PREMIER INTERVENTIONAL RADIOLOGY CLINIC


Address: 891 Mississippi Dr, Tupelo, MS 38804-0934
Phone: 6626207111

PREMIER INTERVENTIONAL RADIOLOGY CLINIC (NPI# 1871838490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871838490
Entity Type Organization
Organization Name PREMIER INTERVENTIONAL RADIOLOGY CLINIC
Practice Address 891 Mississippi Dr
Tupelo
MS 38804-0934
Mailing Address 620 Crossover Road
Tupleo
MS 38801-4944
Practice Telephone 6626207111
Practice Fax Number 6623777954
Mailing Telephone 6628421758
Mailing Fax Number 6628448298
Enumeration Date 2012-12-07
Last Update Date 2017-02-14
Authorized Official Name MR. VERNON W BARROW III (PRESIDENT)
Authorized Official Telephone 6628421758
Authorized Official Credential MD
Is Organization Subpart Y
Parent Organization Name PREMIER RADIOLOGY, PA

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0204X Radiology
Specialization: Vascular & Interventional Radiology
Allopathic & Osteopathic Physicians

Office Location

Street Address 891 MISSISSIPPI DR
City TUPELO
State MS
Zip Code 38804-0934

Providers in the same location

NPI Name Taxonomy Address Enumeration
1699781765 Zandra Dawn Frans Nurse Practitioner 891 Mississippi Dr, Tupelo, MS 38804-0934 2006-07-31
1316075864 Medical Imaging, LLC Radiology 891 Mississippi Dr, Tupelo, MS 38804-0934 2007-02-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548874159 Susan Me'chelle Oliver Nurse Practitioner 874 Barnes Crossing Road, Tupelo, MS 38804 2020-09-01
1134762784 Kimberly J Adams Occupational Therapy Assistant 90 Clark Ave, Tupelo, MS 38804 2019-10-25
1790270924 Megan Guntharp Occupational Therapist 960 Commonwealth Boulevard, Tupelo, MS 38804 2018-06-29
1154867562 Urologic Ambulatory Surgery Center, LLC Clinic/Center 3353 N Gloster Street, Suite 300, Tupelo, MS 38804 2017-01-09
1790235919 Dr Scott Dickinson D.m. D. PC Dentist 3999 N Gloster Street, Tupelo, MS 38804 2016-10-12
1326496621 Angela Estes Occupational Therapist County Road 1279 House#197, Tupelo, MS 38804 2016-05-26
1316300080 Eric Wade Tillotson Family Medicine 1665 South Green Street, Tupelo, MS 38804 2016-03-31
1104238898 Stella M. Johnson Social Worker 2292 Camelot Cir, Tupelo, MS 38804 2014-05-29
1821437351 Lenka Petersen Student in an Organized Health Care Education/Training Program 1665 S Green St., Nmmc, Tupelo, MS 38804 2013-06-18
1083966303 Jessica M Baskett Counselor 398 E Main St, Tupelo, MS 38804 2012-10-10
Find all providers in zip 38804

Taxonomy Information

Taxonomy Code 2085R0204X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Vascular & Interventional Radiology

Taxonomy Definition

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194763664 James Thomas Trapp Radiology 830 S Gloster St, Tupelo, MS 38801-4934 2006-06-04

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1043825540 Gulf Coast Vascular Care, LLC Radiology 14219 Cook Rd, Biloxi, MS 39532-9719 2020-09-11
1093731895 Vipin S Patel Radiology 1010 Lakeland Square Ext Ste B, Flowood, MS 39232-7607 2006-07-14
1376157099 Kathryn Taylor Parvin Radiology 969 Lakeland Dr, Jackson, MS 39216-4699 2020-09-01
1780021170 Ajinkya Shrinivas Desai Radiology 2500 N State St, Jackson, MS 39216-4500 2013-05-27
1023358132 South Central Regional Medical Center Radiology 1410 Jefferson St, Laurel, MS 39440-4243 2013-02-26
1770832461 Flowood Vascular Access, LLC Radiology 1010 Lakeland Square Ext Ste B, Flowood, MS 39232-7607 2012-09-10
1194048231 Delta Radiology Pllc Radiology 901 E Sunflower Rd, Cleveland, MS 38732-2833 2010-03-03
1083936231 North Florida Radiological Institute Inc Radiology 1401 River Rd, Greenwood, MS 38930-4030 2010-02-15
1851620249 Vascular Access Center of Bolivar County LLC Radiology 810 E Sunflower Rd, Suite 100b, Cleveland, MS 38732-2800 2009-12-14
1962682468 Meridian Imaging, Pa Radiology 1102 Constitution Ave, First Floor, Meridian, MS 39301-4001 2007-11-13
Find all providers with the same taxonomy

Competitor

Search similar providers

City TUPELO
Zip Code 38804

Improve Information

Please comment or provide details below to improve the information on PREMIER INTERVENTIONAL RADIOLOGY CLINIC.

Dataset Information

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.

Trending Searches