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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
Allopathic & Osteopathic Physicians |
Street Address |
891 MISSISSIPPI DR |
City | TUPELO |
State | MS |
Zip Code | 38804-0934 |
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 |
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 Code | 2085R0204X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Vascular & Interventional Radiology |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194763664 | James Thomas Trapp | Radiology | 830 S Gloster St, Tupelo, MS 38801-4934 | 2006-06-04 |
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 |
Please comment or provide details below to improve the information on PREMIER INTERVENTIONAL RADIOLOGY CLINIC.
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.