BOB T SOUDER (NPI# 1316934664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316934664 |
| Entity Type | Individual |
| Full Name | BOB T SOUDER |
| Credential | MD |
| Practice Address |
9 Physicians Dr Jackson TN 38305-2071 |
| Mailing Address |
Po Box 11567 Jackson TN 38308-0126 |
| Practice Telephone | 7316610086 |
| Practice Fax Number | 7316610281 |
| Mailing Telephone | 7316610086 |
| Mailing Fax Number | 7316619702 |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2011-10-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
8762 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA | A56277518 | 01 | |
| TN | 3172171 | 05 |
| Street Address |
9 PHYSICIANS DR |
| City | JACKSON |
| State | TN |
| Zip Code | 38305-2071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700873056 | Allan M Menachem | Internal Medicine | 9 Physicians Dr, Jackson, TN 38305-2071 | 2005-10-03 |
| 1306389903 | Anahita Meshkani | Nurse Practitioner | 9 Physicians Dr, Jackson, TN 38305-2071 | 2016-11-30 |
| 1194149385 | Wendy Burks Pevahouse | Nurse Practitioner | 9 Physicians Dr, Jackson, TN 38305-2071 | 2014-02-10 |
| 1528482809 | Brittany Harris | Registered Nurse | 9 Physicians Dr, Jackson, TN 38305-2071 | 2014-02-07 |
| 1164762498 | Brittney Jaynes Tucker | Nurse Practitioner | 9 Physicians Dr, Jackson, TN 38305 | 2013-02-23 |
| 1689982431 | Tennessee Anesthesia Network Services LLC | Anesthesiology | 9 Physicians Dr, Jackson, TN 38305-2071 | 2010-09-15 |
| 1396063012 | Jackson Medical Services | Nurse Anesthetist, Certified Registered | 9 Physicians Dr, Jackson, TN 38305-2071 | 2010-05-05 |
| 1891770921 | Linda Renee Miller | Internal Medicine | 9 Physicians Dr, Jackson, TN 38305-2071 | 2005-12-13 |
| 1104814805 | Stacey S Hodges | Licensed Practical Nurse | 9 Physicians Dr, Jackson, TN 38305 | 2005-10-07 |
| 1740277821 | Transsouth Health Care PC | Clinic/Center | 9 Physicians Dr, Jackson, TN 38305-2071 | 2005-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427656818 | Kimaya Jelks | Specialist | 1869 45 Hwy Bypass, Suite 2b, Jackson, TN 38305 | 2020-10-16 |
| 1821600578 | Maame Obeng | Pharmacist | 3144 North Highland Avenue, Jackson, TN 38305 | 2020-08-22 |
| 1700361904 | James Cowie | Psychologist | 156c West University Pkwy, Jackson, TN 38305 | 2018-10-03 |
| 1700372109 | Chad Zawacki | Physician Assistant | 147 North Star Drive, Jackson, TN 38305 | 2018-07-09 |
| 1104323070 | Golden Years Adult Day Care | Clinic/Center | 155 Carriage Dr Suite A, Jackson, TN 38305 | 2018-04-09 |
| 1245754563 | Tanika Annette Gillard | Massage Therapist | 4 Hampton Ln, Jackson, TN 38305 | 2017-07-28 |
| 1316488117 | Lakisha T Ingram | Counselor | 168 Greencastle Dr, Jackson, TN 38305 | 2017-03-13 |
| 1619421567 | D & L Wellness Inc | Community/Behavioral Health | 154 Carriage House Dr., Jackson, TN 38305 | 2016-08-09 |
| 1649637638 | Advance Choice Home Care LLC | In Home Supportive Care | 1028 Ashport Rd., Jackson, TN 38305 | 2016-01-21 |
| 1942666151 | Neurohealth Solutions Inc. | Clinic/Center | 174 Murray Guard Dr. Suite E, Jackson, TN 38305 | 2016-01-05 |
| Find all providers in zip 38305 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902374085 | St. Dominic Medical Associates LLC | Internal Medicine | 970 Lakeland Dr Ste 43, Jackson, MS 39216-4634 | 2018-11-07 |
| 1740353515 | Deborah S. Skelton | Internal Medicine | 971 Lakeland Dr Ste 1160, Jackson, MS 39216-4609 | 2006-11-17 |
| 1679657860 | Shanti Siddiqui | Internal Medicine | 609 New York Ranch Rd, Jackson, CA 95642-9328 | 2006-10-24 |
| 1598708752 | Nadeem Ullah Md | Internal Medicine | 720 W Franklin, Suite 2, Jackson, MI 49201-1676 | 2006-06-14 |
| 1477525103 | Babu V Rao | Internal Medicine | 241 Stonebridge Blvd, Jackson, TN 38305-2179 | 2006-02-06 |
| 1447249354 | Gastrointestinal Endoscopy Center | Internal Medicine | 1405 N State St, Suite 300, Jackson, MS 39202-1642 | 2005-10-14 |
| 1649268822 | Billy W Long | Internal Medicine | 1421 N State St, Suite 203, Jackson, MS 39202-1658 | 2005-10-11 |
| 1700873056 | Allan M Menachem | Internal Medicine | 9 Physicians Dr, Jackson, TN 38305-2071 | 2005-10-03 |
| 1376549816 | John Joseph Sheehan Jr. | Internal Medicine | 2500 North State Street, Department of Medicine Division of Digestive Disease, Jackson, MS 39216-4500 | 2005-06-21 |
| 1326585522 | W.a. Foote Memorial Hospital, Inc | Internal Medicine | 205 N. East Ave, Jackson, MI 49201 | 2017-01-25 |
| Find all providers in JACKSON | ||||
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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.