DOUGLAS E BROWN (NPI# 1528254554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528254554 |
| Entity Type | Individual |
| Full Name | DOUGLAS E BROWN |
| Credential | RT |
| Practice Address |
1855 Lakeland Dr Suite J10 Jackson MS 39216-4913 |
| Mailing Address |
1855 Lakeland Dr Suite G10 Jackson MS 39216-4913 |
| Practice Telephone | 6019879425 |
| Practice Fax Number | 6019870093 |
| Mailing Telephone | 6019879729 |
| Mailing Fax Number | 6019870093 |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2012-12-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247100000X | Radiologic Technologist | MRT1971 | MS | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 03423284 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891228375 | Douglas Alan Brown | Social Worker | 225 Broadway Ste 2010, New York, NY 10007-3738 | 2017-04-11 |
| 1144568676 | Douglas James Brown | Dentist | 151 Dunkley Ave # 56, South Haven, MI 49090-1488 | 2013-01-17 |
| 1114154507 | Douglas Alan Brown | Counselor | 1741 Jarvis St, Ferndale, MI 48220-2067 | 2009-06-12 |
| 1033364674 | Douglas C Brown | Family Medicine | 1506 N.sioux Dr, Marion, IL 62959-5209 | 2008-11-24 |
| 1467638502 | Douglas H. Brown | Physician Assistant | 3 Hillcrest Dr Ste A202, Frederick, MD 21703-6270 | 2008-01-19 |
| 1508069196 | Douglas P Brown | Counselor | 2110 Copley Rd, Akron, OH 44320-1522 | 2007-06-09 |
| 1184756629 | Douglas G. Brown | Audiologist | 5992 E Molloy Rd, Syracuse, NY 13211-2130 | 2007-03-11 |
| 1083767081 | Douglas Timothy Brown | Psychologist | 787 Confederacy Dr, Penn Laird, VA 22846-9632 | 2007-01-21 |
| 1396806758 | Douglas Wayne Brown | Chiropractor | 6013 Tower Ct, Alexandria, VA 22304-3201 | 2006-12-12 |
| 1700945599 | Douglas Lloyd Brown | Internal Medicine | 17160 W North Ave Ste 202, Brookfield, WI 53005-4437 | 2006-12-07 |
| Street Address |
1855 LAKELAND DR SUITE J10 |
| City | JACKSON |
| State | MS |
| Zip Code | 39216-4913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508812694 | Mchanna & Associates, Inc. | Durable Medical Equipment & Medical Supplies | 1855 Lakeland Dr, Suite R204, Jackson, MS 39216-4913 | 2006-05-26 |
| 1104423268 | Emily Goeglein | Counselor | 1855 Lakeland Dr, Jackson, MS 39216-4913 | 2020-10-02 |
| 1972051522 | Daniel James Holloway | Nurse Practitioner | 1855 Lakeland Dr, Suite P-101, Jackson, MS 39216-4913 | 2016-09-13 |
| 1992161954 | Enhanced Wellness Living Pllc | Nurse Practitioner | 1855 Lakeland Dr, Ste M20, Jackson, MS 39216-4913 | 2016-01-06 |
| 1730552977 | Kaleigh Countiss | Counselor | 1855 Lakeland Dr, R305, Jackson, MS 39216-4913 | 2015-11-10 |
| 1104166891 | Lisa L Dalton | Nurse Practitioner | 1855 Lakeland Dr, Ste M20, Jackson, MS 39216-4913 | 2013-02-18 |
| 1174804355 | Portable Medical Diagnostics LLC | Clinic/Center | 1855 Lakeland Dr, Ste G10, Jackson, MS 39216-4926 | 2011-09-01 |
| 1932489812 | Portable Medical Diagnostics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1855 Lakeland Dr, Ste G10, Jackson, MS 39216-4913 | 2011-08-23 |
| 1003119041 | Denease Inez Bishop | Counselor | 1855 Lakeland Dr, Suite P101, Jackson, MS 39216-4913 | 2010-12-14 |
| 1790087393 | Jackson Psychiatry Group | Psychologist | 1855 Lakeland Dr, Suite P121, Jackson, MS 39216-4913 | 2010-12-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861011553 | Ashley Melancon Prewitt | Registered Nurse | St. Dominic's North Campus, Behavioral Health, Jackson, MS 39216 | 2020-04-13 |
| 1194353391 | Brianna Arrington | Student in an Organized Health Care Education/Training Program | Med/ Peds, 2500 N. State St., Jackson, MS 39216 | 2020-04-01 |
| 1720616485 | Roshina Khalid Khan | Student in an Organized Health Care Education/Training Program | Department of Anesthesiology, Ummc, 2500 N. State St., Jackson, MS 39216 | 2020-03-30 |
| 1275183550 | Amanda Lynn Morellato | Dentist | Ummc School of Dentistry, 2500 North State Street, Jackson, MS 39216 | 2019-09-18 |
| 1396305553 | Abhishek Chhabra | Student in an Organized Health Care Education/Training Program | Lakeland Family Medicine Clinic, 878 Lakeland Dr., Jackson, MS 39216 | 2019-06-19 |
| 1427615996 | Hometown Diagnostics | Clinical Medical Laboratory | Translational Research Center Tr311, 2500 North State Street, Jackson, MS 39216 | 2019-05-21 |
| 1346807773 | Shukundala C Smith | Behavior Technician | New Learning Resources 2510 Lakeland Terrace, Jackson, MS 39216 | 2019-05-21 |
| 1063901098 | G Eli Howell Md Pllc | Plastic Surgery | 971 Lakeland Dr Ste 225, Jackson, MS 39216 | 2018-05-04 |
| 1588168132 | Caleb Zumbro | Student in an Organized Health Care Education/Training Program | Ummc Med/peds, 2500 N. State St., Jackson, MS 39216 | 2018-03-20 |
| 1639677230 | Walgreen Co | Pharmacy | 971 Lakeland Dr Ste 101, Jackson, MS 39216 | 2018-01-29 |
| Find all providers in zip 39216 | ||||
| Taxonomy Code | 247100000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356721245 | Davin Ray Modisette | Radiologic Technologist | 18 Northland Dr, Jackson, TN 38301-3308 | 2015-06-04 |
| 1710407192 | Zachary Bridges | Radiologic Technologist | 969 Lakeland Dr, Jackson, MS 39216-4606 | 2017-06-26 |
| 1487091997 | Jason Wayne Jones | Radiologic Technologist | 205 N East Ave, Jackson, MI 49201-1753 | 2013-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245852573 | United Diagnostic Services Ms LLC | Radiologic Technologist | 6897 Crumpler Blvd Ste 201d, Olive Branch, MS 38654-1927 | 2020-05-08 |
| 1922497387 | Charles Alumbaugh | Radiologic Technologist | 9 Lake Loop, Petal, MS 39465-9002 | 2015-01-22 |
| 1437569811 | Kali Benet' Ford | Radiologic Technologist | 734 Hartwood Cv, Brandon, MS 39042-6008 | 2014-05-06 |
| 1417288630 | Kimberly Rose Easterling | Radiologic Technologist | 6221 Hermosa Dr, Ocean Springs, MS 39564-2512 | 2010-01-28 |
| 1174793202 | Darren Scott Allsup | Radiologic Technologist | 146 Garden Terrace Dr, Oxford, MS 38655-9329 | 2008-03-05 |
| 1811931025 | Lynn T Carvel | Radiologic Technologist | 9085 Sandidge Center Cove, Olive Branch, MS 38654 | 2006-06-16 |
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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.