TUPELO SURGERY CENTER, L.L.C. (NPI# 1164472031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164472031 |
| Entity Type | Organization |
| Organization Name | TUPELO SURGERY CENTER, L.L.C. |
| Practice Address |
3353 N Gloster St Suite 300 Tupelo MS 38804-9735 |
| Practice Telephone | 6624070334 |
| Practice Fax Number | 6628405614 |
| Mailing Telephone | 6624070334 |
| Mailing Fax Number | 6628405614 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2010-03-26 |
| Authorized Official Name | SONDRA BYRD (BUSINESS OFFICE MANAGER) |
| Authorized Official Telephone | 6628443555 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS0132X |
Clinic/Center Specialization: Ophthalmologic Surgery |
0502562 | MS | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 0770601 | 05 |
| Street Address |
3353 N GLOSTER ST SUITE 300 |
| City | TUPELO |
| State | MS |
| Zip Code | 38804-9735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417950262 | Fred H Mothershed | Optometrist | 3353 N Gloster St, Tupelo, MS 38804-9735 | 2005-05-24 |
| 1659984086 | Mac Anesthesia Pllc | Nurse Anesthetist, Certified Registered | 3353 N Gloster St, Tupelo, MS 38804-9735 | 2020-08-25 |
| 1275917346 | Chelsea Mcknight | Optometrist | 3353 N Gloster St, Tupelo, MS 38804-9735 | 2015-07-17 |
| 1508184706 | Joseph Hyrum Childs | Ophthalmology | 3353 N Gloster St, Tupelo, MS 38804-9735 | 2010-05-12 |
| 1750581781 | Sonya Mitchell Miles | Ophthalmology | 3353 N Gloster St, Tupelo, MS 38804-9735 | 2007-07-18 |
| 1295934529 | Elizabeth Eckard | Optometrist | 3353 N Gloster St, Tupelo, MS 38804-9735 | 2007-07-17 |
| 1275749228 | Nurse Anesthesia Providers, Inc | Anesthesiology | 3353 N Gloster St, Tupelo, MS 38804-9735 | 2007-05-15 |
| 1831140300 | Mothershed Optometry Associates P.l.l.c. | Optometrist | 3353 N Gloster St, Tupelo, MS 38804-9735 | 2006-05-12 |
| 1912958489 | Wesson Ophthalmology Associates P.l.l.c. | Specialist | 3353 N Gloster St, Tupelo, MS 38804-9735 | 2006-05-12 |
| 1275512410 | Robin Seale | Nurse Anesthetist, Certified Registered | 3353 N Gloster St, Suite 300, Tupelo, MS 38804-9735 | 2006-01-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548874159 | Susan Me'chelle Oliver | Nurse Practitioner | 874 Barnes Crossing Road, Tupelo, MS 38804 | 2020-09-01 |
| 1134762784 | Kimberly J Adams | Occupational Therapy Assistant | 90 Clark Ave, Tupelo, MS 38804 | 2019-10-25 |
| 1790270924 | Megan Guntharp | Occupational Therapist | 960 Commonwealth Boulevard, Tupelo, MS 38804 | 2018-06-29 |
| 1154867562 | Urologic Ambulatory Surgery Center, LLC | Clinic/Center | 3353 N Gloster Street, Suite 300, Tupelo, MS 38804 | 2017-01-09 |
| 1790235919 | Dr Scott Dickinson D.m. D. PC | Dentist | 3999 N Gloster Street, Tupelo, MS 38804 | 2016-10-12 |
| 1326496621 | Angela Estes | Occupational Therapist | County Road 1279 House#197, Tupelo, MS 38804 | 2016-05-26 |
| 1316300080 | Eric Wade Tillotson | Family Medicine | 1665 South Green Street, Tupelo, MS 38804 | 2016-03-31 |
| 1104238898 | Stella M. Johnson | Social Worker | 2292 Camelot Cir, Tupelo, MS 38804 | 2014-05-29 |
| 1821437351 | Lenka Petersen | Student in an Organized Health Care Education/Training Program | 1665 S Green St., Nmmc, Tupelo, MS 38804 | 2013-06-18 |
| 1083966303 | Jessica M Baskett | Counselor | 398 E Main St, Tupelo, MS 38804 | 2012-10-10 |
| Find all providers in zip 38804 | ||||
| Taxonomy Code | 261QS0132X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ophthalmologic Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003387044 | Advanced Anesthesia Services LLC | Clinic/Center | 306 Bradley Rd, Corinth, MS 38834-7047 | 2018-12-17 |
| 1528416641 | Southern Eye Surgery and Laser Center, LLC | Clinic/Center | 1923 W 10th St, Laurel, MS 39440-2538 | 2016-05-31 |
| 1245480482 | Coleman Cataract and Eye Laser Surgery Center, Inc. | Clinic/Center | 2005 Hwy 82 W, Greenwood, MS 38930 | 2008-09-24 |
| 1215014022 | Hattiesburg Eye Clinic Cataract & Lasik Surgery Center, LLC | Clinic/Center | 103 Millsaps Dr, Hattiesburg, MS 39402-1348 | 2006-11-01 |
| 1750390548 | Oxford Eye Surgery Center,l.p | Clinic/Center | 1314 Belk Blvd, Oxford, MS 38655-5302 | 2006-08-08 |
| 1669757761 | Coastal Eye Surgery Center | Clinic/Center | 14245 Dedeaux Rd, Gulfport, MS 39503-3369 | 2011-10-20 |
| 1053649558 | Popps Ferry Out-patient Surgery Center, LLC | Clinic/Center | 431 Bertucci Blvd, Biloxi, MS 39531-2255 | 2009-11-23 |
| 1891951885 | Mississippi Eye Surgery Center | Clinic/Center | 3434 Bienville Blvd, Ocean Springs, MS 39564-5732 | 2008-07-30 |
| 1073791158 | Southern Eye Surgery Center LLC | Clinic/Center | 1420 S 28th Ave, Hattiesburg, MS 39402-3107 | 2008-01-31 |
| 1336236710 | The Eye Surgery and Laser Center | Clinic/Center | 501 Marshall St, Suite 604, Jackson, MS 39202-1651 | 2006-10-06 |
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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.