SAUL DERMATOLOGY PA (NPI# 1932553245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932553245 |
| Entity Type | Organization |
| Organization Name | SAUL DERMATOLOGY PA |
| Practice Address |
5002 Highway 39 N Bldg A Meridian MS 39301-1078 |
| Practice Telephone | 6015120500 |
| Practice Fax Number | 6015120505 |
| Mailing Telephone | 6015120500 |
| Mailing Fax Number | 6015120505 |
| Enumeration Date | 2016-04-22 |
| Last Update Date | 2016-09-28 |
| Authorized Official Name | KENNETH DANIEL SAUL (PHYSICIAN) |
| Authorized Official Telephone | 6015120500 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
22764 | MS | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | BLUE CROSS OF ALABAMA | 73025117 | 01 |
| Street Address |
5002 HIGHWAY 39 N BLDG A |
| City | MERIDIAN |
| State | MS |
| Zip Code | 39301-1078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295022861 | Kenneth Daniel Saul | Dermatology | 5002 Highway 39 N Bldg A, Meridian, MS 39301-1078 | 2011-07-05 |
| 1992337034 | Whitney Sloan Bancroft Trammell | Physician Assistant | 5002 Highway 39 N Bldg A, Meridian, MS 39301-1078 | 2020-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407460439 | Kayla Lee Monsour | Pharmacist | 1415 24th Avenue, Meridian, MS 39301 | 2020-09-08 |
| 1306478359 | K&r Optical Solutions Corporation | Eyewear Supplier (Equipment, not the service) | 3126 8th St., Suite A, Meridian, MS 39301 | 2020-02-07 |
| 1912537317 | Courtney M Hollie | Counselor | 1054 Ms-19, Meridian, MS 39301 | 2020-01-24 |
| 1932636495 | Rcg Mississippi, Inc. | Clinic/Center | 1300 38th Ave E, Meridian, MS 39301 | 2017-05-16 |
| 1811428915 | Tierria Mcglothin | Nurse Practitioner | 1054 Highway 19 S, Meridian, MS 39301 | 2017-03-21 |
| 1154869303 | Lindsay Nemanich | Physical Therapist | 3716 Ms-39, Meridian, MS 39301 | 2017-02-08 |
| 1700323599 | Wal-mart Stores East Lp | Pharmacy | 3310-a Highway 39 North, Meridian, MS 39301 | 2017-01-31 |
| 1972977460 | Southeast Pharmacy LLC | Pharmacy | 2402 Long Creek Road, Meridian, MS 39301 | 2015-11-20 |
| 1235508342 | East Mississippi Oral & Facial Surgery, LLC | Clinic/Center | 1212 24th Avenue, Meridian, MS 39301 | 2015-09-18 |
| 1831580778 | Clarkdale Pharmacy and Gifts LLC | Pharmacy | 6935c Hwy 145, Meridian, MS 39301 | 2015-02-13 |
| Find all providers in zip 39301 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174798334 | Don S Davis Md Pa | Clinic/Center | 5002 Hwy 39 N Bldg A, Meridian, MS 39301-1078 | 2008-04-28 |
| 1265903736 | Poole Joint Replacement Specialists | Clinic/Center | 2365 E Gala St Ste 1, Meridian, ID 83642-4881 | 2018-12-10 |
| 1316980345 | St Lukes Regional Medical Center | Clinic/Center | 520 S Eagle Rd, Suite 3102, Meridian, ID 83642-6351 | 2006-06-14 |
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|---|---|---|---|---|
| 1962029249 | Ortho Express Holding Company, LLC | Clinic/Center | 608 W Church St, Booneville, MS 38829 | 2020-07-02 |
| 1841646148 | Hooks Diabetes & Medicine Clinic, Pllc | Clinic/Center | 2625 Traceland Dr Ste A, Tupelo, MS 38801-4240 | 2016-05-05 |
| 1194060350 | Stewart Ear Sinus & Allergy Pllc | Clinic/Center | 4 Professional Plaza, Starkville, MS 39759 | 2012-11-29 |
| 1912200460 | Amory Hma Physician Mgmt LLC | Clinic/Center | 607 Earl Frye Blvd # A, Amory, MS 38821-5503 | 2010-12-06 |
| 1205146719 | Voulters Medical Consulting | Clinic/Center | 927 E Scenic Dr, Pass Christian, MS 39571-4701 | 2010-10-18 |
| 1629393491 | Soma Plastic Surgery and Hand Clinic | Clinic/Center | 2630 Courthouse Cir Ste A, Flowood, MS 39232-9562 | 2010-04-05 |
| 1750513818 | Magnolia Addiction Treatment Services | Clinic/Center | 500 E Woodrow Wilson Ave Ste D, Jackson, MS 39216-4538 | 2009-08-21 |
| 1598911877 | George E. Wilkerson, M.d., P.a. | Clinic/Center | 348 Crossgates Blvd Ste 2300, Brandon, MS 39042-2634 | 2008-08-18 |
| 1346424819 | North Mississippi Vascular Center, Pa | Clinic/Center | 1040a S Madison St, Tupelo, MS 38801-6300 | 2007-12-19 |
| 1124201892 | Rome Sherrod II Md | Clinic/Center | 7600 Airways Blvd Ste B, Southaven, MS 38671-5138 | 2007-12-17 |
| 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.