GASTROINTESTINAL ENDOSCOPY CENTER (NPI# 1447249354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447249354 |
Entity Type | Organization |
Organization Name | GASTROINTESTINAL ENDOSCOPY CENTER |
Practice Address |
1405 N State St Suite 300 Jackson MS 39202-1642 |
Practice Telephone | 6013551234 |
Practice Fax Number | 6013543881 |
Mailing Telephone | 6013551234 |
Mailing Fax Number | 6013543881 |
Enumeration Date | 2005-10-14 |
Last Update Date | 2020-08-22 |
Authorized Official Name | REED B HOGAN (PRESIDENT OF CORP) |
Authorized Official Telephone | 6013551234 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians | ||
X | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
Street Address |
1405 N STATE ST SUITE 300 |
City | JACKSON |
State | MS |
Zip Code | 39202-1642 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861547317 | Gregory Lee Thalken | Radiology | 1405 N State St, Suite 200, Jackson, MS 39202-1642 | 2007-01-24 |
1033207543 | Kenneth Carter | Specialist | 1405 N State St, Suite 200, Jackson, MS 39202-1642 | 2006-10-10 |
1144333246 | A Wayne Britt | Specialist | 1405 N State St, Suite 200, Jackson, MS 39202-1642 | 2006-08-16 |
1730292715 | William Studdard | Specialist | 1405 N State St, Suite 200, Jackson, MS 39202-1642 | 2006-08-16 |
1962515619 | James L Burkhalter | Specialist | 1405 N State St, Suite200, Jackson, MS 39202-1642 | 2006-08-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982234183 | Eva Mackenzie Carmody | Physician Assistant | 1190 N State St Suite 502, Jackson, MS 39202 | 2020-01-16 |
1750868691 | Katherine Walters | Nurse Practitioner | 501 Marshall St., Suite 400, Jackson, MS 39202 | 2018-07-24 |
1932638749 | Tylan Lee | Social Worker | 860 East River Place Suite 100, Jackson, MS 39202 | 2017-06-06 |
1417314725 | Euna Jyles | Counselor | 860 E River Pl, Jackson, MS 39202 | 2016-01-19 |
1255712048 | Edward Jonathan Breight | Specialist/Technologist | 1325 East Fortication Street, Jackson, MS 39202 | 2015-06-17 |
1881037703 | Kara Spinks Logan | Surgery | 1190 N State St Ste 502, Jackson, MS 39202 | 2013-04-10 |
1477876530 | Mick Inc. | Technician | 334 Josanna Street, Suite #209, Jackson, MS 39202 | 2010-03-03 |
1073724910 | Paul Frederic Dare | Anesthesiology | 1151 North State St., Suite 311, Jackson Anesthesia Associates, Jackson, MS 39202 | 2007-05-24 |
1225247703 | Lynn Kincannon Holland | Counselor | 911 Manship Street, Unit A, Jackson, MS 39202 | 2007-05-22 |
1457568149 | Incare Inc | Pulmonary Function Technologist | 1151 North State St, Suite 406, Jackson, MS 39202 | 2007-05-16 |
Find all providers in zip 39202 |
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 |
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 |
1730418831 | Nadeem Ullah Md Plc | Internal Medicine | 720 W Franklin St, Unit 2, Jackson, MI 49201-1674 | 2009-12-18 |
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.