DR. KIRK COOPER EDDLEMAN (NPI# 1821209784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821209784 |
| Entity Type | Individual |
| Full Name | DR. KIRK COOPER EDDLEMAN |
| Credential | M.D. |
| Practice Address |
504 Azalea Dr Ste A Oxford MS 38655-5397 |
| Mailing Address |
Po Box 405827 Atlanta GA 30384-5800 |
| Practice Telephone | 6622367738 |
| Practice Fax Number | 6622369642 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2016-10-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
20227 | MS | Allopathic & Osteopathic Physicians |
| Street Address |
504 AZALEA DR STE A |
| City | OXFORD |
| State | MS |
| Zip Code | 38655-5397 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760415608 | Benton M Wheeler | Internal Medicine | 504 Azalea Dr Ste A, Oxford, MS 38655-5397 | 2006-07-07 |
| 1164057865 | Kimberly Dawn Swanner | Registered Nurse | 504 Azalea Dr Ste A, Oxford, MS 38655-5397 | 2020-03-03 |
| 1376198192 | Leigh Van Devender | Nurse Practitioner | 504 Azalea Dr Ste A, Oxford, MS 38655-5397 | 2019-08-08 |
| 1417275652 | John C. Allen | Emergency Medicine | 504 Azalea Dr Ste A, Oxford, MS 38655-5397 | 2010-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619585809 | Oxford Treatment Center, LLC | Substance Abuse Rehabilitation Facility | 616 Commerce Parkway, Oxford, MS 38655 | 2020-07-14 |
| 1760044465 | Lindsay Low Beauchamp | Speech-Language Pathologist | 169 Ms-6 #102, Oxford, MS 38655 | 2019-07-02 |
| 1861058075 | Tomiko D Mackey | Social Worker | 100 Carriage Cove, Oxford, MS 38655 | 2019-05-13 |
| 1174090039 | Derionne Brooks | Specialist/Technologist | 972 Hathorn Road, University, MS 38655 | 2018-10-30 |
| 1497236327 | Providence Companion Care | Nurse's Aide | 317 Heritage Dr Ste 3b, Oxford, MS 38655 | 2018-08-28 |
| 1255817292 | Marcela Caroline Weber | Counselor | 152 Mississippi 7 South, Oxford, MS 38655 | 2018-07-12 |
| 1649775123 | Oxford Outpatient Center, LLC | Clinic/Center | 611 Commerce Pkwy, Oxford, MS 38655 | 2018-03-27 |
| 1073039962 | Sharon Yvette Holloway | Social Worker | 152 Hwy and South, Oxford, Ms 38655, Oxford, MS 38655 | 2017-08-22 |
| 1447774682 | Courtney M Purvis | Physical Therapist | 300 Enterprise Dr Ste B, Oxford, MS 38655 | 2017-07-31 |
| 1649716580 | Taylor Lynn Smith | Counselor | 152 Ms-7, Oxford, MS 38655 | 2017-01-17 |
| Find all providers in zip 38655 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1619356722 | Lauren Parker Hayward | Internal Medicine | 504 Azalea Dr Ste 4, Oxford, MS 38655-5397 | 2015-05-21 |
| 1386056331 | Mccullough-hyde Memorial Hospital, Inc. | Internal Medicine | 110 N Poplar St, Mccullough-hyde Rheumatology, Oxford, OH 45056-1204 | 2014-05-27 |
| 1124036587 | Arthritis & Rheumatic Diseases Center Inc | Internal Medicine | 5151 Morning Sun Rd, Suite D, Oxford, OH 45056-9545 | 2006-08-03 |
| 1245220375 | Hana M Badreddine | Internal Medicine | 110 N Poplar St, Clinic 3, Oxford, OH 45056-1204 | 2005-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740835305 | North Mississippi Medical Center, Inc. | Internal Medicine | 408 Council Cir Ste A, Tupelo, MS 38801-4949 | 2019-08-09 |
| 1649686395 | Madison Medical Rheumatology, LLC | Internal Medicine | 1607 Doctor's Drive, Madison, MS 39110-8671 | 2014-07-02 |
| 1952745663 | Neal Shparago Do Pa | Internal Medicine | 1190 N State St Ste 302, Jackson, MS 39202-2413 | 2013-04-24 |
| 1851585004 | Dedri Markita Ivory | Internal Medicine | 3510 Pemberton Square Blvd, Vicksburg, MS 39180-5506 | 2007-08-30 |
| 1124247341 | Matthew Bernard Carroll | Internal Medicine | 3101 Denny Ave Ste 240, Pascagoula, MS 39581-5307 | 2007-04-25 |
| 1851431159 | David Ian Weiss | Internal Medicine | 15 Orleans Dr, Hattiesburg, MS 39402 | 2007-02-07 |
| 1487747234 | Rheumatology Associates, Pllc | Internal Medicine | 1190 N State St Ste 303, Jackson, MS 39202-2413 | 2006-10-02 |
| 1760495071 | Jean Guyton Gispen | Internal Medicine | Employee Health Service, V. B. Harrison Building, Rebel Drive, University, MS 38677 | 2006-08-15 |
| 1720092547 | Chris H Benson | Internal Medicine | 104 Millsaps Dr, Hattiesburg, MS 39402-1328 | 2006-07-28 |
| 1568499531 | Kenneth J. Hardy | Internal Medicine | 2550 Flowood Dr Ste 300, Flowood, MS 39232-9306 | 2006-06-27 |
| Find all providers with the same taxonomy | ||||
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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.