G. BAKER HUBBARD AMBULATORY SURGERY CENTER (NPI# 1548221781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548221781 |
| Entity Type | Organization |
| Organization Name | G. BAKER HUBBARD AMBULATORY SURGERY CENTER |
| Practice Address |
616 W Forest Ave Jackson TN 38301-3902 |
| Practice Telephone | 7314220330 |
| Practice Fax Number | 7314220478 |
| Mailing Telephone | 7314220330 |
| Mailing Fax Number | 7314220478 |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. CARL E RUDD (ADMINISTRATOR) |
| Authorized Official Telephone | 7314220330 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
0000000030 | TN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3287378 | 05 |
| Street Address |
616 W FOREST AVE |
| City | JACKSON |
| State | TN |
| Zip Code | 38301-3902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306831425 | James R Appleton Jr. | Urology | 616 W Forest Ave, Jackson, TN 38301-3902 | 2005-09-14 |
| 1588180806 | Tina Lum | Nurse Practitioner | 616 W Forest Ave, Jackson, TN 38301-3902 | 2017-08-17 |
| 1356891451 | West Tennessee Rehabilitation Hospital, LLC | Rehabilitation Hospital | 616 W Forest Ave, Jackson, TN 38301-3902 | 2016-10-12 |
| 1134455850 | Nekayeh Pennington Carothers | Nurse Practitioner | 616 W Forest Ave, Jackson, TN 38301-3902 | 2009-10-30 |
| 1316125024 | Laura Ashley Ermenc | Anesthesiology | 616 W Forest Ave, Jackson, TN 38301-3902 | 2008-02-05 |
| 1760541817 | Sabrina Elizabeth Harper | Pharmacy Technician | 616 W Forest Ave, Jackson, TN 38301-3902 | 2006-12-06 |
| 1871686261 | Julian Bruce Hinton Jr. | Pharmacist | 616 W Forest Ave, Jackson, TN 38301-3902 | 2006-09-30 |
| 1376647545 | Jackson Clinic Pa | Clinical Medical Laboratory | 616 W Forest Ave, Jackson, TN 38301-3902 | 2006-09-11 |
| 1477668416 | Jackson Clinic Pharmacy Inc | Pharmacy | 616 W Forest Ave, Jackson, TN 38301-3902 | 2006-08-20 |
| 1346284379 | Benny Loyd Harper | Physical Therapist | 616 W Forest Ave, Jackson, TN 38301-3902 | 2006-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634696 | Lindsey Crowder | Social Worker | 127 Mccowat Street, Jackson, TN 38301 | 2020-09-21 |
| 1366928087 | Primary Care - South Limited | Clinic/Center | 1385 South Highland Ave, Suite B-1, Jackson, TN 38301 | 2018-07-16 |
| 1629592522 | Tlc Home Care Services, LLC | In Home Supportive Care | 39 Old Denmark Rd, Jackson, TN 38301 | 2017-08-01 |
| 1841730421 | Southern Hands Quality Care | In Home Supportive Care | 1298 N. Highland Avenue. Suite 14, Jackson, TN 38301 | 2017-03-02 |
| 1881044477 | Katie Mcmickin | Counselor | 163 Sunnyside Dr, Jackson, TN 38301 | 2016-06-15 |
| 1164815064 | Hailey Archer | Dietitian, Registered | 720 W. Forest Ave., Jackson, TN 38301 | 2015-03-17 |
| 1740673714 | Regina Tignor | Nurse Practitioner | 1410 Us Highway 70 Byp, Jackson, TN 38301 | 2015-03-13 |
| 1194114033 | Woman's Clinic | Obstetrics & Gynecology | 242 Coatsland, Jackson, TN 38301 | 2015-01-15 |
| 1659797702 | Worthy Walker Arrington | Nurse Practitioner | 720 West Forest Avenue, Jackson, TN 38301 | 2014-03-13 |
| 1669717302 | Lift Wellness Inc | General Practice | 101 Jackson Walk Plaza, Jackson, TN 38301 | 2012-12-06 |
| Find all providers in zip 38301 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821336371 | Eyecare Surgery Center, LLC | Clinic/Center | 1501 Lakeland Dr Ste 101, Jackson, MS 39216-4839 | 2013-01-17 |
| 1265618904 | Jackson Gastroenterology Center, LLC | Clinic/Center | 4400 Ann Arbor Road, Jackson, MI 49202 | 2008-01-11 |
| 1912099805 | Sapheneia Medical Minimally Invasive Therapy Institute | Clinic/Center | 932 N State St, Jackson, MS 39202-2613 | 2006-09-28 |
| 1588764989 | W. A. Foote Memorial Hospital, Inc. | Clinic/Center | 1125 E Michigan Ave, Jackson, MI 49201-1801 | 2006-09-25 |
| 1225096498 | Amador Surgery Center | Clinic/Center | 223 Clinton Road, Suite 204, Jackson, CA 95642-2680 | 2006-05-03 |
| 1558327213 | Surgicare of Jackson Ltd | Clinic/Center | 760 Lakeland Dr, Jackson, MS 39216-4610 | 2006-04-21 |
| 1588631832 | Surgical Services of Michigan, LLC | Clinic/Center | 2775 Blake Road, Jackson, MI 49201-8838 | 2006-03-07 |
| 1255303517 | St Dominic Ambulatory Surgery Center L L C | Clinic/Center | 970 Lakeland Dr, Suite 15, Jackson, MS 39216-4601 | 2006-02-02 |
| 1689651481 | Teton Outpatient Services LLC | Clinic/Center | 150 Buffalo Way, Jackson, WY 83001-2530 | 2005-12-22 |
| 1710591060 | Midsouth Interventional Pain Institute LLC | Clinic/Center | 2016 Greystone Sq, Jackson, TN 38305-3575 | 2020-09-03 |
| 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.