BENITA JOETTA MYLES (NPI# 1790129021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790129021 |
| Entity Type | Individual |
| Full Name | BENITA JOETTA MYLES |
| Credential | MD |
| Practice Address |
1488 Hwy 487 Family Medicine Sebastopol MS 39359-0150 |
| Mailing Address |
P.o. Box 150 Family Medicine Sebastopol MS 39359-0150 |
| Practice Telephone | 6016257403 |
| Practice Fax Number | 6016257404 |
| Mailing Telephone | 6016257403 |
| Mailing Fax Number | 6016257404 |
| Enumeration Date | 2013-04-17 |
| Last Update Date | 2016-10-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 24546 | MS | Allopathic & Osteopathic Physicians |
| Street Address |
1488 HWY 487 FAMILY MEDICINE |
| City | SEBASTOPOL |
| State | MS |
| Zip Code | 39359-0150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730178161 | William A Mullendore | Family Medicine | 1488 Hwy 487, Sebastopol, MS 39359 | 2005-10-18 |
| 1881241123 | Mary Rose Thomas | Nurse Practitioner | 1488 Hwy 487, Sebastopol, MS 39359 | 2019-08-21 |
| 1659626687 | Nicholas John Dennery II | Dentist | 1488 Hwy 487, Sebastopol, MS 39359-0150 | 2012-07-16 |
| 1851570006 | Telitha K Grant-spencer | Internal Medicine | 1488 Hwy 487, Sebastopol, MS 39359-0150 | 2007-10-24 |
| 1124232806 | James E. Yelverton | Dentist | 1488 Hwy 487, Sebastopol, MS 39359 | 2007-05-10 |
| 1932135522 | John Edwin Witcher | Emergency Medicine | 1488 Hwy 487, Sebastopol Clinic, Sebastopol, MS 39359 | 2006-06-24 |
| 1699721209 | East Central Mississippi Health Care Inc | Clinic/Center | 1488 Hwy 487, Sebastopol, MS 39359 | 2006-05-25 |
| 1386621233 | Aser M Kandil | Pediatrics | 1488 Hwy 487, Sebastopol, MS 39359 | 2005-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942839881 | Shanna Donald | Social Worker | 32 Underwood Street, Sebastopol, MS 39359 | 2020-04-03 |
| 1891189114 | Reathia Sue Summers | Nurse Practitioner | 157 Hwy 492, Sebastopol, MS 39359 | 2015-03-25 |
| 1053524009 | Rodney L Moore | Pharmacy | 16831 Hwy 21 S, Sebastopol, MS 39359 | 2007-05-07 |
| 1427127018 | Malinda Elizabeth Ellis Gilmer | Registered Nurse | 32 Underwood St, Sebastopol, MS 39359 | 2006-11-07 |
| 1609853647 | Karen Reece | Nurse Practitioner | 1488 Highway 487, Sebastopol, MS 39359 | 2005-12-30 |
| 1760778609 | Independent Healthcare Management, Inc. | Clinic/Center | 17509 Hwy 21, Sebastopol, MS 39359-0000 | 2011-06-20 |
| 1730340563 | Kayti A Powell | Nurse Practitioner | 1488 Hwy 487 East, Sebastopol, MS 39359-0150 | 2008-06-24 |
| 1205355781 | Gaydon Nowell | Nurse Practitioner | 1488 Hwy 487 East, Sebastopol, MS 39359-0150 | 2017-09-15 |
| 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 |
|---|---|---|---|---|
| 1689873184 | Kambria Beck Holder | Family Medicine | 652 Petaluma Ave Ste F, Sebastopol, CA 95472-4266 | 2007-07-13 |
| 1598989832 | Yolanda Marie-madeleine Seys | Family Medicine | 2265 Schaeffer Rd, Sebastopol, CA 95472-5500 | 2007-04-11 |
| 1477676336 | Timothy J Smith | Family Medicine | 5281 Thomas Rd, Sebastopol, CA 95472-9374 | 2007-04-07 |
| 1366592172 | Lydia Hasbrouck Mertens | Family Medicine | 6800 Palm Avenue Suite C, Sebastopol, CA 95472 | 2007-01-12 |
| 1053483107 | Ralph Llewellyn Pendleton | Family Medicine | 10509 Mill Station Rd, Sebastopol, CA 95472-9657 | 2006-11-14 |
| 1316021645 | Constance J. Ayers | Family Medicine | 652 Petaluma Blved., Suite H, Sebastopol, CA 95472 | 2006-10-24 |
| 1285722819 | Andrew Stephen Wagner | Family Medicine | 819 Longwood Ln, Sebastopol, CA 95472-2734 | 2006-10-10 |
| 1235225194 | Gary Ronald Herzberg | Family Medicine | 591 Swain Woods Ter, Sebastopol, CA 95472-4379 | 2006-10-05 |
| 1871690057 | Siskiyou Rural Housecalls Medical Corporation | Family Medicine | 1296 Scheibel Ln, Sebastopol, CA 95472-4717 | 2006-09-20 |
| 1558474270 | Gerald Eugene Eliaser | Family Medicine | 258 Washington Ct, Sebastopol, CA 95472-3170 | 2006-08-16 |
| Find all providers in SEBASTOPOL | ||||
| City | SEBASTOPOL |
| Zip Code | 39359 |
Please comment or provide details below to improve the information on BENITA JOETTA MYLES.
| 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.