PIONEER MEDICAL, LLC (NPI# 1356586762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356586762 |
| Entity Type | Organization |
| Organization Name | PIONEER MEDICAL, LLC |
| Practice Address |
100 Clarendon Ave Petal MS 39465-2636 |
| Mailing Address |
Po Box 512 Petal MS 39465-0512 |
| Practice Telephone | 8669519727 |
| Mailing Telephone | 8009519729 |
| Enumeration Date | 2008-12-14 |
| Last Update Date | 2008-12-14 |
| Authorized Official Name | BRAD H MASSEY (OWNER) |
| Authorized Official Telephone | 8009519729 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0208X |
Clinic/Center Specialization: Radiology, Mobile |
MS | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588022875 | Pioneer Medical, LLC | Internal Medicine | 659 1st St, Apt 207, Hoboken, NJ 07030-8832 | 2016-02-02 |
| Street Address |
100 CLARENDON AVE |
| City | PETAL |
| State | MS |
| Zip Code | 39465-2636 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619204203 | Pioneer Medical Portable Xray,llc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 100 Clarendon Ave, Petal, MS 39465-2636 | 2009-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164055489 | R&p Elite Services, LLC | Private Vehicle | 68 Springfield Rd., Petal, MS 39465 | 2020-02-14 |
| 1003460544 | Hayden White | Pharmacist | 36 Byrd Dr., Petal, MS 39465 | 2019-08-01 |
| 1134612971 | Chandler Mccarley Hawkins | Dentist | 1115 Evelyn Gandy Parkway, Petal, MS 39465 | 2018-06-06 |
| 1881199818 | Lauren O'neal Garner | Nurse Practitioner | 36 Stadium Drive, Petal, MS 39465 | 2018-03-30 |
| 1700036928 | Petal School District | Registered Nurse | 60 Herrington Road, Petal, MS 39465 | 2008-09-24 |
| 1962679043 | Hattiesburg Eye Clinic Pa | Optometrist | 1223 Hwy 42, Ste 140, Petal, MS 39465 | 2008-05-08 |
| 1023228640 | Noal Baxter Cochran | Marriage & Family Therapist | 80 Lakeland Circle, Petal, MS 39465 | 2007-05-23 |
| 1750596938 | James A Nicholson Dds Pa | Dentist | 120 South 28th Avenue, Hattiesburg, MS 39465 | 2007-05-11 |
| 1356563605 | Petal School District | Registered Nurse | 400 Hillcrest Loop, Petal, MS 39465 | 2007-05-03 |
| 1154480804 | Mary E Thomsen | Orthotic Fitter | 173 Cherry Oak Trail, Petal, MS 39465 | 2006-12-08 |
| Find all providers in zip 39465 | ||||
| Taxonomy Code | 261QR0208X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology, Mobile |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760994396 | Have Scans Will Travel | Clinic/Center | 1138 Cloverdale Dr, Greenville, MS 38701-8301 | 2017-11-06 |
| 1386185197 | Alliance Healthcare Services Inc | Clinic/Center | 1401 River Rd, Greenwood, MS 38930-4030 | 2017-03-13 |
| 1174804355 | Portable Medical Diagnostics LLC | Clinic/Center | 1855 Lakeland Dr, Ste G10, Jackson, MS 39216-4926 | 2011-09-01 |
| 1518284181 | Portable Medical Diagnostics Inc | Clinic/Center | 1855 Lakeland Dr, Suite G10, Jackson, MS 39216-4913 | 2010-04-22 |
| 1811138860 | Alliance Healthcare Services Inc | Clinic/Center | 581 Medical Dr, Clarksdale, MS 38614-6733 | 2009-03-19 |
| 1497820088 | Parker Imaging, LLC | Clinic/Center | 64 Main Street, Rienzi, MS 38865-9702 | 2006-11-21 |
Please comment or provide details below to improve the information on PIONEER MEDICAL, LLC.
| 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.