DR. RANDALL STUART HINES (NPI# 1306877634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306877634 |
| Entity Type | Individual |
| Full Name | DR. RANDALL STUART HINES |
| Credential | M.D. |
| Practice Address |
1040 River Oaks Dr. Suite 202 Flowood MS 39232-9534 |
| Practice Telephone | 6019363650 |
| Practice Fax Number | 8664910274 |
| Mailing Telephone | 6019363650 |
| Mailing Fax Number | 8664910274 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2012-03-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VE0102X |
Obstetrics & Gynecology Specialization: Reproductive Endocrinology |
12123 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | MEDICARE PTAN | 512I160006 | 01 |
| MS | UP MEDICARE GROUP PROV# | 512G700003 | 01 |
| MS | 00116795 | 05 | |
| MS | RR MEDICARE NUMBER | 160039613 | 01 |
| MS | UP MEDICAID GROUP PROV# | 08103071 | 01 |
| MS | 09014712 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356771117 | Randall Leonard Hines Sr. | Counselor | 198 S Macarthur Dr, Camilla, GA 31730-6370 | 2013-11-14 |
| Street Address |
1040 RIVER OAKS DR. SUITE 202 |
| City | FLOWOOD |
| State | MS |
| Zip Code | 39232-9534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164071775 | Leanna Nicole Howard | Social Worker | 2945 Layfair Drive, Apt. 1621, Flowood, MS 39232 | 2019-09-06 |
| 1104395565 | Patriot Healthcare of Mississippi, LLC | Family Medicine | 4800 Lakeland Drive, Flowood, MS 39232 | 2018-11-15 |
| 1285101816 | Magnolia Anesthesia Consultants LLC | Anesthesiology | 4209 Lakeland Dr #252, Flowood, MS 39232 | 2018-11-01 |
| 1528543592 | Matthew T Armstrong | Physical Therapist | 104 Burney Drive, Flowood, MS 39232 | 2018-09-26 |
| 1790265627 | Mississippi Brain and Spine, Pllc | Non-Pharmacy Dispensing Site | 1 Layfair Drive, Ste 120, Flowood, MS 39232 | 2018-08-20 |
| 1629574918 | Billy Clifton Osbon Jr. | Pharmacist | 2506 Lakeland Drive, Suite 201, Flowood, MS 39232 | 2018-04-04 |
| 1356851752 | Oakdale Family Dentistry | Clinic/Center | 2139 Hwy 471, Flowood, MS 39232 | 2017-10-11 |
| 1992227177 | Charisma T. Cummings | Nurse Practitioner | 102 Riverview Drive, Suite A, Flowood, MS 39232 | 2017-07-10 |
| 1508398983 | Charles Pearson | Student in an Organized Health Care Education/Training Program | 764 Flowood Dr, Flowood, MS 39232 | 2017-04-03 |
| 1396288197 | Mary Claire Ponder | Nurse Practitioner | 151 E Metro Dr Ste 103, Flowood, MS 39232 | 2016-11-28 |
| Find all providers in zip 39232 | ||||
| Taxonomy Code | 207VE0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Reproductive Endocrinology |
| An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093745978 | John Preston Parry | Obstetrics & Gynecology | 140 Fountains Blvd Ste C, Madison, MS 39110-6379 | 2006-07-04 |
| 1609292705 | John D. Isaacs Jr., M.d., P.a. | Obstetrics & Gynecology | 501 Marshall St Ste 600, Jackson, MS 39202-1650 | 2014-03-13 |
| 1396059093 | Miss Reproductive Medicine Pllc | Obstetrics & Gynecology | 1040 River Oaks Dr, Jackson, MS 39232-9530 | 2010-08-05 |
| 1013948918 | William Cleland | Obstetrics & Gynecology | 2500 N State St, Jackson, MS 39216-4500 | 2006-07-06 |
| 1811934011 | John Duane Isaacs Jr. | Obstetrics & Gynecology | 2500 N State St, Jackson, MS 39216-4500 | 2006-05-31 |
| 1336193481 | Women's Specialty Center, LLC | Obstetrics & Gynecology | 501 Marshall Street, Suite 600, Jackson, MS 39202-1650 | 2006-05-22 |
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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.