DR. KATHRYN R FARRELL (NPI# 1033319389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033319389 |
| Entity Type | Individual |
| Full Name | DR. KATHRYN R FARRELL |
| Credential | MD |
| Practice Address |
5 River Bend Pl Suite C Jackson MS 39232-7618 |
| Practice Telephone | 6019577345 |
| Practice Fax Number | 7692515429 |
| Mailing Telephone | 6019577345 |
| Mailing Fax Number | 7692515429 |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2019-09-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
20182 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 09571374 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356752778 | Kathryn Farrell | Nurse Practitioner | 128 Route 70, Medford, NJ 08055-2371 | 2014-05-20 |
| 1083961783 | Kathryn Farrell | Case Manager/Care Coordinator | 160 N Beach St, Daytona Beach, FL 32114-3314 | 2012-08-13 |
| 1457634222 | Kathryn Kramer Farrell | Anesthesiologist Assistant | 550 Peachtree St Ne, Atlanta, GA 30308-2212 | 2011-09-27 |
| Street Address |
5 RIVER BEND PL SUITE C |
| City | JACKSON |
| State | MS |
| Zip Code | 39232-7618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164071775 | Leanna Nicole Howard | Social Worker | 2945 Layfair Drive, Apt. 1621, Flowood, MS 39232 | 2019-09-06 |
| 1104395565 | Patriot Healthcare of Mississippi, LLC | Family Medicine | 4800 Lakeland Drive, Flowood, MS 39232 | 2018-11-15 |
| 1285101816 | Magnolia Anesthesia Consultants LLC | Anesthesiology | 4209 Lakeland Dr #252, Flowood, MS 39232 | 2018-11-01 |
| 1528543592 | Matthew T Armstrong | Physical Therapist | 104 Burney Drive, Flowood, MS 39232 | 2018-09-26 |
| 1790265627 | Mississippi Brain and Spine, Pllc | Non-Pharmacy Dispensing Site | 1 Layfair Drive, Ste 120, Flowood, MS 39232 | 2018-08-20 |
| 1629574918 | Billy Clifton Osbon Jr. | Pharmacist | 2506 Lakeland Drive, Suite 201, Flowood, MS 39232 | 2018-04-04 |
| 1356851752 | Oakdale Family Dentistry | Clinic/Center | 2139 Hwy 471, Flowood, MS 39232 | 2017-10-11 |
| 1992227177 | Charisma T. Cummings | Nurse Practitioner | 102 Riverview Drive, Suite A, Flowood, MS 39232 | 2017-07-10 |
| 1508398983 | Charles Pearson | Student in an Organized Health Care Education/Training Program | 764 Flowood Dr, Flowood, MS 39232 | 2017-04-03 |
| 1396288197 | Mary Claire Ponder | Nurse Practitioner | 151 E Metro Dr Ste 103, Flowood, MS 39232 | 2016-11-28 |
| Find all providers in zip 39232 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124104765 | Mitzi Gail Ferguson | Pediatrics | 1991 Lakeland Dr Ste C, Jackson, MS 39216-5000 | 2006-10-27 |
| 1043264872 | Praveen Kumar | Pediatrics | 2500 N. State Street, Univ of Ms Med Ctr., Newborn Medicine, Jackson, MS 39216-4505 | 2006-05-19 |
| 1902381189 | William Needham | Pediatrics | 2500 N State St, Jackson, MS 39216-4500 | 2018-10-03 |
| 1851659353 | Renjithkumar Kalikkot Thekkeveedu | Pediatrics | 2500 N State St, Jackson, MS 39216-4500 | 2012-05-03 |
| 1275811168 | Parvesh Mohan Garg | Pediatrics | 2500 N State St, Jackson, MS 39216-4500 | 2011-07-27 |
| 1659690717 | Marco Sanudo Loayza | Pediatrics | 2500 N State St, Jackson, MS 39216-4500 | 2010-05-27 |
| 1215192406 | Simon Karam | Pediatrics | 2500 N State St, Jackson, MS 39216-4500 | 2008-07-28 |
| 1861699357 | Leigh Rhodes Campbell | Pediatrics | 2500 N State St, Jackson, MS 39216-4500 | 2007-06-28 |
| 1104036656 | Jaimin M Patel | Pediatrics | 2500 N State St, Neonatal Intensive Care Unit, Jackson, MS 39216-4500 | 2007-05-23 |
| 1891825287 | Mobolaji Eniola Famuyide | Pediatrics | 2500 N State St, Division of Newborn Medicine, Univ of Ms Medical Center, Jackson, MS 39216-4500 | 2007-03-06 |
| Find all providers in JACKSON | ||||
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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.