MAGNOLIA ER PROVIDERS (NPI# 1891233078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891233078 |
| Entity Type | Organization |
| Organization Name | MAGNOLIA ER PROVIDERS |
| Practice Address |
611 Alcorn Dr Corinth MS 38834-9321 |
| Practice Telephone | 6622931175 |
| Practice Fax Number | 6622934323 |
| Mailing Telephone | 6622931175 |
| Mailing Fax Number | 6622934323 |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2017-02-07 |
| Authorized Official Name | RONNY HUMES (CEO) |
| Authorized Official Telephone | 6622937664 |
| Is Organization Subpart | Y |
| Parent Organization Name | MAGNOLIA REGIONAL HEALTH CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
611 ALCORN DR |
| City | CORINTH |
| State | MS |
| Zip Code | 38834-9321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609876739 | Clyde Maxwell Hutchinson | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 611 Alcorn Dr, Suite 200, Corinth, MS 38834-9321 | 2005-07-29 |
| 1073122305 | Caitlin Bridget Corker Relph | Pharmacist | 611 Alcorn Dr, Corinth, MS 38834-9388 | 2020-07-22 |
| 1316564651 | Bennett Davis | Emergency Medicine | 611 Alcorn Dr, Corinth, MS 38834-9321 | 2020-07-02 |
| 1902423155 | John Raper | Internal Medicine | 611 Alcorn Dr, Corinth, MS 38834-9321 | 2020-07-02 |
| 1447877873 | William David Wynn | Emergency Medicine | 611 Alcorn Dr, Corinth, MS 38834-9321 | 2020-07-01 |
| 1275150625 | Brian Chase Bennett | Internal Medicine | 611 Alcorn Dr, Corinth, MS 38834-9321 | 2020-07-01 |
| 1851918213 | Courtney Kathleen Rich | Emergency Medicine | 611 Alcorn Dr, Corinth, MS 38834-9388 | 2020-07-01 |
| 1114544590 | Abdalaziz Tabash | Internal Medicine | 611 Alcorn Dr, Corinth, MS 38834-9321 | 2020-07-01 |
| 1750908315 | Tara George | Internal Medicine | 611 Alcorn Dr, Corinth, MS 38834-9321 | 2020-06-30 |
| 1154947398 | Chelsey Danielle Stewart | Internal Medicine | 611 Alcorn Dr, Corinth, MS 38834-9321 | 2020-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477176824 | Crystalcare | Clinic/Center | 3124 N Shiloh Road, Corinth, MS 38834 | 2020-05-20 |
| 1962046680 | Wanda Lee Kilpatrick | Technician | 1206 Breckenridge St., Corinth, MS 38834 | 2019-11-06 |
| 1215595756 | Alanna Nunez Heflin | Dentist | 3127 E Shiloh Rd, Corinth, MS 38834 | 2019-05-30 |
| 1629530795 | A Port In The Storm (apits) | Clinic/Center | 102 N. Cass Street, Suite B, Corinth, MS 38834 | 2019-04-05 |
| 1538654199 | Jerry Wayne Latch | Durable Medical Equipment & Medical Supplies | 206 N Fillmore St, Corinth, MS 38834 | 2018-06-26 |
| 1194215681 | Brooks Medical Clinic | Clinic/Center | 2113 South Tate Street, Corinth, MS 38834 | 2018-05-10 |
| 1164938650 | Pediatric Dentistry of Corinth | Dentist | 1500 N Harper Rd #5, Pediatric Dentistry of Corinth, Corinth, MS 38834 | 2017-12-19 |
| 1467964536 | King Speech-language Therapy, LLC | Speech-Language Pathologist | 2203 Hwy 72 East, Corinth, MS 38834 | 2017-10-30 |
| 1841669728 | Glenda Gatlin | Social Worker | 14 Cr 305, Corinth, MS 38834 | 2015-09-21 |
| 1649646555 | Amanda Word | Social Worker | 303 North Madison Street, Corinth, MS 38834 | 2015-08-14 |
| Find all providers in zip 38834 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780201145 | Sabrina Marie Azavedo | Emergency Medicine | 3283 Shadowood Ln, Corinth, MS 38834-6030 | 2020-07-01 |
| 1326124124 | Kevin Jonathan Schwechten | Emergency Medicine | 206 Glenmore St, Corinth, MS 38834-6039 | 2006-10-27 |
| 1316564651 | Bennett Davis | Emergency Medicine | 611 Alcorn Dr, Corinth, MS 38834-9321 | 2020-07-02 |
| 1447877873 | William David Wynn | Emergency Medicine | 611 Alcorn Dr, Corinth, MS 38834-9321 | 2020-07-01 |
| 1851918213 | Courtney Kathleen Rich | Emergency Medicine | 611 Alcorn Dr, Corinth, MS 38834-9388 | 2020-07-01 |
| 1548884687 | Laura Kay Hanson | Emergency Medicine | 611 Alcorn Dr, Corinth, MS 38834-9321 | 2020-06-04 |
| 1669991337 | Magnolia Family Medical Practice | Emergency Medicine | 121 Pratt Dr Ste 1a, Corinth, MS 38834-6026 | 2017-09-14 |
| 1841545910 | Hillary Elaine Stricklen | Emergency Medicine | 611 Alcorn Drive, Corinth, MS 38834 | 2012-07-16 |
| 1497011696 | Dustin Nicolas Hill | Emergency Medicine | 611 Alcorn Dr, Corinth, MS 38834-9321 | 2012-04-02 |
| 1407127327 | Charles Everett Swanson II | Emergency Medicine | 611 Alcorn Dr, Corinth, MS 38834-9321 | 2012-01-24 |
| Find all providers in CORINTH | ||||
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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.