MEDICAL FOUNDATION, INC. (NPI# 1386118602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386118602 |
| Entity Type | Organization |
| Organization Name | MEDICAL FOUNDATION, INC. |
| Practice Address |
252 Northside Dr Newton MS 39345-9756 |
| Mailing Address |
Po Box 5392 Meridian MS 39302-5392 |
| Practice Telephone | 6016833117 |
| Practice Fax Number | 6016832505 |
| Mailing Telephone | 6017034282 |
| Mailing Fax Number | 6017034597 |
| Enumeration Date | 2019-01-21 |
| Last Update Date | 2019-01-21 |
| Authorized Official Name | DARRELL W WILDMAN (TREASURER) |
| Authorized Official Telephone | 6017039987 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 176B00000X | Midwife | Other Service Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Newton Family Medical Clinic | 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 |
| 1235598624 | Medical Foundation, Inc. | Obstetrics & Gynecology | 2401 16th St, Meridian, MS 39301-3950 | 2016-02-15 |
| 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 |
252 NORTHSIDE DR |
| City | NEWTON |
| State | MS |
| Zip Code | 39345-9756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649273509 | Veronica Y Johnson | Internal Medicine | 252 Northside Dr, Newton, MS 39345-9756 | 2005-05-24 |
| 1194323170 | Laird Hospital, Inc. | Midwife | 252 Northside Dr, Newton, MS 39345-9756 | 2020-10-13 |
| 1568895704 | Richmond P Lachney | Nurse Practitioner | 252 Northside Dr, Newton, MS 39345-9756 | 2013-08-12 |
| 1013283829 | Vanessa Norman | Nurse Practitioner | 252 Northside Dr, Newton, MS 39345 | 2012-03-26 |
| 1700105863 | Adrienne K. Regions | Physical Therapy Assistant | 252 Northside Dr, Newton, MS 39345-9756 | 2010-05-27 |
| 1902125065 | David Pitts | Physical Therapist | 252 Northside Dr, Newton, MS 39345-9756 | 2010-05-27 |
| 1245290709 | Rush Care, Inc. | Clinic/Center | 252 Northside Dr, Newton, MS 39345-9756 | 2006-03-27 |
| 1699750299 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 252 Northside Dr, Newton, MS 39345-9756 | 2005-12-07 |
| 1659355345 | Delores V Williams | Nurse Practitioner | 252 Northside Dr, Newton, MS 39345-9756 | 2005-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851939318 | Smith Pharmacy, Inc. | Pharmacy | 306 Northside Drive, Newton, MS 39345 | 2019-12-16 |
| 1750838330 | Newton Dme and Supply | Durable Medical Equipment & Medical Supplies | 909 Mlkjrdr, Newton, MS 39345 | 2016-09-01 |
| 1669743233 | Pioneer Health Services of Newton County, LLC | Clinic/Center | 9427 Eastside Drive Ext. Suite A, Newton, MS 39345 | 2012-01-13 |
| 1346435633 | Laticia Bickham | Counselor | 2901 Pine Bluff Rd, Newton, MS 39345 | 2007-09-10 |
| 1134262553 | Buren Steve Smith Jr. | Psychologist | 701 Northside Dr, Newton, MS 39345 | 2007-02-15 |
| 1982782694 | East Central Planning & Development District | Case Management | 280 Commercial Dr, Newton, MS 39345 | 2006-11-01 |
| 1669612198 | Pioneer Health Services of Newton County, LLC | Medicare Defined Swing Bed Unit | 9421 Eastside Drive Extention, Newton, MS 39345 | 2009-02-24 |
| 1063667939 | Newton Hospital, Inc | General Acute Care Hospital | 9421 Eastside Drive Extention, Newton, MS 39345 | 2008-11-19 |
| 1629143136 | Pioneer Health Services of Newton County, LLC | Psychiatric Unit | 9421 Eastside Drive Extention, Newton, MS 39345 | 2006-11-21 |
| 1902982887 | Sonia L Mcclinton | Nurse Practitioner | 9421 Eastside Drive Extention, Newton, MS 39345 | 2006-10-31 |
| Find all providers in zip 39345 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477876167 | Mission Medical LLC | Family Medicine | 105a N Main Ave, Newton, NC 28658-3213 | 2010-03-09 |
| 1912134693 | Andrew Lloyd Cope | Family Medicine | 300 N 4th Ave E Ste 200, Newton, IA 50208-3122 | 2009-06-19 |
| 1548496185 | Caleb M May | Family Medicine | 715 Medical Center Dr Ste 200, Newton, KS 67114-9056 | 2009-06-10 |
| 1477753770 | Ronald Peter King | Family Medicine | 893 Doe Run Dr, Newton, AL 36352-7329 | 2007-07-24 |
| 1700942620 | Jeanne T Hubbuch | Family Medicine | 288 Walnut St, Suite 420, Newton, MA 02460-1948 | 2006-12-28 |
| 1740357458 | Edwin Gordy | Family Medicine | 17 Otis St, Newton, MA 02460 | 2006-11-29 |
| 1659443760 | Jimmie D Bussey | Family Medicine | 802 Rusk St, Newton, TX 75966-3222 | 2006-11-14 |
| 1740393222 | Edward Levitan | Family Medicine | 181 Wells Ave, Suite 202, Newton, MA 02459-3344 | 2006-08-17 |
| 1538192307 | Deborah Louise London | Family Medicine | 2180 Northwest Blvd, Newton, NC 28658-3724 | 2006-07-07 |
| 1417985698 | Shital S Patel | Family Medicine | 105 S Main Ave Ste B, Newton, NC 28658-3359 | 2006-06-28 |
| Find all providers in NEWTON | ||||
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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.