DR. CHARLES C BUSH JR. (NPI# 1932243946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932243946 |
Entity Type | Individual |
Full Name | DR. CHARLES C BUSH JR. |
Credential | MD |
Practice Address |
291 E Layfair Dr Flowood MS 39232-9527 |
Practice Telephone | 6019369190 |
Practice Fax Number | 6019326714 |
Mailing Telephone | 6019369190 |
Mailing Fax Number | 6019326714 |
Enumeration Date | 2007-02-16 |
Last Update Date | 2011-04-21 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207V00000X | Obstetrics & Gynecology | 07502 | MS | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | 00019433 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619361680 | Charles Amos Bush II | Student in an Organized Health Care Education/Training Program | 4894 Reynolds Ln, Vestavia, AL 35242-7462 | 2015-03-26 |
1265534051 | Charles A Bush | Emergency Medicine | 595 W Carolina Avenue, Hampton Regional Medical Center, Varnville, SC 29944 | 2006-09-02 |
1952633661 | Charles Daniel Bush Jr. | Counselor | 460 E Carson Plaza Dr, Suite 122, Carson, CA 90746-3278 | 2010-02-04 |
1407955354 | Charles T Bush | Nurse Practitioner | 101 Manning Dr, Chapel Hill, NC 27599-0001 | 2006-09-21 |
1154361483 | Charles A. Bush | Internal Medicine | 410 W 10th Ave, Columbus, OH 43210-1240 | 2006-06-07 |
1255393500 | Charles Edgar Bush Jr. | Surgery | 1201 Oak St, Frankfort, IN 46041-3350 | 2006-04-03 |
1972575835 | Charles H Bush | Radiology | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2006-02-06 |
1356328918 | Charles W Bush | Obstetrics & Gynecology | 2501 Oakington St, Aberdeen Proving Ground, MD 21005-5131 | 2005-12-27 |
1659356210 | Charles Ralph Bush | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3525 Olentangy River Rd, #5320, Columbus, OH 43214-3937 | 2005-12-07 |
Street Address |
291 E LAYFAIR DR |
City | FLOWOOD |
State | MS |
Zip Code | 39232-9527 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003846353 | Charles Shannon Carroll | Obstetrics & Gynecology | 291 E Layfair Dr, Flowood, MS 39232-9527 | 2006-07-03 |
1851731277 | Chad Edward Cooley | Obstetrics & Gynecology | 291 E Layfair Dr, Flowood, MS 39232-9527 | 2013-06-29 |
1457798399 | Layson Lawler Denney | Obstetrics & Gynecology | 291 E Layfair Dr, Flowood, MS 39232-9527 | 2013-06-02 |
1629253950 | Emily Brewer Johnson | Obstetrics & Gynecology | 291 E Layfair Dr, Flowood, MS 39232-9527 | 2008-01-06 |
1609062355 | Amanda A. Reeves | Obstetrics & Gynecology | 291 E Layfair Dr, Flowood, MS 39232-9527 | 2007-09-17 |
1922143650 | Jackson Healthcare for Women Pa | Obstetrics & Gynecology | 291 E Layfair Dr, Flowood, MS 39232-9527 | 2007-02-20 |
1902940026 | Lisa T Gibson-mckee | Obstetrics & Gynecology | 291 E Layfair Dr, Flowood, MS 39232-9527 | 2007-02-20 |
1235273178 | Karen F Cole | Obstetrics & Gynecology | 291 E Layfair Dr, Flowood, MS 39232-9527 | 2007-02-16 |
1033253877 | John W Cook | Obstetrics & Gynecology | 291 E Layfair Dr, Flowood, MS 39232-9527 | 2007-02-16 |
1144363235 | Edra S Kimmel | Obstetrics & Gynecology | 291 E Layfair Dr, Flowood, MS 39232-9527 | 2007-02-15 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164071775 | Leanna Nicole Howard | Social Worker | 2945 Layfair Drive, Apt. 1621, Flowood, MS 39232 | 2019-09-06 |
1104395565 | Patriot Healthcare of Mississippi, LLC | Family Medicine | 4800 Lakeland Drive, Flowood, MS 39232 | 2018-11-15 |
1285101816 | Magnolia Anesthesia Consultants LLC | Anesthesiology | 4209 Lakeland Dr #252, Flowood, MS 39232 | 2018-11-01 |
1528543592 | Matthew T Armstrong | Physical Therapist | 104 Burney Drive, Flowood, MS 39232 | 2018-09-26 |
1790265627 | Mississippi Brain and Spine, Pllc | Non-Pharmacy Dispensing Site | 1 Layfair Drive, Ste 120, Flowood, MS 39232 | 2018-08-20 |
1629574918 | Billy Clifton Osbon Jr. | Pharmacist | 2506 Lakeland Drive, Suite 201, Flowood, MS 39232 | 2018-04-04 |
1356851752 | Oakdale Family Dentistry | Clinic/Center | 2139 Hwy 471, Flowood, MS 39232 | 2017-10-11 |
1992227177 | Charisma T. Cummings | Nurse Practitioner | 102 Riverview Drive, Suite A, Flowood, MS 39232 | 2017-07-10 |
1508398983 | Charles Pearson | Student in an Organized Health Care Education/Training Program | 764 Flowood Dr, Flowood, MS 39232 | 2017-04-03 |
1396288197 | Mary Claire Ponder | Nurse Practitioner | 151 E Metro Dr Ste 103, Flowood, MS 39232 | 2016-11-28 |
Find all providers in zip 39232 |
Taxonomy Code | 207V00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063771350 | Shimeka Lanette Banks | Obstetrics & Gynecology | 1307-b Airport Road North, Flowood, MS 39232-8897 | 2012-05-08 |
1770873721 | Michelle N. Taheri | Obstetrics & Gynecology | 1020 River Oaks Dr., Suite 320, Flowood, MS 39232 | 2011-04-11 |
1922293356 | Freda Denise Thompson | Obstetrics & Gynecology | 436 Katherine Dr, Flowood, MS 39232-8803 | 2007-09-10 |
1972521151 | James M. Shwayder | Obstetrics & Gynecology | 2925 Layfair Dr, Flowood, MS 39232-9507 | 2006-07-17 |
1003846353 | Charles Shannon Carroll | Obstetrics & Gynecology | 291 E Layfair Dr, Flowood, MS 39232-9527 | 2006-07-03 |
1023063955 | Kay Elizabeth Midler | Obstetrics & Gynecology | 1050 River Oaks Drive, Suite 200, Flowood, MS 39232 | 2006-05-22 |
1457798399 | Layson Lawler Denney | Obstetrics & Gynecology | 291 E Layfair Dr, Flowood, MS 39232-9527 | 2013-06-02 |
1427491232 | Natasha R Phillips | Obstetrics & Gynecology | 1020 River Oaks Dr Ste 430, Flowood, MS 39232-9500 | 2013-04-10 |
1538344585 | Shane Michael Sims | Obstetrics & Gynecology | 1050 River Oaks Dr, Suite 200, Flowood, MS 39232-9564 | 2008-01-08 |
1629253950 | Emily Brewer Johnson | Obstetrics & Gynecology | 291 E Layfair Dr, Flowood, MS 39232-9527 | 2008-01-06 |
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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.