NESHOBA COUNTY GENERAL HOSPITAL (NPI# 1942399118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942399118 |
| Entity Type | Organization |
| Organization Name | NESHOBA COUNTY GENERAL HOSPITAL |
| Other Organization Name | NESHOBA PEDIATRIC MEDICAL CLINIC |
| Practice Address |
1122 E Main St Ste 6 Philadelphia MS 39350-2348 |
| Practice Telephone | 6016569900 |
| Practice Fax Number | 6016569933 |
| Mailing Telephone | 6016569900 |
| Mailing Fax Number | 6016569933 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2008-07-01 |
| Authorized Official Name | MRS. RITA J THOMAS (OFFICE MANAGER) |
| Authorized Official Telephone | 6016569900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | ========= | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 07127088 | 05 |
| Other Name | Type Code |
|---|---|
| NESHOBA PEDIATRIC MEDICAL CLINIC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184132219 | Neshoba County General Hospital | Clinic/Center | 1002 Saint Francis Dr, Philadelphia, MS 39350-2030 | 2018-01-10 |
| 1003834979 | Neshoba County General Hospital | Clinic/Center | 213 Hospital Rd W, Philadelphia, MS 39350-2211 | 2006-07-18 |
| 1144775107 | Neshoba County General Hospital | Nurse Practitioner | 1120 E Main St, Suite 1, Philadelphia, MS 39350-2300 | 2016-08-19 |
| 1013382308 | Neshoba County General Hospital | Radiology | 1001 Holland Ave, Philadelphia, MS 39350-2161 | 2015-12-11 |
| 1144665670 | Neshoba County General Hospital | Family Medicine | 1003 Holland Ave, Suite 103, Philadelphia, MS 39350-2180 | 2013-05-10 |
| 1750686341 | Neshoba County General Hospital | Family Medicine | 1001 Holland Ave, Suite 4, Philadelphia, MS 39350-2161 | 2011-01-13 |
| 1255650321 | Neshoba County General Hospital | Family Medicine | 110 Park St, Walnut Grove, MS 39189-6526 | 2010-05-27 |
| 1528295532 | Neshoba County General Hospital | Clinic/Center | 1120 E Main St, Suite 1, Philadelphia, MS 39350-2300 | 2009-06-17 |
| 1114057247 | Neshoba County General Hospital | Nurse Anesthetist, Certified Registered | 1001 Holland Ave, Philadelphia, MS 39350-2161 | 2007-03-07 |
| 1003946138 | Neshoba County General Hospital | Emergency Medicine | 1001 Holland Ave, Philadelphia, MS 39350-2161 | 2007-03-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | NESHOBA COUNTY GENERAL HOSPITAL | 1001 Holland Ave, Philadelphia, MS 39350-2161 |
| Street Address |
1122 E MAIN ST STE 6 |
| City | PHILADELPHIA |
| State | MS |
| Zip Code | 39350-2348 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740479377 | Denita Kaye Thomas | Nurse Practitioner | 1122 E Main St Ste 6, Philadelphia, MS 39350-2348 | 2007-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548817133 | Airpark Family Dentistry | Dentist | 1060 Holland Avenue, Philadelphia, MS 39350 | 2019-08-20 |
| 1396303962 | Medical Foundation Inc | Obstetrics & Gynecology | Rush Medical Group / Philadelphia, 1106 Central Drive, Ste 3, Philadelphia, MS 39350 | 2019-05-30 |
| 1144759580 | Mapp Home Care Services | In Home Supportive Care | 41 Eastover Dr, Philadelphia, MS 39350 | 2017-06-08 |
| 1710411707 | Rcg Mississippi, Inc. | Clinic/Center | 1100 Central Drive, Philadelphia, MS 39350 | 2017-04-17 |
| 1114339405 | Bernard Oneal | Adult Companion | 10090 Rd 0022, None, Philadelphia, MS 39350 | 2014-05-21 |
| 1417213323 | Region Ten Commision On Mental Health | Clinic/Center | 1011 Posey Avenue, Philadelphia, MS 39350 | 2012-04-04 |
| 1851427132 | Performance Therapy LLC | Physical Therapist | Performance Therapy, LLC, 921 W Beacon Street, Philadelphia, MS 39350 | 2007-02-23 |
| 1922161900 | Ernest Barton Cross | Audiologist | 1120 East Main Street, Suite 4, Philadelphia, MS 39350 | 2006-12-19 |
| 1649348129 | Augustus P Soriano | Family Medicine | 517 Center Avenue, Philadelphia, MS 39350 | 2006-12-01 |
| 1982777983 | Bill G Molpus | Dentist | 247 Byrd Ave, Philadelphia, MS 39350 | 2006-11-16 |
| Find all providers in zip 39350 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861036279 | Stc Pediatrics LLC | Pediatrics | 300 E Hunting Park Ave, Philadelphia, PA 19124-6018 | 2019-10-30 |
| 1447818729 | Elizabeth Edmondston Tarr | Pediatrics | 3401 Civic Center Blvd Fl 9nw55, Philadelphia, PA 19104-4319 | 2019-06-03 |
| 1245799337 | Jerry Martin Kaplan | Pediatrics | 2421 Fairmount Ave, Philadelphia, PA 19130-2517 | 2019-03-18 |
| 1992299861 | Gayathri Prabhakar | Pediatrics | 3401 Civic Center Blvd 9nw, Rm 55, Philadelphia, PA 19104-4319 | 2018-06-14 |
| 1992298004 | Daniel Rappoport | Pediatrics | 3401 Civic Center Boulevard, 9nw, Room 55, Philadelphia, PA 19104-4399 | 2018-06-13 |
| 1376069567 | Childrens Hospital of Philadelphia | Pediatrics | 3401 Civic Center Blvd Fl 4, Philadelphia, PA 19104-4319 | 2017-08-18 |
| 1558881581 | Isabel Cristina Castillo Hernandez | Pediatrics | 4500-10, Apt 201b, Philadelphia, PA 19124 | 2017-06-21 |
| 1891225694 | Joshua Hruby Sperling | Pediatrics | 3401 Civic Center Boulevard 9nw, Room 55, The Children's Hospital of Philadelphia, Philadelphia, PA 19104-4399 | 2017-06-14 |
| 1124558911 | Salvatore Charles Rametta | Pediatrics | 3401 Civic Center Boulevard Building 9nw Room 55, Children's Hospital of Philadelphia, Philadelphia, PA 19104 | 2017-06-14 |
| 1922536952 | Alyssa Coffin | Pediatrics | 3401 Civic Center Blvd Fl 9nw, Philadelphia, PA 19104-4319 | 2017-06-03 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 39350 |
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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.