PATRICIA WEATHERSBY (NPI# 1013905272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013905272 |
| Entity Type | Individual |
| Full Name | PATRICIA WEATHERSBY |
| Credential | MD |
| Practice Address |
202 W Park Ave Greenwood MS 38930-3009 |
| Practice Telephone | 6624530646 |
| Practice Fax Number | 6624556842 |
| Mailing Telephone | 6624530646 |
| Mailing Fax Number | 6624556842 |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 08062 | MS | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00122953 | 05 |
| Street Address |
202 W PARK AVE |
| City | GREENWOOD |
| State | MS |
| Zip Code | 38930-3009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861480014 | Samuel H Lambdin | Specialist | 202 W Park Ave, Greenwood, MS 38930-3009 | 2005-10-12 |
| 1609407907 | Moses Oral and Facial Surgery LLC | Dentist | 202 W Park Ave, Greenwood, MS 38930-3009 | 2020-01-27 |
| 1528434214 | Kathryn Flanagan Evans | Nurse Practitioner | 202 W Park Ave, Greenwood, MS 38930-3009 | 2015-08-17 |
| 1770977134 | Walter Carl Moses IIi | Oral & Maxillofacial Surgery | 202 W Park Ave, Greenwood, MS 38930-3009 | 2015-03-24 |
| 1679802946 | Greenwood Leflore Hospital | Internal Medicine | 202 W Park Ave, Greenwood, MS 38930 | 2009-12-16 |
| 1083868699 | S H Lambdin Md Pllc | Specialist | 202 W Park Ave, Greenwood, MS 38930-3009 | 2008-11-10 |
| 1689831844 | Richard Goldberg | Internal Medicine | 202 W Park Ave, Greenwood, MS 38930-3009 | 2008-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447871579 | Stewart Health Care Training Academy | Home Health Aide | 522 West Park Avenue Suite S, Greenwood, MS 38930 | 2020-04-29 |
| 1801386487 | Sunflower-humphreys Counties Progress, Inc. | Case Management | 414 Martin Luther King Dr, Indianola, MS 38930 | 2018-05-18 |
| 1053826610 | Sarah Malone | Counselor | 2504 Browing Road, Greenwood, MS 38930 | 2017-12-05 |
| 1780109850 | Jasmine Turner Edwards | Pharmacist | 2202 Us 82 W Frontage Rd, Greenwood, MS 38930 | 2017-08-09 |
| 1861916199 | Maurice Wright | Social Worker | 522 West Park Avenue, Suite Q-r, Greenwood, MS 38930 | 2017-07-28 |
| 1215464607 | Catherine Johnson | Counselor | 522 West Park Avenue, Greenwood, MS 38930 | 2017-05-16 |
| 1598205262 | Vignesh Kannan | Internal Medicine | Greenwood Leflore Hospital, 1401 River Rd, Greenwood, MS 38930 | 2017-03-01 |
| 1952847691 | Mischa Mccray | Counselor | 804 E Park Ave, Greenwood, MS 38930 | 2017-01-18 |
| 1760933147 | Ginger Caldero | Social Worker | 522 West Park Ave, Greenwood, MS 38930 | 2016-10-20 |
| 1942750617 | Greenwood Leflore Hospital | Psychiatry & Neurology | 1401 River Rd Rm 534, Greenwood, MS 38930 | 2016-10-06 |
| Find all providers in zip 38930 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194354274 | Center for Vascular Medicine In LLC | Specialist | 33 E County Line Rd Ste D, Greenwood, IN 46143-1078 | 2020-04-02 |
| 1114265238 | Joseph A Beardsley Md Professional Corp | Specialist | 1777 W Stones Crossing Rd Ste 1, Greenwood, IN 46143-7899 | 2013-01-24 |
| 1710210653 | Carolina Health Centers/piedmont Physicians for Women | Specialist | 102 Katie Court, Piedmont Physicians for Women, Greenwood, SC 29646-9059 | 2009-09-10 |
| 1518120856 | Christine Adefuin Murakami | Specialist | 1123 Spring St, Greenwood, SC 29646-3833 | 2008-07-07 |
| 1124208400 | Barbara R. Sturm, M.d.,p.c. | Specialist | 1777 W Stones Crossing Rd Ste 4, Greenwood, IN 46143-7899 | 2007-11-05 |
| 1275725590 | Central Mississippi Radiology | Specialist | 1803 Strong Ave, Greenwood, MS 38930-3913 | 2007-08-10 |
| 1881787687 | Edwin M Meek Jr. | Specialist | 1313 River Rd, Greenwood, MS 38930-4029 | 2006-10-02 |
| 1235246737 | Joseph A Beardsley | Specialist | 1777 W Stones Crossing Rd, Ste 1, Greenwood, IN 46143-7899 | 2006-08-23 |
| 1871607598 | Syed S Rafique | Specialist | 333 Highway 82 W, Greenwood, MS 38930-6538 | 2006-08-18 |
| 1457327066 | Jason Travis Reed | Specialist | 203 Janeway, Greenwood, SC 29649-1539 | 2006-02-23 |
| Find all providers in GREENWOOD | ||||
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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.