MEDICAL FOUNDATION, INC. (NPI# 1235598624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235598624 |
Entity Type | Organization |
Organization Name | MEDICAL FOUNDATION, INC. |
Other Organization Name | WOMEN'S WELLNESS MFI |
Practice Address |
2401 16th St Meridian MS 39301-3950 |
Mailing Address |
Po Box 5183 Meridian MS 39302-5183 |
Practice Telephone | 6014824181 |
Practice Fax Number | 6014824017 |
Mailing Telephone | 6017034282 |
Mailing Fax Number | 6017033080 |
Enumeration Date | 2016-02-15 |
Last Update Date | 2018-02-28 |
Authorized Official Name | DON LARKIN KENNEDY (PRESIDENT) |
Authorized Official Telephone | 6017039614 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
Allopathic & Osteopathic Physicians | ||
N | 367A00000X | Advanced Practice Midwife | Physician Assistants & Advanced Practice Nursing Providers | ||
Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Women's Wellness MFI | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194191684 | Medical Foundation, Inc. | Family Medicine | 5100 Hwy 21 South, Preston, MS 39354 | 2015-08-19 |
1275930174 | Medical Foundation, Inc. | Anesthesiology | 1200 16th Ave, Meridian, MS 39301-4209 | 2014-11-21 |
1467857102 | Medical Foundation, Inc. | Clinical Medical Laboratory | 1306 20th Avenue, Meridian, MS 39301 | 2014-10-23 |
1891353462 | Medical Foundation, Inc. | Obstetrics & Gynecology | 2303 13th St, Meridian, MS 39301-3940 | 2019-05-30 |
1386118602 | Medical Foundation, Inc. | Pediatrics | 252 Northside Dr, Newton, MS 39345-9756 | 2019-01-21 |
1770985020 | Medical Foundation, Inc. | Obstetrics & Gynecology | 1056 Holland Ave, Suite A, Philadelphia, MS 39350-9121 | 2014-09-18 |
1346654027 | Medical Foundation, Inc. | Family Medicine | 1800 12th St, Meridian, MS 39301-4158 | 2014-06-20 |
1144633363 | Medical Foundation, Inc. | Dermatology | 4331 Highway 39 N Ste A, Meridian, MS 39301-1007 | 2014-06-05 |
1811300395 | Medical Foundation, Inc. | Psychiatry & Neurology | 1800 12th St, Meridian, MS 39301-4158 | 2014-06-03 |
1285046987 | Medical Foundation, Inc. | Obstetrics & Gynecology | 1221 24th Ave, Meridian, MS 39301-3926 | 2014-05-29 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | MEDICAL FOUNDATION, INC. | 1314 19th Ave, Meridian, MS 39301-4116 |
Street Address |
2401 16TH ST |
City | MERIDIAN |
State | MS |
Zip Code | 39301-3950 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780784496 | Elizabeth A. Trest | Obstetrics & Gynecology | 2401 16th St, Meridian, MS 39301-3950 | 2006-09-23 |
1174603096 | Urelaine R Simon - Hart | Obstetrics & Gynecology | 2401 16th St, Meridian, MS 39301-3950 | 2006-10-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407460439 | Kayla Lee Monsour | Pharmacist | 1415 24th Avenue, Meridian, MS 39301 | 2020-09-08 |
1306478359 | K&r Optical Solutions Corporation | Eyewear Supplier (Equipment, not the service) | 3126 8th St., Suite A, Meridian, MS 39301 | 2020-02-07 |
1912537317 | Courtney M Hollie | Counselor | 1054 Ms-19, Meridian, MS 39301 | 2020-01-24 |
1932636495 | Rcg Mississippi, Inc. | Clinic/Center | 1300 38th Ave E, Meridian, MS 39301 | 2017-05-16 |
1811428915 | Tierria Mcglothin | Nurse Practitioner | 1054 Highway 19 S, Meridian, MS 39301 | 2017-03-21 |
1154869303 | Lindsay Nemanich | Physical Therapist | 3716 Ms-39, Meridian, MS 39301 | 2017-02-08 |
1700323599 | Wal-mart Stores East Lp | Pharmacy | 3310-a Highway 39 North, Meridian, MS 39301 | 2017-01-31 |
1972977460 | Southeast Pharmacy LLC | Pharmacy | 2402 Long Creek Road, Meridian, MS 39301 | 2015-11-20 |
1235508342 | East Mississippi Oral & Facial Surgery, LLC | Clinic/Center | 1212 24th Avenue, Meridian, MS 39301 | 2015-09-18 |
1831580778 | Clarkdale Pharmacy and Gifts LLC | Pharmacy | 6935c Hwy 145, Meridian, MS 39301 | 2015-02-13 |
Find all providers in zip 39301 |
Taxonomy Code | 207VG0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
Specialization | Gynecology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609245109 | Transformations Idaho Pllc | Obstetrics & Gynecology | 2857 S Meridian Rd, 100, Meridian, ID 83642-7960 | 2015-09-15 |
1760884324 | Ppgnw - Idaho | Obstetrics & Gynecology | 2112 E Franklin Rd, Meridian, ID 83642-9024 | 2014-09-25 |
1013256379 | Simply Womens Health LLC | Obstetrics & Gynecology | 2273 E Gala St, Suite 110, Meridian, ID 83642-7289 | 2013-02-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982961728 | Laura Rebecca Daily | Obstetrics & Gynecology | 501 Marshall St Ste G07, Jackson, MS 39202-1651 | 2012-04-18 |
1093027385 | Lindsey Miller Turner | Obstetrics & Gynecology | 1020 River Oaks Dr Ste 320, Flowood, MS 39232-9512 | 2010-07-02 |
1891945440 | R C & P R Purohit Pa | Obstetrics & Gynecology | 135 Keating Road, Batesville, MS 38606 | 2008-09-19 |
1295915320 | Dr Mike Dorcik, Pa | Obstetrics & Gynecology | 12511 Mccully Dr, Biloxi, MS 39532-9091 | 2007-11-06 |
1902010986 | Wadie Hill Abraham II | Obstetrics & Gynecology | 2373 Highway 11 and 80, Toomsuba, MS 39364-9441 | 2007-05-09 |
1730213596 | Southcrest Women Healthcare | Obstetrics & Gynecology | 401south Crest Circle, Suite 101, Southaven, MS 38671 | 2007-03-15 |
1093815474 | Cecil Douglas Odom | Obstetrics & Gynecology | 1020 River Oaks Drive, Ste 310, Jackson, MS 39232 | 2006-09-25 |
1366551079 | E J Price Jr. | Obstetrics & Gynecology | 300 Rawls Drive, Suite 900, Mccomb, MS 39648 | 2006-08-29 |
1457375446 | Tommy Alexander | Obstetrics & Gynecology | 2010 E Shiloh Rd, Corinth, MS 38834-3724 | 2006-07-26 |
1104869148 | Natasha N Hardeman | Obstetrics & Gynecology | 2506 Lakeland Dr Ste 600, Flowood, MS 39232-7640 | 2006-06-14 |
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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.