THE CLINIC AT ELM LAKE, P.A. (NPI# 1215193933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215193933 |
| Entity Type | Organization |
| Organization Name | THE CLINIC AT ELM LAKE, P.A. |
| Practice Address |
3700 N Frontage Rd Columbus MS 39701 |
| Practice Telephone | 6622409999 |
| Practice Fax Number | 6622415451 |
| Mailing Telephone | 6622409999 |
| Mailing Fax Number | 6622415451 |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2008-08-01 |
| Authorized Official Name | MRS. ANNMARIE STOKES (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 6622409999 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 173000000X | Legal Medicine | MS13926 | MS | Other Service Providers |
| Street Address |
3700 N FRONTAGE RD |
| City | COLUMBUS |
| State | MS |
| Zip Code | 39701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902370828 | Southern Hospitality Transportation | Non-emergency Medical Transport (VAN) | 702 #1 Hwy 45 North, Columbus, MS 39701 | 2019-01-14 |
| 1457844466 | Red 2 Black Consulting, LLC | Nurse Practitioner | 68 Brickerton St, Columbus, MS 39701 | 2018-06-13 |
| 1194134478 | John Wesley Conn | Counselor | 1001 Maint St, Columbus, MS 39701 | 2014-08-12 |
| 1902109903 | Jeffrey Wayne Carter | Contractor | 1809 7th Avenue North, Columbus, MS 39701 | 2010-12-13 |
| 1134322886 | Johanna R Price | Speech-Language Pathologist | 1100 College Street Muw 1340, Columbus, MS 39701 | 2007-06-08 |
| 1396952057 | Roland Franklin Colom | Dentist | 907 Military Rd, Columbus, MS 39701 | 2007-05-16 |
| 1821142902 | Bob W Meek | Counselor | 200 6th St North, Suite 401, Columbus, MS 39701 | 2007-01-23 |
| 1447324173 | Tolley Valerie | Durable Medical Equipment & Medical Supplies | 818 2nd Ave North, Columbus, MS 39701 | 2006-11-17 |
| 1548347081 | Kimberly Mullin | Counselor | 700 10th Ave South, Columbus, MS 39701 | 2006-11-01 |
| 1497831226 | Ralph Frederick Johnson | Chiropractor | 613 18th Ave No, Columbus, MS 39701 | 2006-10-27 |
| Find all providers in zip 39701 | ||||
| Taxonomy Code | 173000000X |
| Grouping | Other Service Providers |
| Classification | Legal Medicine |
| The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902013709 | Winship Clinic,p.c. | Legal Medicine | 2401 Brookstone Centre Pkwy, Bldg. 200, Columbus, GA 31904-4501 | 2007-05-17 |
| 1205967312 | Occupational Medicine of Columbus | Legal Medicine | 7301 N Lake Dr, Columbus, GA 31909-2788 | 2007-03-08 |
| 1841735909 | Wellness Medical Clinic LLC | Legal Medicine | 3033 Sullivant Ave, Columbus, OH 43204-2424 | 2016-12-28 |
| 1285099739 | Columbus Pediatric Associates, PC | Legal Medicine | 1800 10th Ave, Suite 100-f, Columbus, GA 31901-1513 | 2015-12-29 |
| 1538375274 | Matthew Siegel | Legal Medicine | 4420 Refugee Rd, Columbus, OH 43232-4416 | 2007-05-16 |
| 1730236233 | West Georgia Pediatric Partners, LLC | Legal Medicine | 802 22nd St, Columbus, GA 31904-8823 | 2007-01-05 |
| 1881782506 | Degaulle G. Haile | Legal Medicine | 3183 N National Rd, Columbus, IN 47201-3164 | 2006-10-10 |
| 1679567556 | New Hope Medical Clinic, Inc. | Legal Medicine | 2110 Lake Lowndes Rd, Columbus, MS 39702-9655 | 2005-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285915686 | William Edward Bowlus | Legal Medicine | 24 Wimbledon Dr, Jackson, MS 39211-2443 | 2011-08-30 |
| 1548315203 | Guardian Angel Healthcare II, Inc. | Legal Medicine | 347 Magnolia Dr, Raleigh, MS 39153-6011 | 2007-01-24 |
| 1659466563 | Mid Delta Family Practice Clinic | Legal Medicine | 403 S Davis Ave, Cleveland, MS 38732-3411 | 2006-10-04 |
| 1952497422 | Charles H Williams | Legal Medicine | 1000 Lakeland Square Ext., Suite 800, Flowood, MS 39232-7649 | 2006-10-04 |
| 1770596918 | Jessie R Taylor | Legal Medicine | 1423 Palmetto Road, Verona, MS 38879 | 2006-08-15 |
| 1538170683 | Shanti Pandey | Legal Medicine | 821 Main St, Fayette, MS 39069-0008 | 2006-08-11 |
| 1437184017 | William H. Wallace | Legal Medicine | 1421 N State St # St.1, Ste. 504, Jackson, MS 39202-1658 | 2006-07-11 |
| 1184656068 | Robert Allen Smith | Legal Medicine | 1424 N. State St., Ste. 504, Jackson, MS 39202-1658 | 2006-07-07 |
| 1568459089 | River Bend Medical Clinic, Inc | Legal Medicine | 2659 Lakeland Dr, Flowood, MS 39232-9516 | 2005-09-29 |
| 1275539017 | Bernard G. De Asis | Legal Medicine | 117 South 11th Avenue, Laurel, MS 39440 | 2005-06-27 |
| Find all providers with the same taxonomy | ||||
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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.