MISSISSIPPI PREMIER PLASTIC SURGERY, PLLC (NPI# 1639320864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639320864 |
| Entity Type | Organization |
| Organization Name | MISSISSIPPI PREMIER PLASTIC SURGERY, PLLC |
| Practice Address |
160 Fountains Blvd Suite B Madison MS 39110-4643 |
| Practice Telephone | 6019812525 |
| Practice Fax Number | 6019813152 |
| Mailing Telephone | 6019812525 |
| Mailing Fax Number | 6019813152 |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2020-05-20 |
| Authorized Official Name | MRS. PATRICIA B BYERS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6019812525 |
| Authorized Official Credential | CMPE |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208200000X | Plastic Surgery | Allopathic & Osteopathic Physicians | ||
| N | 2082S0099X |
Plastic Surgery Specialization: Plastic Surgery Within the Head and Neck |
Allopathic & Osteopathic Physicians | ||
| N | 2082S0105X |
Plastic Surgery Specialization: Surgery of the Hand |
Allopathic & Osteopathic Physicians | ||
| N | 2086S0105X |
Surgery Specialization: Surgery of the Hand |
Allopathic & Osteopathic Physicians | ||
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 971 Lakeland Dr Ste 315, Jackson, MS 392164607 | 6019812525 | 6019813152 |
| Street Address |
160 FOUNTAINS BLVD SUITE B |
| City | MADISON |
| State | MS |
| Zip Code | 39110-4643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093214819 | Premier Surgical Center, LLC | Clinic/Center | 160 Fountains Blvd, Madison, MS 39110 | 2018-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134784689 | Therapy South - Gluckstadt LLC | Physical Therapist | 1716 Us 51, Ste N, Madison, MS 39110 | 2019-05-09 |
| 1871054098 | Summit Medical Solutions | Durable Medical Equipment & Medical Supplies | 107 Azalea Street, Madison, MS 39110 | 2019-03-29 |
| 1912488198 | Madison Medical Compounding Pharmacy | Pharmacy | 111 Fountains Blvd. Building B Ste. A, Madison, MS 39110 | 2018-08-24 |
| 1679061469 | Nuvena Vein Clinic | Anesthesiology | 120 Fountains Blvd, Madison, MS 39110 | 2018-04-26 |
| 1467960484 | Brick City Drugs, LLC | Durable Medical Equipment & Medical Supplies | 159 Fountains Blvd, Madison, MS 39110 | 2018-01-11 |
| 1093227589 | Hannah Monk Hawthorne | Counselor | 930 Ebenezer Blvd., Suite D, Madisin, MS 39110 | 2017-10-25 |
| 1548786650 | Kimberly Allen | Pharmacist | 1100 Us- 51, Madison, MS 39110 | 2017-08-21 |
| 1891218186 | Delta Elizabeth Stark | Chiropractor | 1085 Gluckstadt Rd., Bld 300 Ste E, Madison, MS 39110 | 2017-07-19 |
| 1861914848 | Laura Hartlein | Dietitian, Registered | 200 Park Circle Dr. #2, Flowood, MS 39110 | 2017-07-12 |
| 1831620608 | Ona Irby | Occupational Therapist | 105 Munich Dr, Madison, MS 39110 | 2017-03-23 |
| Find all providers in zip 39110 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548617962 | Shady Elmaraghi | Surgery | Uw Hospitals and Clinics 600 Highland Ave, Madison, WI 53792-0001 | 2016-05-16 |
| 1669868709 | Oksana Babchenko | Surgery | Uw Hospital and Clinics 600 Highland Ave, Madison, WI 53792-0001 | 2015-04-14 |
| 1659767309 | Katherine Shaum | Surgery | Uw Hospital and Clinics, 600 Highland Ave, Madison, WI 53792-0001 | 2015-04-09 |
| 1922427939 | Rebecca Leigh Farmer | Surgery | Uw Hospital and Clinics, 600 Highland Ave, Madison, WI 53792-0001 | 2014-04-08 |
| 1083930622 | Steve J Kempton | Surgery | 752 N High Point Rd, Madison, WI 53717 | 2010-04-07 |
| 1366604100 | Erica Hutcheson Bass | Surgery | 160 Fountains Blvd Ste B, Madison, MS 39110-6343 | 2008-07-01 |
| 1467663906 | Emile Anthony Picarella Jr. | Surgery | 160 Fountains Blvd Ste B, Madison, MS 39110-6343 | 2007-05-25 |
| 1194858688 | William Dotie Jackson | Surgery | 160 Fountains Blvd Ste B, Madison, MS 39110-6343 | 2007-03-13 |
| 1669540365 | David G. Dibbell Sr. | Surgery | 600 Highland Ave., Madison, WI 53792 | 2006-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023477841 | Plastic Surgery of North Ms., Pa | Surgery | 4248 S Eason Blvd Ste B, Tupelo, MS 38801-6549 | 2016-02-22 |
| 1164511374 | Suman Kumar Das | Surgery | 2629 Courthouse Cir, Flowood, MS 39232-9521 | 2006-10-12 |
| 1477568749 | Forrest Simpson Wells | Surgery | 4509 Gibson Rd, Ocean Springs, MS 39564-6026 | 2006-07-29 |
| 1043872948 | John Magruder Sullivan IIi | Surgery | 2500 N State St, Jackson, MS 39216-4500 | 2019-07-01 |
| 1508352196 | Katherine Christine Benedict | Surgery | 2500 N State St, Jackson, MS 39216-4500 | 2018-07-06 |
| 1184022485 | Mississippi Center for Plastic Surgery | Surgery | 200 W Jackson St, Suite 100, Ridgeland, MS 39157-2310 | 2014-12-18 |
| 1891087417 | William Darden North | Surgery | 1055 River Oaks Dr, Flowood, MS 39232-9595 | 2011-05-16 |
| 1841581352 | South Central Cinics, Inc | Surgery | 1410 Jefferson St, Laurel, MS 39440-4243 | 2011-05-02 |
| 1073770228 | Shell Plastic Surgery,pllc | Surgery | 1306 Belk Blvd, Oxford, MS 38655-5302 | 2008-05-16 |
| 1295927838 | John H Miller Md PC | Surgery | 2781 C T Switzer Sr Dr, Suite 306, Biloxi, MS 39531-4536 | 2007-08-17 |
| Find all providers with the same taxonomy | ||||
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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.