DESOTO THYROID AND ENDOCRINOLOGY (NPI# 1710134945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710134945 |
| Entity Type | Organization |
| Organization Name | DESOTO THYROID AND ENDOCRINOLOGY |
| Practice Address |
5960 Getwell Rd Suite 212-d Southaven MS 38672-7318 |
| Practice Telephone | 6628956455 |
| Mailing Telephone | 6628956455 |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2008-08-19 |
| Authorized Official Name | DR. AMANDA R CUNNINGHAM (PHYSICIAN) |
| Authorized Official Telephone | 6628956455 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 20121 | MS | Other Service Providers |
| Street Address |
5960 GETWELL RD SUITE 212-D |
| City | SOUTHAVEN |
| State | MS |
| Zip Code | 38672-7318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861899437 | Ginger Raff | Nurse Practitioner | 5960 Getwell Rd, Suite 212-d, Southaven, MS 38672-7318 | 2014-11-26 |
| 1447574728 | Jennifer Leigh Crider | Audiologist | 5960 Getwell Rd, Ste 212-d, Southaven, MS 38672-7318 | 2010-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871100826 | Sarah Kathryn Pratt | Physical Therapist | 5271 Getwell Road, Suite A, Southaven, MS 38672 | 2020-09-24 |
| 1356713606 | Deadra Dennis | Behavioral Analyst | 2816 Calico Rock Cv, Southaven, MS 38672 | 2015-10-27 |
| 1568727352 | Patricia Leanne Lewis | Family Medicine | 5908 Getwell Rd, Southaven, MS 38672 | 2012-07-09 |
| 1417183922 | Mississippi Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2945 Goodman Road East, Southaven, MS 38672 | 2009-06-10 |
| 1568609998 | Susan Orsland | Physical Therapist | 4355 Genevieve Drive, Southaven, MS 38672 | 2009-01-07 |
| 1659516524 | Stacy L Sanders | Audiologist | 5740 Getwell Rd. Building 3 Unit B, Southaven, MS 38672 | 2008-12-08 |
| 1295927226 | Tracey F Petrides | Family Medicine | 5779 Getwell Road, Building D, Suite 3, Southaven, MS 38672 | 2007-08-14 |
| 1538288741 | Bruce A Denney | Dentist | 7125 Getwell Road, Suite 102, Southaven, MS 38672 | 2007-03-28 |
| 1154480150 | Kimberly Marie Metcalf | Social Worker | 7165-g Getwell Rd., Southaven, MS 38672 | 2006-12-06 |
| 1346318441 | Deborah Verucchi | Nurse Practitioner | 5740 Getwell Rd Ste B, Southaven, MS 38672 | 2006-11-30 |
| Find all providers in zip 38672 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821268236 | Whitehaven Ob-gyn, P.C. | Specialist | 60 Physicians Ln Ste 2, Southaven, MS 38671-6122 | 2008-03-03 |
| 1578775573 | Otolaryngology Associates of The Midsouth | Specialist | 975 Swinnea Ridge, Suite 1, Southaven, MS 38671 | 2007-05-04 |
| 1508972365 | Hai Van Dang | Specialist | 7640 Clarington Cv, Suite B, Southaven, MS 38671-5652 | 2006-08-22 |
| 1679588974 | Rome Sherrod II | Specialist | 835 Brandywine Dr, Suite 102, Southaven, MS 38671-2434 | 2006-07-29 |
| 1447282991 | Mukesh Jain | Specialist | 7615 Clarington Cv, Southaven, MS 38671-5647 | 2006-07-07 |
| 1073567251 | Olufemi Adeleye | Specialist | 1890 Goodman Rd E, Suite 101, Southaven, MS 38671-9504 | 2006-05-20 |
| 1588089288 | Southaven Sleep Clinic | Specialist | 7420 Guthrie Dr N, Suite 110, Southaven, MS 38671-5876 | 2014-03-04 |
| 1780810614 | Prethi Vaddadi | Specialist | 7736 Airways Blvd, Southaven, MS 38671-5306 | 2009-06-05 |
| 1104007558 | Lee Grimm, M.d., P.C. | Specialist | 7580 Clarington Cv, Suite 3, Southaven, MS 38671-5657 | 2007-11-14 |
| 1942400882 | Ma Tessa Lolita Diaz Layugan | Specialist | 401 Southcrest Cir, #104, Southaven, MS 38671-6726 | 2007-07-19 |
| Find all providers in SOUTHAVEN | ||||
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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.