BRANDON HMA LLC (NPI# 1730399346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730399346 |
| Entity Type | Organization |
| Organization Name | BRANDON HMA LLC |
| Other Organization Name | CROSSGATES RIVER OAKS HOSPITAL |
| Practice Address |
350 Crossgates Blvd Brandon MS 39042-2601 |
| Practice Telephone | 6018248583 |
| Mailing Telephone | 6018248583 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2010-03-22 |
| Authorized Official Name | TIMOTHY PARRY (SR. VP AND GENERAL COUNSEL) |
| Authorized Official Telephone | 2395983176 |
| Authorized Official Credential | ESQ |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians | ||
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | BLUE CROSS | 000019303 | 01 |
| MS | 06638595 | 05 |
| Other Name | Type Code |
|---|---|
| Crossgates River Oaks Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588284087 | Brandon Hma LLC | Clinical Medical Laboratory | 350 Crossgates Blvd, Brandon, MS 39042-2601 | 2020-04-24 |
| 1427098391 | Brandon Hma LLC | Psychiatric Unit | 350 Crossgates Blvd, Brandon, MS 39042-2601 | 2006-06-07 |
| 1205882669 | Brandon Hma LLC | General Acute Care Hospital | 350 Crossgates Blvd, Brandon, MS 39042-2601 | 2006-05-26 |
| Street Address |
350 CROSSGATES BLVD |
| City | BRANDON |
| State | MS |
| Zip Code | 39042-2601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538118724 | Andrew Spencer Anfanger | Emergency Medicine | 350 Crossgates Blvd, Brandon, MS 39042-2601 | 2006-05-08 |
| 1588284087 | Brandon Hma LLC | Clinical Medical Laboratory | 350 Crossgates Blvd, Brandon, MS 39042-2601 | 2020-04-24 |
| 1073903894 | Erin Touchstone | Registered Nurse | 350 Crossgates Blvd, Brandon, MS 39042-2601 | 2015-02-01 |
| 1447593306 | Mississippi Emergency Physician Services, LLC | Nurse Practitioner | 350 Crossgates Blvd, Brandon, MS 39042-2601 | 2013-03-29 |
| 1710240916 | Karl John Hager Jr. | Nurse Practitioner | 350 Crossgates Blvd, Brandon, MS 39042-2601 | 2012-06-21 |
| 1467715854 | Crossgates Hma Medical Group, LLC | Anesthesiology | 350 Crossgates Blvd, Brandon, MS 39042-2601 | 2012-06-20 |
| 1477820736 | Mississippi Hma Hospitalists, LLC | Hospitalist | 350 Crossgates Blvd, Brandon, MS 39042-2601 | 2011-11-30 |
| 1154608883 | Mississippi Hma Hospitalists, LLC | Hospitalist | 350 Crossgates Blvd, Brandon, MS 39042-2601 | 2011-11-09 |
| 1700178753 | River Oaks Management Company, LLC | Hospitalist | 350 Crossgates Blvd, Brandon, MS 39042-2601 | 2011-05-10 |
| 1487944617 | Corey Nathaniel Brown | Internal Medicine | 350 Crossgates Blvd, Brandon, MS 39042-2601 | 2011-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740821529 | Claudia Francis Jones | Technician | 1008 Greenfield Circle, Brandon, MS 39042 | 2019-10-03 |
| 1194294546 | Allen Keith Johnson Jr. | Counselor | 1700 West Government Street Building B. Suite O., Brandon, MS 39042 | 2018-11-15 |
| 1689167462 | Regional Home Care and Infusions, Inc. | Registered Nurse | 302 Town Square, Suite 110, Brandon, MS 39042 | 2018-06-07 |
| 1013419563 | Brandon Family Chiropractic LLC | Chiropractor | 1350 West Government Street Suite A1, Brandon, MS 39042 | 2018-03-01 |
| 1184146789 | Lakeland Home Program LLC | Clinic/Center | 209 Mar Lyn Dr, Brandon, MS 39042 | 2017-07-14 |
| 1104275510 | Matthew Logue | Community Health Worker | 2009 Mossy Cove, Brandon, MS 39042 | 2016-06-07 |
| 1932569704 | Haley Wilson | Chiropractor | 1350 W Government St Ste A1, Brandon, MS 39042 | 2016-03-07 |
| 1548698608 | St Dominic Medical Associates LLC | Family Medicine | 1297 West Government Street, Brandon, MS 39042 | 2013-10-28 |
| 1760825434 | Linda J. Bridges | Respiratory Therapist, Certified | 330 Rankin Road, Brandon, UNITED STATES 39042 | 2013-04-12 |
| 1861739922 | Georgia Christine Shirley | Nurse Practitioner | 2008 Brookstone Place, Brandon, MS 39042 | 2013-01-09 |
| Find all providers in zip 39042 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487208922 | Heart and Vascular Center of Brandon, Pllc | Internal Medicine | 511 Medical Oaks Ave., Brandon, FL 33511 | 2019-08-01 |
| 1962594747 | Rathinam Krishna Moorthy | Internal Medicine | 301 E Robertson St, Brandon, FL 33594-5253 | 2006-09-29 |
| 1790700052 | Adithya Ed Gandhi | Internal Medicine | 511 Medical Oaks Ave, Brandon, FL 33511 | 2006-07-13 |
| 1881625028 | Sabanayagam Thangam | Internal Medicine | 533 Medical Oaks Ave, Brandon, FL 33511-5961 | 2006-07-05 |
| 1629030127 | Hoshedar P Tamboli | Internal Medicine | 621 W Lumsden Rd, Brandon, FL 33511-5911 | 2006-04-03 |
| 1003899857 | Harshinder Singh | Internal Medicine | 1159 Nikki View Dr, Brandon, FL 33511-4879 | 2005-11-25 |
| 1417956707 | Carlos A Leche | Internal Medicine | 1026 E Brandon Blvd, Brandon, FL 33511-5509 | 2005-07-19 |
| 1518580307 | Heart Vascular and Vein of Tampa Bay LLC | Internal Medicine | 621 W Lumsden Rd, Brandon, FL 33511-5911 | 2020-05-27 |
| 1356766513 | Pinnacle Cardiovascular Associates Inc | Internal Medicine | 1026 E Brandon Blvd, Brandon, FL 33511-5509 | 2014-02-25 |
| 1801239454 | Robby Ranbir Singh | Internal Medicine | 425 S Kings Ave, Brandon, FL 33511-5919 | 2013-04-14 |
| Find all providers in BRANDON | ||||
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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.