CHARLES ALUMBAUGH (NPI# 1922497387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922497387 |
| Entity Type | Individual |
| Full Name | CHARLES ALUMBAUGH |
| Practice Address |
9 Lake Loop Petal MS 39465-9002 |
| Practice Telephone | 6015494714 |
| Enumeration Date | 2015-01-22 |
| Last Update Date | 2015-01-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 247100000X | Radiologic Technologist | MRT1712 | MS | Technologists, Technicians & Other Technical Service Providers |
| Y | 2471C3401X |
Radiologic Technologist Specialization: Computed Tomography |
MRT1712 | MS | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
9 LAKE LOOP |
| City | PETAL |
| State | MS |
| Zip Code | 39465-9002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164055489 | R&p Elite Services, LLC | Private Vehicle | 68 Springfield Rd., Petal, MS 39465 | 2020-02-14 |
| 1003460544 | Hayden White | Pharmacist | 36 Byrd Dr., Petal, MS 39465 | 2019-08-01 |
| 1134612971 | Chandler Mccarley Hawkins | Dentist | 1115 Evelyn Gandy Parkway, Petal, MS 39465 | 2018-06-06 |
| 1881199818 | Lauren O'neal Garner | Nurse Practitioner | 36 Stadium Drive, Petal, MS 39465 | 2018-03-30 |
| 1700036928 | Petal School District | Registered Nurse | 60 Herrington Road, Petal, MS 39465 | 2008-09-24 |
| 1962679043 | Hattiesburg Eye Clinic Pa | Optometrist | 1223 Hwy 42, Ste 140, Petal, MS 39465 | 2008-05-08 |
| 1023228640 | Noal Baxter Cochran | Marriage & Family Therapist | 80 Lakeland Circle, Petal, MS 39465 | 2007-05-23 |
| 1750596938 | James A Nicholson Dds Pa | Dentist | 120 South 28th Avenue, Hattiesburg, MS 39465 | 2007-05-11 |
| 1356563605 | Petal School District | Registered Nurse | 400 Hillcrest Loop, Petal, MS 39465 | 2007-05-03 |
| 1154480804 | Mary E Thomsen | Orthotic Fitter | 173 Cherry Oak Trail, Petal, MS 39465 | 2006-12-08 |
| Find all providers in zip 39465 | ||||
| Taxonomy Code | 2471C3401X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Computed Tomography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407171663 | Kelley Michele Holliday | Radiologic Technologist | 5437 Gibbons Cv, Southaven, MS 38671-8435 | 2010-03-31 |
| 1144370776 | Jackson Imaging | Radiologic Technologist | 1045 N Flowood Dr, Flowood, MS 39232-9533 | 2007-01-12 |
| 1770597601 | North Harper Imaging Center, Inc. | Radiologic Technologist | 2421 Proper Street, Corinth, MS 38834 | 2006-07-28 |
| 1083777882 | Desoto Diagnostic Imaging, LLC | Radiologic Technologist | 9085 Sandidge Center Cove, Suite 100, Olive Branch, MS 38654-3575 | 2006-12-19 |
Please comment or provide details below to improve the information on CHARLES ALUMBAUGH.
| 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.