NORTH MADISON SURGICAL GROUP (NPI# 1740471572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740471572 |
| Entity Type | Organization |
| Organization Name | NORTH MADISON SURGICAL GROUP |
| Practice Address |
1421 E Peace St Suite B Canton MS 39046-4938 |
| Practice Telephone | 6018595323 |
| Practice Fax Number | 6018593730 |
| Mailing Telephone | 6018595323 |
| Mailing Fax Number | 6018593730 |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2007-08-07 |
| Authorized Official Name | BRAD SINCLAIR (REGIONAL MANAGER) |
| Authorized Official Telephone | 6019363102 |
| Is Organization Subpart | Y |
| Parent Organization Name | MADISON COUNTY HMA PHYSICIAN MGT. SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
1421 E PEACE ST SUITE B |
| City | CANTON |
| State | MS |
| Zip Code | 39046-4938 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043321326 | Patrick Ellison Sewell Jr. | Radiology | 1421 E Peace St, A, Canton, MS 39046-4938 | 2006-08-31 |
| 1144675299 | Kelly Sellers | Speech-Language Pathologist | 1421 E Peace St, Canton, MS 39046-4938 | 2016-04-26 |
| 1992167944 | Calli O'connor | Occupational Therapy Assistant | 1421 E Peace St, Canton, MS 39046-4938 | 2016-03-28 |
| 1285927814 | Madison Hma Physician Management, LLC | Hospitalist | 1421 E Peace St, Canton, MS 39046-4938 | 2011-05-16 |
| 1578708269 | Madison Hma | Psychiatric Unit | 1421 E Peace St, Canton, MS 39046-4938 | 2008-12-09 |
| 1629237656 | The Children's Medical Group | Pediatrics | 1421 E Peace St, Canton, MS 39046-4938 | 2008-06-05 |
| 1356520613 | Catx, Inc | Clinic/Center | 1421 E Peace St, A, Canton, MS 39046-4938 | 2007-11-02 |
| 1477746048 | Madison Hma Physician Management, Inc.-surgery | Surgery | 1421 E Peace St, Canton, MS 39046-4938 | 2007-08-27 |
| 1568655132 | Madison Hma Physician Management, Inc.-crnas | Anesthesiology | 1421 E Peace St, Canton, MS 39046-4938 | 2007-08-27 |
| 1922299759 | Canton Cardiology Clinic | Family Medicine | 1421 E Peace St, Suite D, Canton, MS 39046-4938 | 2007-08-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043858053 | Pediatric Haven | Skilled Nursing Facility | 112 Westfalen Drive, Canton, MS 39046 | 2019-12-20 |
| 1932743176 | Stacey Elizabeth Aldridge | Social Worker | 210 E Peace Street, Canton, MS 39046 | 2019-10-31 |
| 1881245736 | Mildred Loving | Technician | 323 Shady Lane, Canton, MS 39046 | 2019-09-23 |
| 1295384683 | Betty Bass | Technician | 693 Miggins Road, Canton, MS 39046 | 2019-09-09 |
| 1972081644 | Charles Brayden Jones | Physical Therapist | 276 Nissan Pkwy Ste 400, Canton, MS 39046 | 2018-08-03 |
| 1013436062 | Andrew J Breland | Counselor | 210 E Peace St, Canton, MS 39046 | 2017-09-11 |
| 1801318290 | Mississippi Enjoy Breastfeeding Shalom Resource Center | Clinic/Center | 343 Smith Street, Canton, MS 39046 | 2017-07-07 |
| 1619362977 | Shameca Hudson | Nurse Practitioner | 274 Cobbville Dr E, Canton, MS 39046 | 2015-04-03 |
| 1144644386 | Margaret Reimers Beckwith | Chiropractor | 124 Links Drive, I-103, Canton, MS 39046 | 2014-02-07 |
| 1053753194 | Tanya Linette Calhoun | Nurse Practitioner | 1171 Hart Street, Canton, MS 39046 | 2013-07-17 |
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| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619210481 | James Robert Cardella | Surgery | 1330 Mercy Dr Nw Ste 418, Canton, OH 44708-2625 | 2013-03-31 |
| 1417213893 | Kathryn Parker | Surgery | 470 Northside Cherokee Blvd Ste 230, Canton, GA 30115-8015 | 2012-04-10 |
| 1356570659 | Arcangelo V Mariano | Surgery | 10 Powderhill Rd, Canton, MA 02021-2101 | 2009-07-08 |
| 1053557223 | Roc & Associates M. D., P. C. | Surgery | 8554 N Canton Center Rd, Canton, MI 48187-1310 | 2008-12-18 |
| 1881802650 | Melvin Richard Stjernholm | Surgery | 2600 Tuscarawas St W Ste 620, Canton, OH 44708-4676 | 2007-05-17 |
| 1053421156 | James Scott Young | Surgery | 2600 6 St Sw, Aultman Hospital, Canton, OH 44710 | 2006-08-30 |
| 1174558209 | William Mark Nannery | Surgery | 490 Chapman St, Canton, MA 02021-2039 | 2006-07-11 |
| 1639137581 | Gilbert Matas Roc | Surgery | 8554 Canton Center Rd, Canton, MI 48187-1310 | 2006-05-02 |
| 1235190554 | Bireswar Patnaik | Surgery | 4190 Holiday St Nw, Canton, OH 44718-2532 | 2006-03-28 |
| 1699160143 | Joseph W Gunter IIi Md Pllc | Surgery | 156 River Oaks Dr, Suite B, Canton, MS 39046-5376 | 2015-04-01 |
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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.