MERIDIAN IMAGING, PA (NPI# 1962682468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962682468 |
| Entity Type | Organization |
| Organization Name | MERIDIAN IMAGING, PA |
| Practice Address |
1102 Constitution Ave First Floor Meridian MS 39301-4001 |
| Mailing Address |
Po Box 5653 Meridian MS 39302-5653 |
| Practice Telephone | 6016935843 |
| Practice Fax Number | 6016930173 |
| Mailing Telephone | 6016935843 |
| Mailing Fax Number | 6016930173 |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2015-06-29 |
| Authorized Official Name | DR. MICHAEL STACY THAGGARD (PRESIDENT) |
| Authorized Official Telephone | 6016935843 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
Allopathic & Osteopathic Physicians | ||
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Street Address |
1102 CONSTITUTION AVE FIRST FLOOR |
| City | MERIDIAN |
| State | MS |
| Zip Code | 39301-4001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952303778 | Regency Hospital Company of Meridian, LLC | Long Term Care Hospital | 1102 Constitution Ave, 2nd Floor, Meridian, MS 39301-4001 | 2005-08-11 |
| 1225566128 | Eva Nicole Dye | Nurse Practitioner | 1102 Constitution Ave, Meridian, MS 39301 | 2017-05-23 |
| 1285171074 | Rachel Temple | Nurse Practitioner | 1102 Constitution Ave, Meridian, MS 39301-4001 | 2017-01-31 |
| 1336691112 | Lauren Elizabeth Kemp | Nurse Practitioner | 1102 Constitution Ave, Meridian, MS 39301-4001 | 2016-10-27 |
| 1841665817 | Haley Gipson | Dietitian, Registered | 1102 Constitution Ave, Meridian, MS 39301-4001 | 2015-12-02 |
| 1558784975 | Shannon Gibbs | Nurse Practitioner | 1102 Constitution Ave, Meridian, MS 39301-4001 | 2014-01-22 |
| 1679916415 | Micah Ryan Morlas | Dietitian, Registered | 1102 Constitution Ave, Meridian, MS 39301 | 2013-04-11 |
| 1497016117 | Anderson Regional Medical Center | Psychiatric Unit | 1102 Constitution Ave, Meridian, MS 39301-4001 | 2012-05-30 |
| 1972875995 | Katelyn Rebecca Moffett | Nurse Practitioner | 1102 Constitution Ave, Meridian, MS 39301-4001 | 2012-02-07 |
| 1164794178 | Heather Daye Bunyard | Nurse Practitioner | 1102 Constitution Ave, Meridian, MS 39301-4001 | 2012-02-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407460439 | Kayla Lee Monsour | Pharmacist | 1415 24th Avenue, Meridian, MS 39301 | 2020-09-08 |
| 1306478359 | K&r Optical Solutions Corporation | Eyewear Supplier (Equipment, not the service) | 3126 8th St., Suite A, Meridian, MS 39301 | 2020-02-07 |
| 1912537317 | Courtney M Hollie | Counselor | 1054 Ms-19, Meridian, MS 39301 | 2020-01-24 |
| 1932636495 | Rcg Mississippi, Inc. | Clinic/Center | 1300 38th Ave E, Meridian, MS 39301 | 2017-05-16 |
| 1811428915 | Tierria Mcglothin | Nurse Practitioner | 1054 Highway 19 S, Meridian, MS 39301 | 2017-03-21 |
| 1154869303 | Lindsay Nemanich | Physical Therapist | 3716 Ms-39, Meridian, MS 39301 | 2017-02-08 |
| 1700323599 | Wal-mart Stores East Lp | Pharmacy | 3310-a Highway 39 North, Meridian, MS 39301 | 2017-01-31 |
| 1972977460 | Southeast Pharmacy LLC | Pharmacy | 2402 Long Creek Road, Meridian, MS 39301 | 2015-11-20 |
| 1235508342 | East Mississippi Oral & Facial Surgery, LLC | Clinic/Center | 1212 24th Avenue, Meridian, MS 39301 | 2015-09-18 |
| 1831580778 | Clarkdale Pharmacy and Gifts LLC | Pharmacy | 6935c Hwy 145, Meridian, MS 39301 | 2015-02-13 |
| Find all providers in zip 39301 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679520415 | Intermountain Medical Imaging LLC | Radiology | 2929 E Magic View Dr, Meridian, ID 83642-3560 | 2006-05-27 |
| 1124009840 | Mary Ann Cowart | Radiology | 1203 24th Ave, Meridian, MS 39301-3926 | 2005-11-09 |
| 1558369645 | Sandra H. Pupa | Radiology | 1730a 14th St, Meridian, MS 39301-4140 | 2005-07-12 |
| 1790958213 | Rachel S Chard | Radiology | 1203 24th Ave, Meridian, MS 39301-3926 | 2008-04-04 |
| 1801072632 | William Tidwell | Radiology | 1800 12th St, Meridian, MS 39301-4158 | 2008-01-10 |
| 1316095136 | Rural Medical Associates, Inc. | Radiology | 1730a 14th St, Meridian, MS 39301-4140 | 2007-01-08 |
| 1235238965 | Meridian Radiology Associates Pa | Radiology | 1203 24th Ave, Meridian, MS 39301-3926 | 2006-09-21 |
| 1770512303 | Amy Ball Coleman | Radiology | 1203 24th Ave, Meridian, MS 39301-3926 | 2006-07-03 |
| 1831170208 | John R Blackwell | Radiology | 1203 24th Ave, Meridian, MS 39301-3926 | 2005-11-10 |
| 1659352011 | Michael Stacy Thaggard | Radiology | 1203 24th Ave, Meridian, MS 39301-3926 | 2005-11-10 |
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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.