DR. EDWARD GRANT VICK SR.


Address: 360 Red Eagle Cir, Ridgeland, MS 39157-9775
Phone: 6018561451

DR. EDWARD GRANT VICK SR. (NPI# 1548548217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548548217
Entity Type Individual
Full Name DR. EDWARD GRANT VICK SR.
Credential M.D.
Practice Address 360 Red Eagle Cir
Ridgeland
MS 39157-9775
Practice Telephone 6018561451
Mailing Telephone 6018561451
Enumeration Date 2011-07-29
Last Update Date 2011-07-29
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207Y00000X Otolaryngology MD8764 TN Allopathic & Osteopathic Physicians
Y 207Y00000X Otolaryngology 11522 MS Allopathic & Osteopathic Physicians

Office Location

Street Address 360 RED EAGLE CIR
City RIDGELAND
State MS
Zip Code 39157-9775

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1225680945 Verthena Edwards Home Health 301 Pinehurst Cir, N/a, Ridgeland, MS 39157 2019-07-12
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1811487002 Camille Brockett Social Worker 270 Trace Colony Park Dr Ste B, Ridgeland, MS 39157 2018-05-14
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1407376452 Mobility Rehab LLC Clinic/Center 745 S Pear Orchard Road, Apt 335, Ridgeland, MS 39157 2017-06-21
1184165102 Sinus and Allergy Institute Pllc Otolaryngology 1115 Highland Colony Parkway, Suite C, Ridgeland, MS 39157 2017-03-09
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Taxonomy Information

Taxonomy Code 207Y00000X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology

Taxonomy Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1205480282 Charles Palmer Lincoln Otolaryngology 248 Crystal Crk, Hattiesburg, MS 39402-7748 2019-07-29
1609420991 Greg Meekin Ent Otolaryngology 1201 31st Avenue, Gulfport, MS 39501 2019-07-25
1386076800 Bolivar Physician Practices LLC Otolaryngology 903 E Sunflower Rd, Suite 400, Cleveland, MS 38732-2835 2013-08-07
1467709212 Harold Keelen Hudson Otolaryngology 1488 Columbine Dr, Tupelo, MS 38801-6975 2012-08-11
1659630911 Tyler Wayne Winford Otolaryngology 401 Baptist Dr Ste 206, Madison, MS 39110-2011 2012-05-08
1588968572 Perry Taggart Roberts Otolaryngology 536 Wedgewood Dr, Oxford, MS 38655-5414 2011-01-05
1386979961 South Mississippi Ear, Nose and Throat Otolaryngology 2525 Telephone Road, Pascagoula, MS 39567 2009-10-15
1447494570 Matthew Scott Stevens Otolaryngology 618 Pegram Dr., Tupelo, MS 38801-6632 2009-04-20
1194973941 Howard B Cheek Otolaryngology 4080 Boxwood Circle, Jackson, MS 39211-6609 2008-09-05
1619150349 Cody Boyd Aull Otolaryngology 1521 A 22nd Avenue, Meridian, MS 39301-4016 2007-12-17
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Competitor

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City RIDGELAND
Zip Code 39157

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Dataset Information

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.

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