TELERAD OF MS ACCOUNT MANAGEMENT LLC (NPI# 1851709851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851709851 |
| Entity Type | Organization |
| Organization Name | TELERAD OF MS ACCOUNT MANAGEMENT LLC |
| Practice Address |
3201 Oakleigh Cir Ocean Springs MS 39564-5861 |
| Mailing Address |
13737 Noel Rd Ste 1600 Dallas TX 75240-1331 |
| Practice Telephone | 9732511132 |
| Practice Fax Number | 2147122002 |
| Enumeration Date | 2014-07-23 |
| Last Update Date | 2019-12-06 |
| Authorized Official Name | KATHY KONDAS (OFFICER) |
| Authorized Official Telephone | 9732511132 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Street Address |
3201 OAKLEIGH CIR |
| City | OCEAN SPRINGS |
| State | MS |
| Zip Code | 39564-5861 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750996401 | Shelby Bourgeois | Speech-Language Pathologist | 108 Heron Park Pl, Ocean Springs, MS 39564 | 2020-09-10 |
| 1467010520 | Rachel Stephenie Knox | Student in an Organized Health Care Education/Training Program | 81mdss/gme 301 Fisher St., Rm 1g123, Keesler Afb, MS 39564 | 2019-06-04 |
| 1457839292 | Polly Anne Lampon | Registered Nurse | 2301 Rue Beaux Chenes, Ocean Springs, MS 39564 | 2018-08-03 |
| 1578062725 | Gulf Coast Sleep Medicine LLC | Clinic/Center | 2112 Bienville Blvd., Suite P, Ocean Springs, MS 39564 | 2018-02-02 |
| 1598212623 | Edward Victor Brown Jr. | Dentist | 15465 Oak Lane, Gulfport, MS 39564 | 2016-09-07 |
| 1386016749 | L. Randy Buntyn, D.m.d., Pllc | Dentist | 1203 Government St., Ocean Springs, MS 39564 | 2015-10-26 |
| 1467835629 | Msmobileyes Inc. | Optometrist | 2510 Bileville Blvd, Ocean Springs, MS 39564 | 2015-07-07 |
| 1659760999 | Clark Jamison Levi | Pharmacist | 1019 Government Street Suite F & D, Ocean Springs, MS 39564 | 2015-01-09 |
| 1932545480 | Therese Anne Hanna | Nurse Practitioner | 6900 Washington Avenue, Ocean Springs, MS 39564 | 2013-05-10 |
| 1346589421 | Jennah Claine Ladner | Nurse Practitioner | 1137 Ocean Springs Road, Ocean Springs, MS 39564 | 2013-02-08 |
| Find all providers in zip 39564 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992758379 | Douglas G Cosentino | Radiology | 3535 Bienville Blvd, Ocean Springs, MS 39564-5705 | 2006-05-18 |
| 1477515898 | Brian Twedt | Radiology | 202 Rue St Denis, Ocean Springs, MS 39564-3012 | 2006-04-03 |
| 1437558533 | Mississippi Coastal Mri LLC | Radiology | 3890 Bienville Blvd, Ocean Springs, MS 39564-5803 | 2014-08-14 |
| 1114958089 | James Moore Carter | Radiology | 3109 Bienville Blvd, Ocean Springs, MS 39564-4361 | 2006-07-06 |
| 1629008974 | Charles Vaccaro Menendez Jr. | Radiology | 3109 Bienville Blvd, Ocean Springs, MS 39564-4361 | 2006-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184185092 | North Mississippi Radiology Services LLC | Radiology | 7420 Guthrie Dr N Ste 105, Southaven, MS 38671-5857 | 2019-03-26 |
| 1063890754 | Phil Otis Nelson Jr. | Radiology | 146 Ridge Dr, Jackson, MS 39216-4109 | 2015-05-13 |
| 1033532825 | Nadia Aboussouan Tyson | Radiology | 675 N Livingston Rd, Ridgeland, MS 39157-5034 | 2014-01-29 |
| 1124459490 | James Vaiden Ferguson Jr. | Radiology | 3638 Lyles Dr, Oxford, MS 38655-5709 | 2013-12-11 |
| 1487904173 | Mid Delta Radiology Associates, LLC | Radiology | 130 River Club Cir, Clarksdale, MS 38614-9725 | 2012-09-11 |
| 1043587629 | Clifton L Hester Jr. | Radiology | 607 E Leake St, Clinton, MS 39056-4300 | 2011-11-26 |
| 1912298498 | Lisa Mabry Smith | Radiology | 14257 Dedeaux Rd, Gulfport, MS 39503-3369 | 2011-05-02 |
| 1134446743 | Thomas Edward Panico | Radiology | 4213 Lakeland Drive, Flowood, MS 39232-9212 | 2010-04-23 |
| 1487808408 | Gulf Shores Radiology Assoicates | Radiology | 1207 Wood Duck Cv, Oxford, MS 38655-7347 | 2008-11-05 |
| 1679775001 | Molecular Imaging Assoc Pllc | Radiology | 136 Fioranelli Dr, Greenville, MS 38701-7313 | 2007-06-05 |
| Find all providers with the same taxonomy | ||||
| City | OCEAN SPRINGS |
| Zip Code | 39564 |
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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.