DR. EDWARD BURRIS ELDRED (NPI# 1699975425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699975425 |
| Entity Type | Individual |
| Full Name | DR. EDWARD BURRIS ELDRED |
| Credential | D.O. |
| Practice Address |
9075 Sandidge Center Cv Olive Branch MS 38654-3514 |
| Practice Telephone | 6628954949 |
| Practice Fax Number | 6628956776 |
| Mailing Telephone | 6628954949 |
| Mailing Fax Number | 6628956776 |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2011-10-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 21066 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | TID | 510455609 | 01 |
| Street Address |
9075 SANDIDGE CENTER CV |
| City | OLIVE BRANCH |
| State | MS |
| Zip Code | 38654-3514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316936917 | Randall T Huling | Family Medicine | 9075 Sandidge Center Cv, Olive Branch, MS 38654-3514 | 2005-10-17 |
| 1629548599 | Ashley Ellis | Pharmacist | 9075 Sandidge Center Cv, Olive Branch, MS 38654-3514 | 2018-12-04 |
| 1316460256 | Robert-matthew Hall | Nurse Practitioner | 9075 Sandidge Center Cv, Olive Branch, MS 38654-3514 | 2017-07-23 |
| 1245616457 | Sheri S James | Nurse Practitioner | 9075 Sandidge Center Cv, Olive Branch, MS 38654-3514 | 2015-08-11 |
| 1386058246 | Sarah M Haskins | Nurse Practitioner | 9075 Sandidge Center Cv, Olive Branch, MS 38654-3514 | 2014-06-18 |
| 1134543820 | Virginia Holmes | Registered Nurse | 9075 Sandidge Center Cv, Olive Branch, MS 38654-3514 | 2014-02-14 |
| 1093139214 | Kori Swearengen | Nurse Practitioner | 9075 Sandidge Center Cv, Olive Branch, MS 38654-3514 | 2014-02-07 |
| 1225323090 | Lora Michelle Smith | Nurse Practitioner | 9075 Sandidge Center Cv, Olive Branch, MS 38654-3514 | 2011-06-09 |
| 1467525865 | Jason G Melton | Nurse Practitioner | 9075 Sandidge Center Cv, Olive Branch, MS 38654-3514 | 2006-11-16 |
| 1336223734 | Leon C Turner | Nurse Practitioner | 9075 Sandidge Center Cv, Olive Branch, MS 38654-3514 | 2006-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093366213 | Latonya Shontae Binion | Home Health | 5915 Brice Cove North, Olive Branch, MS 38654 | 2019-09-28 |
| 1356828677 | Heath Bryan Coleman, Dds of Mississippi II, Pllc | Dentist | 688 Goodman Rd, Ste 123, Olive Branch, MS 38654 | 2018-07-20 |
| 1629565684 | Alexis Summerville Mcdavis | Pharmacist | 7950 Craft Goodman Frontage Rd, Olive Branch, MS 38654 | 2018-04-16 |
| 1194237206 | Exos Physical Therapy and Sports Medicine, LLC | Physical Therapist | 6542 Goodman Rd, Olive Branch, MS 38654 | 2017-10-30 |
| 1609386515 | Laken Hood Richardson | Physical Therapist | 9085 East Sandidge Cove, Suite 250, Olive Branch, MS 38654 | 2017-10-05 |
| 1275064255 | Heart of Hospice, LLC | Hospice Care, Community Based | 9849 Highway 178 Unit B, Olive Branch, MS 38654 | 2017-03-22 |
| 1023557865 | Michael Patrick Mccallum | Counselor | 9320 Railroad Ave., Olive Branch, MS 38654 | 2017-02-13 |
| 1891179768 | Desoto Children's Clinic - Olive Branch | Pediatrics | 7145 Goodman Road, Olive Branch, MS 38654 | 2015-07-10 |
| 1891185203 | Kristina Harper | Midwife | 9086 Pigeon Roost Rd Ste C, Olive Branch, MS 38654 | 2015-01-23 |
| 1275955098 | Global Medical | Durable Medical Equipment & Medical Supplies | 6229 Hwy 305 Ste L, Olivebranch, MS 38654 | 2014-01-14 |
| Find all providers in zip 38654 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477643732 | Desoto Primary Care Clinic, Pllc | Family Medicine | 6942 Autumn Oaks Dr, Olive Branch, MS 38654-9379 | 2006-10-14 |
| 1760411813 | Warren T Kwok | Family Medicine | 8990 Germantown Rd, Olive Branch, MS 38654-8532 | 2006-07-01 |
| 1952356206 | Scott Wood Kirsch | Family Medicine | 4250 Bethel Rd, Olive Branch, MS 38654 | 2006-05-24 |
| 1659336196 | Susan C Brame | Family Medicine | 9066 Highland St, Olive Branch, MS 38654-2307 | 2006-04-18 |
| 1316936917 | Randall T Huling | Family Medicine | 9075 Sandidge Center Cv, Olive Branch, MS 38654-3514 | 2005-10-17 |
| 1730178344 | Linda Diane Trent | Family Medicine | 9075 Sandidge Center Cove, Olive Branch, MS 38654 | 2005-10-17 |
| 1912431834 | Jennifer M Ashley | Family Medicine | 8990 Germantown Rd, Olive Branch, MS 38654-8532 | 2017-04-18 |
| 1659759108 | Ashley Prevost Salvaggio | Family Medicine | 7235 Hacks Cross Rd, Olive Branch, MS 38654-4213 | 2015-05-15 |
| 1790197416 | Shawanda Nechella Agnew | Family Medicine | 8990 Germantown Rd, Olive Branch, MS 38654-8532 | 2014-05-29 |
| 1467635177 | Mcclatchy Medical Center | Family Medicine | 7235 Hacks Cross Rd, Olive Branch, MS 38654-4213 | 2007-12-17 |
| Find all providers in OLIVE BRANCH | ||||
| City | OLIVE BRANCH |
| Zip Code | 38654 |
Please comment or provide details below to improve the information on DR. EDWARD BURRIS ELDRED.
| 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.