THE NATIONAL DIABETES & OBESITY RESEARCH INSTITUTE AT TRADITION, MISSI (NPI# 1003397530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003397530 |
Entity Type | Organization |
Organization Name | THE NATIONAL DIABETES & OBESITY RESEARCH INSTITUTE AT TRADITION, MISSI |
Practice Address |
19289 St. Joseph Street Suite C Biloxi MS 39532 |
Practice Telephone | 2288318764 |
Practice Fax Number | 2282331252 |
Mailing Telephone | 2288318764 |
Mailing Fax Number | 2282331252 |
Enumeration Date | 2018-08-23 |
Last Update Date | 2018-10-18 |
Authorized Official Name | DR. PETER J. FOS (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 2288318764 |
Authorized Official Credential | PH.D, D.D.S., M. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers | ||
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians |
Street Address |
19289 ST. JOSEPH STREET SUITE C |
City | BILOXI |
State | MS |
Zip Code | 39532 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609430206 | Lindsey Calhoun | Dietitian, Registered | 19289 St. Joseph Street, Suite C, Biloxi, MS 39532 | 2019-04-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427693613 | Bloom Mental Health LLC | Nurse Practitioner | 933 Tommy Munro Dr., Suite C, Biloxi, MS 39532 | 2019-11-12 |
1134588999 | Victoria Leonard Scott | Counselor | 6905 Gregory Dr, Biloxi, MS 39532 | 2016-02-22 |
1639552490 | Laura O'keefe | Nurse Practitioner | 1720a Medical Park Dr Ste 150, Biloxi, MS 39532 | 2015-06-29 |
1659767150 | D'iberville Home Program LLC | Clinic/Center | 14215 Cook Road, Biloxi, MS 39532 | 2015-04-10 |
1467842476 | Alicia Michelle Mcdaniel | Nurse Practitioner | 14209 Cook Rd Suite 200, Biloxi, MS 39532 | 2015-01-28 |
1437402393 | Lisa Q. Brown | Occupational Therapist | 680 Bay Cove Drive, Residents At Baycove, Biloxi, MS 39532 | 2012-10-17 |
1962759381 | Joshua Shumway | Physical Therapist | 220 Ploesti Dr, Keesler Afb, MS 39532 | 2012-08-06 |
1386912483 | Polk's Crossgates Discount Drugs Inc. | Pharmacy | 1845 Popps Ferry Road, Biloxi, MS 39532 | 2011-12-05 |
1346566957 | Kerri Lyn Manjarrez | Social Worker | 12304 Tiffany Lane, Biloxi, MS 39532 | 2010-04-08 |
1164758116 | Annette T. Fertitta | Speech-Language Pathologist | 16237 Old Woolmarket Road, Biloxi, MS 39532 | 2009-10-27 |
Find all providers in zip 39532 |
Taxonomy Code | 207RE0101X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Endocrinology, Diabetes & Metabolism |
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649404435 | Memorial Hospital At Gulfport | Internal Medicine | 970 Tommy Munro Dr, Biloxi, MS 39532-2130 | 2009-05-07 |
1164972170 | Hattiesburg Clinic Pa | Internal Medicine | 970 Tommy Munro Dr, Suite B, Biloxi, MS 39532-2175 | 2016-10-13 |
1942465612 | Blake Elgin Elkins | Internal Medicine | 301 Fisher St, Endocrinology - Dr. Elkins, Biloxi, MS 39534-2508 | 2008-07-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841761129 | Dcgm, Inc | Internal Medicine | 1040 River Oaks Dr Ste 302, Flowood, MS 39232-9575 | 2018-12-11 |
1669727228 | Farah Naz Mushtaq | Internal Medicine | 5909 U S Highway 49 Ste 30, Hattiesburg, MS 39402-2860 | 2012-07-19 |
1396808879 | Oxford Endocrinology Consultants, P.C. | Internal Medicine | 512 Azalea Drive, Oxford, MS 38655 | 2006-12-18 |
1376553222 | Richard J Galloway | Internal Medicine | 5909 Us Highway 49, Suite 30, Hattiesburg, MS 39401 | 2006-08-09 |
1477563104 | Amanda Reagan Schiefer | Internal Medicine | 971 Lakeland Drive, Jackson, MS 39126 | 2006-08-08 |
1376559880 | Mark Devin Shepherd | Internal Medicine | 670 Crossover Rd, Tupelo, MS 38801-4944 | 2006-08-01 |
1366498677 | Linda Mary Dales | Internal Medicine | 1516 23rd Ave, Meridian, MS 39301-4026 | 2006-05-26 |
1588617997 | Beverly Lansden | Internal Medicine | 4540 W Railroad St, Gulfport, MS 39501-2480 | 2006-05-18 |
1730138231 | Diabetes & Endocrine Institute, Pllc | Internal Medicine | 2610 Courthouse Cir, Flowood, MS 39232-9562 | 2006-05-10 |
1740251941 | Jayant Dey | Internal Medicine | 4250 S Eason Blvd, Tupelo, MS 38801-6549 | 2006-01-27 |
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.