JOHN D. ISAACS JR., M.D., P.A. (NPI# 1609292705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609292705 |
| Entity Type | Organization |
| Organization Name | JOHN D. ISAACS JR., M.D., P.A. |
| Other Organization Name | MISSISSIPPI FERTILITY INSTITUTE |
| Practice Address |
501 Marshall St Ste 600 Jackson MS 39202-1650 |
| Practice Telephone | 6019486540 |
| Practice Fax Number | 6013261501 |
| Mailing Telephone | 6019486540 |
| Mailing Fax Number | 6013261501 |
| Enumeration Date | 2014-03-13 |
| Last Update Date | 2014-03-13 |
| Authorized Official Name | MRS. JULIE FERGUSON (ADMINSTRATOR) |
| Authorized Official Telephone | 6019486540 |
| Authorized Official Credential | RN, BSN, CPCO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VE0102X |
Obstetrics & Gynecology Specialization: Reproductive Endocrinology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Mississippi Fertility Institute | Doing Business As Name - Organization |
| Street Address |
501 MARSHALL ST STE 600 |
| City | JACKSON |
| State | MS |
| Zip Code | 39202-1650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396161493 | James L. Moore, Jr., M.d., P.a. | Obstetrics & Gynecology | 501 Marshall St Ste 600, Jackson, MS 39202-1650 | 2014-03-13 |
| 1659871424 | Amanda Leigh Ellis | Nurse Practitioner | 501 Marshall St Ste 600, Jackson, MS 39202-1650 | 2018-02-17 |
| 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 | 207VE0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Reproductive Endocrinology |
| An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396059093 | Miss Reproductive Medicine Pllc | Obstetrics & Gynecology | 1040 River Oaks Dr, Jackson, MS 39232-9530 | 2010-08-05 |
| 1013948918 | William Cleland | Obstetrics & Gynecology | 2500 N State St, Jackson, MS 39216-4500 | 2006-07-06 |
| 1811934011 | John Duane Isaacs Jr. | Obstetrics & Gynecology | 2500 N State St, Jackson, MS 39216-4500 | 2006-05-31 |
| 1336193481 | Women's Specialty Center, LLC | Obstetrics & Gynecology | 501 Marshall Street, Suite 600, Jackson, MS 39202-1650 | 2006-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306877634 | Randall Stuart Hines | Obstetrics & Gynecology | 1040 River Oaks Dr., Suite 202, Flowood, MS 39232-9534 | 2006-07-05 |
| 1093745978 | John Preston Parry | Obstetrics & Gynecology | 140 Fountains Blvd Ste C, Madison, MS 39110-6379 | 2006-07-04 |
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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.