foundation of Central Mississippi, Inc | Family Medicine | 151 E Metro Dr #103, Flowood, MS 39232 | 2007-04-10 |
| 1508989039 | Medical Foundation of Central Mississippi, Inc | Family Medicine | 118 Weisenberger Rd, Madison, MS 39110-5012 | 2007-04-09 |
| 1134242647 | Medical Foundation of Central Mississippi, Inc | Family Medicine | 309 Airport Rd S Ste B, Pearl, MS 39208-6678 | 2007-04-09 |
| 1114040607 | Medical Foundation of Central Mississippi, Inc | Pediatrics | 2946 Layfair Drive Suite 102, Flowood, MS 39232 | 2007-04-09 |
| 1508020397 | Medical Foundation of Central Mississippi, Inc | Internal Medicine | 501 Marshall St, Suite 101, Jackson, MS 39202-1651 | 2008-07-11 |
| 1699952325 | Medical Foundation of Central Mississippi, Inc | Hospitalist | 1225 N State St, Jackson, MS 39202-2064 | 2008-01-24 |
| 1942424734 | Medical Foundation of Central Mississippi, Inc | Family Medicine | 1513 Lakeland Dr, Suite 200, Jackson, MS 39216-4829 | 2007-04-12 |
| Street Address |
401 BAPTIST DR SUITE 304 |
| City | MADISON |
| State | MS |
| Zip Code | 39110-2009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730199290 | Bruce T Black | Family Medicine | 401 Baptist Dr, Suite 104, Madison, MS 39110-2009 | 2006-08-08 |
| 1730554627 | Charles Thomas | Physical Therapy Assistant | 401 Baptist Dr, Suite 306, Madison, MS 39110-2009 | 2015-12-03 |
| 1407274426 | Ashley W Mcglawn | Pediatrics | 401 Baptist Dr, Madison, MS 39110-2009 | 2014-04-07 |
| 1679821409 | Rachel Bradshaw | Physical Therapist | 401 Baptist Dr, Suite 306, Madison, MS 39110-2009 | 2012-08-28 |
| 1003177551 | Jennifer S Jones | Physical Therapy Assistant | 401 Baptist Dr, Suite 306, Madison, MS 39110-2009 | 2012-05-31 |
| 1982988812 | Baptist Pt - Madison | Physical Therapist | 401 Baptist Dr, Suite 306, Madison, MS 39110-2009 | 2011-10-11 |
| 1104121821 | Brian Matthew Hendley | Community Health Worker | 401 Baptist Dr, Suite 306, Madison, MS 39110-2009 | 2011-01-12 |
| 1811292501 | Mark Leslie Grogan | Physical Therapy Assistant | 401 Baptist Dr, Suite 306, Madison, MS 39110-2009 | 2011-01-11 |
| 1073830790 | Timothy Chin-yu Chen | Family Medicine | 401 Baptist Dr, Suite 104, Madison, MS 39110-2009 | 2010-04-21 |
| 1437314515 | Napdocs LLC | Physiological Laboratory | 401 Baptist Dr, Suite 40, Madison, MS 39110-2009 | 2008-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134784689 | Therapy South - Gluckstadt LLC | Physical Therapist | 1716 Us 51, Ste N, Madison, MS 39110 | 2019-05-09 |
| 1871054098 | Summit Medical Solutions | Durable Medical Equipment & Medical Supplies | 107 Azalea Street, Madison, MS 39110 | 2019-03-29 |
| 1912488198 | Madison Medical Compounding Pharmacy | Pharmacy | 111 Fountains Blvd. Building B Ste. A, Madison, MS 39110 | 2018-08-24 |
| 1679061469 | Nuvena Vein Clinic | Anesthesiology | 120 Fountains Blvd, Madison, MS 39110 | 2018-04-26 |
| 1467960484 | Brick City Drugs, LLC | Durable Medical Equipment & Medical Supplies | 159 Fountains Blvd, Madison, MS 39110 | 2018-01-11 |
| 1093227589 | Hannah Monk Hawthorne | Counselor | 930 Ebenezer Blvd., Suite D, Madisin, MS 39110 | 2017-10-25 |
| 1548786650 | Kimberly Allen | Pharmacist | 1100 Us- 51, Madison, MS 39110 | 2017-08-21 |
| 1891218186 | Delta Elizabeth Stark | Chiropractor | 1085 Gluckstadt Rd., Bld 300 Ste E, Madison, MS 39110 | 2017-07-19 |
| 1861914848 | Laura Hartlein | Dietitian, Registered | 200 Park Circle Dr. #2, Flowood, MS 39110 | 2017-07-12 |
| 1831620608 | Ona Irby | Occupational Therapist | 105 Munich Dr, Madison, MS 39110 | 2017-03-23 |
| Find all providers in zip 39110 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1215414727 | Telemedico Physicians of Wisconsin Sc | Internal Medicine | 301 S Bedford St Ste 1, Madison, WI 53703-3691 | 2018-07-26 |
| 1932489291 | Proactive Cardiology LLC | Internal Medicine | 2614 Hubbard Rd, Madison, OH 44057-2530 | 2011-08-18 |
| 1265730865 | Richard Glenn Hutchinson | Internal Medicine | 337 Long Cove Dr, Madison, MS 39110-9113 | 2011-03-05 |
| 1073844932 | James Harry Thomsen | Internal Medicine | 7709 Twinflower Dr, Madison, WI 53719-4544 | 2010-01-15 |
| 1194998955 | Manoochehr Meshginpoosh | Internal Medicine | 5856 Chapel Rd, Madison, OH 44057-1754 | 2008-04-11 |
| 1083893606 | Kornelia Keszler, Md, PC | Internal Medicine | 1-b Meigswood Ave, Madison, CT 06443 | 2007-10-31 |
| 1821002833 | Alfred E Hutcheson | Internal Medicine | 794 Highway 51, Suite D, Madison, MS 39110-9662 | 2006-07-27 |
| 1396701553 | Zilin Wang | Internal Medicine | 100 Whisper Lake Blvd, Madison, MS 39110-7881 | 2006-04-25 |
| 1396713368 | Bonnie Lynn Hiatt | Internal Medicine | 27 Indigo Trl, Madison, CT 06443-1960 | 2006-03-08 |
| 1861469470 | Tamara S Hagen | Internal Medicine | 811 Potawatomi Dr, Madison, WI 53718 | 2006-03-02 |
| Find all providers in MADISON | ||||
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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.