DR. RAY JAIME RODRIGUEZ (NPI# 1154324366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154324366 |
| Entity Type | Individual |
| Full Name | DR. RAY JAIME RODRIGUEZ |
| Credential | MD |
| Practice Address |
7730 Old Canton Rd Bldg B Madison MS 39110-9299 |
| Mailing Address |
7731 Old Canton Rd Ste B Madison MS 39110-6115 |
| Practice Telephone | 6014990935 |
| Practice Fax Number | 6014990936 |
| Mailing Telephone | 6014990935 |
| Mailing Fax Number | 6014990936 |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2019-05-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207KI0005X |
Allergy & Immunology Specialization: Clinical & Laboratory Immunology |
7721 | PR | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922150382 | Ray Rodriguez | Family Medicine | 1011 Baldwin Park Blvd, Baldwin Park, CA 91706-5806 | 2007-01-17 |
| Street Address |
7730 OLD CANTON RD BLDG B |
| City | MADISON |
| State | MS |
| Zip Code | 39110-9299 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073735114 | Spencer K Sullivan | Pediatrics | 7730 Old Canton Rd Bldg B, Madison, MS 39110 | 2007-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134784689 | Therapy South - Gluckstadt LLC | Physical Therapist | 1716 Us 51, Ste N, Madison, MS 39110 | 2019-05-09 |
| 1871054098 | Summit Medical Solutions | Durable Medical Equipment & Medical Supplies | 107 Azalea Street, Madison, MS 39110 | 2019-03-29 |
| 1912488198 | Madison Medical Compounding Pharmacy | Pharmacy | 111 Fountains Blvd. Building B Ste. A, Madison, MS 39110 | 2018-08-24 |
| 1679061469 | Nuvena Vein Clinic | Anesthesiology | 120 Fountains Blvd, Madison, MS 39110 | 2018-04-26 |
| 1467960484 | Brick City Drugs, LLC | Durable Medical Equipment & Medical Supplies | 159 Fountains Blvd, Madison, MS 39110 | 2018-01-11 |
| 1093227589 | Hannah Monk Hawthorne | Counselor | 930 Ebenezer Blvd., Suite D, Madisin, MS 39110 | 2017-10-25 |
| 1548786650 | Kimberly Allen | Pharmacist | 1100 Us- 51, Madison, MS 39110 | 2017-08-21 |
| 1891218186 | Delta Elizabeth Stark | Chiropractor | 1085 Gluckstadt Rd., Bld 300 Ste E, Madison, MS 39110 | 2017-07-19 |
| 1861914848 | Laura Hartlein | Dietitian, Registered | 200 Park Circle Dr. #2, Flowood, MS 39110 | 2017-07-12 |
| 1831620608 | Ona Irby | Occupational Therapist | 105 Munich Dr, Madison, MS 39110 | 2017-03-23 |
| Find all providers in zip 39110 | ||||
| Taxonomy Code | 207KI0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| Specialization | Clinical & Laboratory Immunology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396132619 | Michael Anton Kessler | Allergy & Immunology | 600 Highland Ave, Madison, WI 53792-3721 | 2015-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285837575 | Paul D Niolet | Allergy & Immunology | 1137 Ocean Springs Rd, Ocean Springs, MS 39564-3421 | 2007-06-06 |
Please comment or provide details below to improve the information on DR. RAY JAIME RODRIGUEZ.
| 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.