DR. SAMUEL OLIVER MASSEY JR. (NPI# 1477642700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477642700 |
| Entity Type | Individual |
| Full Name | DR. SAMUEL OLIVER MASSEY JR. |
| Credential | M.D. |
| Practice Address |
78 Grandview Cir Brandon MS 39047-7398 |
| Practice Telephone | 6019555557 |
| Mailing Telephone | 6018292377 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 2983 | MS | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912956277 | Samuel O Massey IIi | Radiology | 1301 Sunset Dr, Ste 3, Johnson City, TN 37604-7906 | 2006-05-06 |
| Street Address |
78 GRANDVIEW CIR |
| City | BRANDON |
| State | MS |
| Zip Code | 39047-7398 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396368783 | Siyuan Chen Kennedy | Counselor | 108 Sandstone Drive, Brandon, MS 39047 | 2020-05-20 |
| 1568019784 | Juarez Brown Emerson | Registered Nurse | 426 Pinebrook Circle, Brandon, MS 39047 | 2019-08-22 |
| 1649764127 | Specialty Diagnostics LLC | Family Medicine | 1149 Old Fannin Rd Ste 22, Brandon, MS 39047 | 2018-06-19 |
| 1528423035 | Kathlene Strangeman | Social Worker | 111 Lakeshore Dr Apt G403, Brandon, MS 39047 | 2015-12-28 |
| 1174935076 | Anthony Davis | Counselor | 198 Bellegrove Cir, Brandon, MS 39047 | 2014-05-27 |
| 1144659178 | Medical Foundation of Central Ms, Inc | Family Medicine | 1887 Spillway Rd., Brandon, MS 39047 | 2013-11-12 |
| 1437429941 | Picton Timothy Evans | Pharmacist | 150 B Cumberland Ed, Brandon, MS 39047 | 2012-01-01 |
| 1275828030 | Kathryn Audell Piburn | Nurse Practitioner | 1887 Spillway Rd Ste 140, Brandon, MS 39047 | 2011-06-09 |
| 1801930532 | Susanne Reynolds Moore | Dentist | 1149 Old Fannin Rd, Suite 26, Brandon, MS 39047 | 2007-02-16 |
| 1194898429 | Brookshire Grocery Company | Durable Medical Equipment & Medical Supplies | 143 Plaza Drive Ext, Attention Pharmacy Dept, Brandon, MS 39047 | 2006-11-16 |
| Find all providers in zip 39047 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427530708 | Monye Cobb | Specialist | 131 N Moon Ave Ste 6, Brandon, FL 33510-4445 | 2018-09-03 |
| 1295197549 | John Humphreys | Specialist | 8 Conant Sq, Brandon, VT 05733-1018 | 2016-03-25 |
| 1396174405 | Tammie Parker | Specialist | 212 Lanoah Ln, Brandon, MS 39042-7897 | 2013-11-08 |
| 1871937441 | Marvin Shienbaum, M.d., L.L.C. | Specialist | 500 Vonderburg Dr Ste 110w, Brandon, FL 33511-5969 | 2013-04-25 |
| 1295072437 | Chambers Medical Group | Specialist | 1050 E Brandon Blvd, Brandon, FL 33511-5509 | 2013-01-08 |
| 1730449117 | Patricia Marie Paddock | Specialist | 205 E. Brandon Blvd., Suite C, Brandon, FL 33511 | 2012-05-21 |
| 1396984688 | Sunshine State Anesthesia Associates,p.l. | Specialist | 201 Noland Dr, Suite A, Brandon, FL 33511 | 2009-02-11 |
| 1245482330 | Amber Nicole Lund | Specialist | 105 W Front St, Brandon, MN 56315-4509 | 2008-10-21 |
| 1003076829 | James Lewis Crosthwait | Specialist | 102 Quail Hollow Pl, Brandon, MS 39047-9295 | 2008-06-16 |
| 1881852812 | Cecil G Jenkins | Specialist | 111 Sherwood Dr, Brandon, MS 39047-7803 | 2008-05-27 |
| Find all providers in BRANDON | ||||
Please comment or provide details below to improve the information on DR. SAMUEL OLIVER MASSEY JR..
| 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.