WEST MISSISSIPPI MEDICAL SERVICES


Address: 100 Mcauley Dr, Vicksburg, MS 39183-2825
Phone: 6018833532

WEST MISSISSIPPI MEDICAL SERVICES (NPI# 1215451794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215451794
Entity Type Organization
Organization Name WEST MISSISSIPPI MEDICAL SERVICES
Practice Address 100 Mcauley Dr
Vicksburg
MS 39183-2825
Mailing Address 607 Tiffintown Rd
Vicksburg
MS 39183-1503
Practice Telephone 6018833532
Mailing Telephone 6016368184
Enumeration Date 2017-07-27
Last Update Date 2017-07-27
Authorized Official Name STANLEY R EASTERLING (OWNER)
Authorized Official Telephone 6016368184
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QA0401X Family Medicine
Specialization: Addiction Medicine
10687 MS Allopathic & Osteopathic Physicians

Office Location

Street Address 100 MCAULEY DR
City VICKSBURG
State MS
Zip Code 39183-2825

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306217823 Tracy Curtis Speech-Language Pathologist 2100 Us 61, Vicksburg, MS 39183 2015-10-09
1649566894 The Life Balance Clinic, Behavioral Health Service Social Worker 1107 B Openwood St., Vicksburg, MS 39183 2011-06-27
1245428788 Melanie Joan Waldrop Nurse Anesthetist, Certified Registered 2100 Hwy 61n, River Region Medical Center, Vicksburg, MS 39183 2007-10-10
1871714477 Robert Michael Coleman Dentist 2356 Grove Street, Vicksburg, MS 39183 2007-05-01
1942363502 Visions Physical Therapy Physical Therapist 110 Holt Collier Dr, Vicksburg, MS 39183 2006-12-18
1023117991 Janet S Fisher Dmd Pa Dentist 1212 Mission 66, Vicksburg, MS 39183 2006-09-21
1407878663 Annette Bryant Social Worker 1107 Openwood St, Vicksburg, MS 39183 2006-07-24
1932168416 Promise Hospital of Vicksburg Inc Long Term Care Hospital 2100 Highway 61 N Fl 6, Vicksburg, MS 39183 2006-03-22
1164945374 Walgreen Co Durable Medical Equipment & Medical Supplies 2310 Clay St, Vicksburg, MS 39183 2017-07-19
1255777025 Joyce Wanjugu Muruthi Obstetrics & Gynecology 2100 Highway 61 N, Vicksburg, MS 39183 2013-05-20
Find all providers in zip 39183

Taxonomy Information

Taxonomy Code 207QA0401X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Addiction Medicine

Taxonomy Definition

A family medicine physician who specializes in the diagnosis and treatment of addictions.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013425503 Pathway Healthcare- Mississippi LLC Family Medicine 1 Medical Plaza Dr, Vicksburg, MS 39180-5187 2018-01-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1245755990 Pathway Healthcare- Columbus, Ms LLC Family Medicine 3600 Bluecutt Rd Ste 200, Columbus, MS 39705-1303 2017-08-03
1124471131 1st Step Medical PC Family Medicine 3104 Adams Farm Rd, Belden, MS 38826-7020 2016-07-14
1619981644 Kenneth I Cronin Family Medicine 408 Fontaine Pl, Suite 104, Ridgeland, MS 39157-5145 2006-07-27
1619433943 Live Oaks Addiction Professionals Family Medicine 5699 Getwell Rd Ste 1, Southaven, MS 38672-7312 2019-02-12
1336656628 Pathway Healthcare- Columbus, Ms LLC Family Medicine 3600 Bluecutt Rd Ste 200, Columbus, MS 39705-1303 2018-01-08
1487179156 Pathway Healthcare - Jackson, Ms, LLC Family Medicine 1551 E County Line Rd, Jackson, MS 39211-1801 2017-08-03
1376929901 Sw Mediacal Inc Family Medicine 2561 Pass Rd, Suite D, Biloxi, MS 39531-2125 2015-08-05
1669697801 William Lelon Aron Jr. Family Medicine 1551 E County Line Rd, Jackson, MS 39211-1801 2007-04-14

Competitor

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City VICKSBURG
Zip Code 39183

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Dataset Information

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.

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