James R Haltom (NPI# 1710965694, PAC ID# 1355411083) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ALLERGY/IMMUNOLOGY.
| Nation Provider ID (NPI) | 1710965694 |
| PAC ID by PECOS | 1355411083 |
| Professional Enrollment ID | I20080605000901 |
| Full Name | James R Haltom |
| Organization Legal Name | MISSISSIPPI ASTHMA AND ALLERGY CLINIC PA |
| Address |
680 Hwy 51 N Suite D Ridgeland MS 39157-2103 |
| Phone Number | 6018981877 |
| Gender | M |
| Medical School | UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE |
| Graduation Year | 1979 |
| Primary Specialty | ALLERGY/IMMUNOLOGY |
| Secondary Specialties | PEDIATRIC MEDICINE |
| Group Practice PAC ID | 7416993522 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250102 | MISSISSIPPI BAPTIST MEDICAL CENTER |
| 250048 | ST DOMINIC-JACKSON MEMORIAL HOSPITAL |
| 250104 | ANDERSON REGIONAL MEDICAL CTR |
| 250057 | KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN |
| Address | Phone | Organization |
|---|---|---|
| 1513 Lakeland Dr, Suite 101, Jackson, MS 39216-4829 | 6013544836 | MISSISSIPPI ASTHMA AND ALLERGY CLINIC PA |
| 3704 Hwy 39 N, Meridian, MS 39301-1309 | 6016930216 | MISSISSIPPI ASTHMA AND ALLERGY CLINIC PA |
| 680 Hwy 51 N, Suite D, Ridgeland, MS 39157-2103 | 6018981877 | MISSISSIPPI ASTHMA AND ALLERGY CLINIC PA |
| Organization Legal Name | MISSISSIPPI ASTHMA AND ALLERGY CLINIC PA |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Claire B Rosenblatt | Allergy/immunology | Mississippi Asthma and Allergy Clinic Pa | 2886 S Lamar Blvd, Oxford, MS 38655-5347 |
| Chelle P Wilhelm | Allergy/immunology | Mississippi Asthma and Allergy Clinic Pa | 1513 Lakeland Dr, Suite 101, Jackson, MS 39216-4829 |
| Daniel L Venarske | Allergy/immunology | Mississippi Asthma and Allergy Clinic Pa | 680 Hwy 51 N, Suite D, Ridgeland, MS 39157-2103 |
| Joshua F Phillips | Allergy/immunology | Mississippi Asthma and Allergy Clinic Pa | 680 Hwy 51 N, Suite D, Ridgeland, MS 39157-2103 |
| Dexter W Walcott | Allergy/immunology | Mississippi Asthma and Allergy Clinic Pa | 680 Hwy 51 N, Suite D, Ridgeland, MS 39157-2103 |
| Brittany T Hines | Allergy/immunology | Mississippi Asthma and Allergy Clinic Pa | 1513 Lakeland Dr, Suite 101, Jackson, MS 39216-4829 |
| Todd N Adkins | Allergy/immunology | Mississippi Asthma and Allergy Clinic Pa | 1513 Lakeland Dr, Suite 101, Jackson, MS 39216-4829 |
| Mark G Murray | Allergy/immunology | Mississippi Asthma and Allergy Clinic Pa | 1513 Lakeland Dr, Suite 101, Jackson, MS 39216-4829 |
| Street Address |
680 HWY 51 N SUITE D |
| City | RIDGELAND |
| State | MS |
| Zip | 39157-2103 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel L Venarske | Allergy/immunology | Mississippi Asthma and Allergy Clinic Pa | 680 Hwy 51 N, Suite D, Ridgeland, MS 39157-2103 |
| Joshua F Phillips | Allergy/immunology | Mississippi Asthma and Allergy Clinic Pa | 680 Hwy 51 N, Suite D, Ridgeland, MS 39157-2103 |
| Dexter W Walcott | Allergy/immunology | Mississippi Asthma and Allergy Clinic Pa | 680 Hwy 51 N, Suite D, Ridgeland, MS 39157-2103 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Monique Thompson | Physical Therapy | 7048 Old Canton Rd, Suite 1000, Ridgeland, MS 39157-1008 | |
| Joshua C Massey | Optometry | Professional Eyecare Associates P.a. | 6704 Old Canton Rd, Ridgeland, MS 39157-1225 |
| Julie B Dawson | Optometry | Professional Eyecare Associates P.a. | 6704 Old Canton Rd, Ridgeland, MS 39157-1225 |
| Anh M Giang | Optometry | Professional Eyecare Associates P.a. | 6704 Old Canton Rd, Ridgeland, MS 39157-1225 |
| Michael J Phillips | Optometry | Professional Eyecare Associates P.a. | 6704 Old Canton Rd, Ridgeland, MS 39157-1225 |
| Jason Burl Hicks | Internal Medicine | Internal Medicine and Pediatric Associates | 6919 Old Canton Rd, Ridgeland, MS 39157-1268 |
| Dominique R Chagnon | Chiropractic | Action Chiropractic Center | 6935 Old Canton Rd, Ridgeland, MS 39157-1268 |
| Suzanne Webster | Nurse Practitioner | Internal Medicine and Pediatric Associates | 6919 Old Canton Rd, Ridgeland, MS 39157-1268 |
| Manisha Sethi | Internal Medicine | Internal Medicine and Pediatric Associates | 6919 Old Canton Rd, Ridgeland, MS 39157-1268 |
| Gary F Demott | Chiropractic | Action Chiropractic Center | 6935 Old Canton Rd, Ridgeland, MS 39157-1268 |
| Find all physicians in zip 39157 | |||
| City | RIDGELAND |
| Zip Code | 39157 |
| Specialty | ALLERGY/IMMUNOLOGY |
| City + Specialty | RIDGELAND + ALLERGY/IMMUNOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.