KIRK ALLAN CADDELL (NPI# 1952690224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952690224 |
| Entity Type | Individual |
| Full Name | KIRK ALLAN CADDELL |
| Credential | M.D. |
| Practice Address |
1127 Earl Frye Blvd Suite B Amory MS 38821-5516 |
| Practice Telephone | 6622563333 |
| Practice Fax Number | 6622565166 |
| Mailing Telephone | 6622563333 |
| Mailing Fax Number | 6622565166 |
| Enumeration Date | 2011-04-07 |
| Last Update Date | 2016-10-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 24445 | MS | Allopathic & Osteopathic Physicians |
| Street Address |
1127 EARL FRYE BLVD SUITE B |
| City | AMORY |
| State | MS |
| Zip Code | 38821-5516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992802367 | Tim Watson | Nurse Practitioner | 1127 Earl Frye Blvd, Suite A, Amory, MS 38821-5516 | 2006-09-20 |
| 1821441080 | Amory Surgery Clinic, Pllc | Surgery | 1127 Earl Frye Blvd, Suite B, Amory, MS 38821-5516 | 2016-07-22 |
| 1972819035 | Amory Hma Physician Mgmt LLC | Urology | 1127 Earl Frye Blvd, Suite B, Amory, MS 38821-5516 | 2010-08-27 |
| 1417110982 | Benjamin T. Boatright | Internal Medicine | 1127 Earl Frye Blvd, Suite A, Amory, MS 38821-5516 | 2008-07-05 |
| 1124242870 | Leading Edge Orthopaedics | Orthopaedic Surgery | 1127 Earl Frye Blvd, Suite B, Amory, MS 38821-5516 | 2007-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235783127 | Elaina Ponder | Nurse Practitioner | 1506 U.S. 278 Suite A, Amory, MS 38821 | 2019-07-29 |
| 1447725221 | Family Care Pharmacy, LLC | Pharmacy | 60379 C Cotton Gin Port Rd, Amory, MS 38821 | 2018-10-09 |
| 1528547171 | Amory Medical Clinic, LLC | Family Medicine | 806 Earl Frye Blvd # B, Amory, MS 38821 | 2018-08-13 |
| 1558735738 | Speech Pathology Solutions, LLC | Speech-Language Pathologist | 1 Camellia Lane, Amory, MS 38821 | 2015-11-25 |
| 1851600811 | Tiffany W. Dean | Pharmacist | 905 Hwy 278 East, Amory, MS 38821 | 2010-09-24 |
| 1023349248 | Premier Respiratory Services LLC | Respiratory Therapist, Registered | 404 Gilmore Drive, Amory, MS 38821 | 2010-01-28 |
| 1245414820 | Mississippi Em-i Medical Services, PC | Emergency Medicine | 1105 Earl Frye Blvd., Amory, MS 38821 | 2007-12-19 |
| 1801088208 | West Amory Elementary School | Nursing Care | 704 111th St, Amory, MS 38821 | 2007-08-10 |
| 1720279482 | Amory Middle School | Nursing Care | 700 2nd Ave. N., Amory, MS 38821 | 2007-08-07 |
| 1215041652 | Robert A Dale Jr. | Specialist | 1105 Earl Frye Boulevard, Gilmore Memorial Hospital, Amory, MS 38821 | 2006-08-19 |
| Find all providers in zip 38821 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649687906 | Almaz Kurbanov | Surgery | 1127 Earl Frye Blvd Ste B, Amory, MS 38821-5516 | 2014-07-18 |
| 1821441080 | Amory Surgery Clinic, Pllc | Surgery | 1127 Earl Frye Blvd, Suite B, Amory, MS 38821-5516 | 2016-07-22 |
| 1053492645 | Woodrow Wilson Brand IIi | Surgery | 806 Earl Frye Blvd, Amory, MS 38821 | 2006-10-18 |
| 1114008703 | Hoat Minh Hoang | Surgery | 806 Earl Frye Blvd, Amory, MS 38821 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528669041 | North Mississippi Medical Center Inc | Surgery | 499 S Gloster St Ste E, Tupelo, MS 38801-5539 | 2020-11-02 |
| 1285234104 | North Mississippi Medical Center, Inc. | Surgery | 499 Gloster Creek Vlg Ste S-3, Tupelo, MS 38801-4600 | 2020-10-29 |
| 1700344066 | Southwest Mississippi Regional Medical Center | Surgery | 1065 E Broad St., Monticello, MS 39654 | 2019-03-06 |
| 1740798503 | Cld Medical Enterprises Pllc | Surgery | 212 Draperton Ct Ste A, Ridgeland, MS 39157-3905 | 2018-01-15 |
| 1568912228 | Capel Surgical Clinic, LLC | Surgery | 406 E. Washington St., Greenwood, MS 38930 | 2016-10-06 |
| 1245610872 | Zachary Austin Masters | Surgery | 301 Fisher Street, Rm 5a127, Keesler Air Force Base, MS 39534 | 2015-06-09 |
| 1629477526 | Berry Enterprises LLC | Surgery | 756 Luckney Rd, Brandon, MS 39042-8703 | 2014-08-15 |
| 1184036279 | Hope Burkett | Surgery | 147 Reynoir Street 201, Biloxi, MS 39530-9020 | 2014-05-23 |
| 1235568916 | Thomas Keener Billups Sr. | Surgery | 1929 Allyson Dr, Tupelo, MS 38804-1045 | 2013-11-04 |
| 1508292939 | Harris Vann Craig | Surgery | 113 Mansfield Dr, Natchez, MS 39120-4930 | 2013-09-17 |
| Find all providers with the same taxonomy | ||||
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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.