NESHOBA COUNTY GENERAL HOSPITAL (NPI# 1013382308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013382308 |
| Entity Type | Organization |
| Organization Name | NESHOBA COUNTY GENERAL HOSPITAL |
| Other Organization Name | NESHOBA COUNTY GENERAL HOSPITAL RADIOLOGY PRO FEES |
| Practice Address |
1001 Holland Ave Philadelphia MS 39350-2161 |
| Mailing Address |
Po Box 976 1001 Holland Avenue Philadelphia MS 39350-2161 |
| Practice Telephone | 6016631200 |
| Practice Fax Number | 6016631286 |
| Mailing Telephone | 6016631200 |
| Mailing Fax Number | 6016631286 |
| Enumeration Date | 2015-12-11 |
| Last Update Date | 2015-12-11 |
| Authorized Official Name | MR. SCOTT HESTER MCNAIR (CFO) |
| Authorized Official Telephone | 6016631233 |
| Is Organization Subpart | Y |
| Parent Organization Name | NESHOBA COUNTY GENERAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Neshoba County General Hospital Radiology Pro Fees | 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 |
| 1942399118 | Neshoba County General Hospital | Pediatrics | 1122 E Main St Ste 6, Philadelphia, MS 39350-2348 | 2006-10-12 |
| 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 |
| 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 |
1001 HOLLAND AVE |
| City | PHILADELPHIA |
| State | MS |
| Zip Code | 39350-2161 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679514178 | Pamela Z Mccool | Nurse Anesthetist, Certified Registered | 1001 Holland Ave, Philadelphia, MS 39350-2161 | 2006-06-08 |
| 1639705791 | Jessica Stokes | Nurse Practitioner | 1001 Holland Ave, Philadelphia, MS 39350-2161 | 2020-03-19 |
| 1699310854 | Sidney Stuart Hill | Registered Nurse | 1001 Holland Ave, Philadelphia, MS 39350-2161 | 2019-11-12 |
| 1710538061 | Tanya Wilson Tullos | Registered Nurse | 1001 Holland Ave, Philadelphia, MS 39350-2161 | 2019-09-26 |
| 1396394599 | Ashley Kaye Barber | Nurse Practitioner | 1001 Holland Ave, Philadelphia, MS 39350-2161 | 2019-09-10 |
| 1871152215 | Rebecca Prince | Speech-Language Pathologist | 1001 Holland Ave, Philadelphia, MS 39350-2161 | 2019-06-10 |
| 1063973071 | Julie Holley Coleman | Registered Nurse | 1001 Holland Ave, Philadelphia, MS 39350-2161 | 2019-03-31 |
| 1528559184 | Anna Fulton Spence | Physical Therapist | 1001 Holland Ave, Philadelphia, MS 39350-2161 | 2018-05-19 |
| 1912405358 | Cyndi Weldy | Physical Therapist | 1001 Holland Ave, Philadelphia, MS 39350-2161 | 2018-01-31 |
| 1053828764 | Julie Thomas | Physical Therapist | 1001 Holland Ave, Philadelphia, MS 39350-2161 | 2018-01-03 |
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| 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 | 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 |
|---|---|---|---|---|
| 1063067635 | Jefferson University Radiology Associates, LLC | Radiology | 3 Crescent Dr Ste 1002, Philadelphia, PA 19112-1016 | 2019-08-09 |
| 1033649975 | Dinh-huy Do Nguyen | Radiology | 5501 Old York Rd Ste 363, Philadelphia, PA 19141-3018 | 2017-06-13 |
| 1467809418 | Jeffrey Burgess | Radiology | 1215 Spruce St Apt 201, Philadelphia, PA 19107-5620 | 2016-05-19 |
| 1649632399 | Myron Blumberg | Radiology | 317 S 22nd St, Philadelphia, PA 19103-6528 | 2016-03-22 |
| 1144633074 | Daniel Robert Wahl | Radiology | 3400 Spruce Street - 1 Silverstein, Department of Radiology / Abdominal Imaging, Philadelphia, PA 19104 | 2014-06-09 |
| 1235564337 | Ron Benjamin | Radiology | 2055 E Fletcher St, Philadelphia, PA 19125 | 2013-09-08 |
| 1831454867 | Ryan Michael Bonshock | Radiology | 4220 Market St Fl 2, Philadelphia, PA 19104-3007 | 2012-07-05 |
| 1730498601 | Robert A Perkins Jr. | Radiology | 132 S 10th St Ste 1099j, Philadelphia, PA 19107-5244 | 2010-09-27 |
| 1457677007 | Michael Richard Acord | Radiology | 3401 Civic Blvd, Division of Radiology, Philadelphia, PA 19104 | 2010-04-07 |
| 1780918375 | Mollie Mcginley | Radiology | 1835 Arch St, Apartment 305, Philadelphia, PA 19103-2712 | 2009-09-29 |
| 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.