MA TESSA LOLITA DIAZ LAYUGAN (NPI# 1942400882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942400882 |
| Entity Type | Individual |
| Full Name | MA TESSA LOLITA DIAZ LAYUGAN |
| Credential | M.D. |
| Practice Address |
401 Southcrest Cir #104 Southaven MS 38671-6726 |
| Practice Telephone | 6625363201 |
| Practice Fax Number | 6625363210 |
| Mailing Telephone | 6625363201 |
| Mailing Fax Number | 6625363210 |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2007-07-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
401 SOUTHCREST CIR #104 |
| City | SOUTHAVEN |
| State | MS |
| Zip Code | 38671-6726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578569935 | Sanjay Ratnakant | Internal Medicine | 401 Southcrest Cir, Ste 212, Southaven, MS 38671-6721 | 2005-06-21 |
| 1295240414 | Jenna Scruggs | Nurse Practitioner | 401 Southcrest Cir, Southaven, MS 38671-6726 | 2017-12-11 |
| 1083071237 | Wanda Brown | Nurse Practitioner | 401 Southcrest Cir, Suite 105, Southaven, MS 38671-6726 | 2016-01-19 |
| 1225403579 | Jodie Orr | Physical Therapist | 401 Southcrest Cir, Southaven, MS 38671-6726 | 2015-12-10 |
| 1487072864 | Shannon Rose Woods | Nurse Practitioner | 401 Southcrest Cir, Suite 212, Southaven, MS 38671-6726 | 2014-04-02 |
| 1669602603 | Rajeev Gupta | Internal Medicine | 401 Southcrest Cir, Suite 212, Southaven, MS 38671-6726 | 2009-07-24 |
| 1881850345 | Upasna Aron | Internal Medicine | 401 Southcrest Cir, Ste 201, Southaven, MS 38671-6726 | 2008-08-04 |
| 1093973836 | Urology Group PC | Urology | 401 Southcrest Cir, Suite 201, Southaven, MS 38671 | 2008-05-29 |
| 1679742944 | Adult Neurology Clinic Pllc | General Acute Care Hospital | 401 Southcrest Cir, Suite 210, Southaven, MS 38671-6726 | 2008-02-21 |
| 1255531885 | Foundation Internal Medicine, P.C. | Clinic/Center | 401 Southcrest Cir, Suite 207, Southaven, MS 38671-6726 | 2007-07-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285196196 | Emma Tinsley-bowles Long | Social Worker | 8786 Northcreek Blvd, Bldg 8 Apt 3, Southaven, MS 38671 | 2019-04-01 |
| 1851847586 | Tiffany Lashea Jones | Adult Companion | 8755 Millbranch Road, Southaven, MS 38671 | 2016-09-01 |
| 1538526140 | Desoto Pediatric Extended Care LLC | Skilled Nursing Facility | 750 Stateline Road East, Southhaven, MS 38671 | 2016-01-27 |
| 1073983052 | Tara Burt | Physical Therapist | 7900 Airways Blvd. Building A, Suite 2, Southaven, MS 38671 | 2015-10-02 |
| 1295160463 | Ideal Community Care,llc | In Home Supportive Care | 8869 Centre Str #3, Southaven, MS 38671 | 2013-09-06 |
| 1578995692 | Gregory Charles Eakins Jr. | Optometrist | 338 Goodman Rd West, Southaven, MS 38671 | 2013-07-31 |
| 1295173169 | Erica R. Martin | Social Worker | 975 Swinnea Rdg Ste 3, Southaven, MS 38671 | 2013-06-12 |
| 1386918431 | Freds Stores of Tennessee Inc | Pharmacy | 710 Church Road, Southaven, MS 38671 | 2012-03-06 |
| 1740565613 | Mary Jeanette Scruggs | Pharmacist | 1011 Goodman Rd, Southaven, MS 38671 | 2011-10-11 |
| 1184919268 | First Pharmacy Services 5 | Pharmacy | 5185a Getwell Rd, Southaven, MS 38671 | 2011-06-16 |
| Find all providers in zip 38671 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710134945 | Desoto Thyroid and Endocrinology | Specialist | 5960 Getwell Rd, Suite 212-d, Southaven, MS 38672-7318 | 2008-08-19 |
| 1821268236 | Whitehaven Ob-gyn, P.C. | Specialist | 60 Physicians Ln Ste 2, Southaven, MS 38671-6122 | 2008-03-03 |
| 1578775573 | Otolaryngology Associates of The Midsouth | Specialist | 975 Swinnea Ridge, Suite 1, Southaven, MS 38671 | 2007-05-04 |
| 1508972365 | Hai Van Dang | Specialist | 7640 Clarington Cv, Suite B, Southaven, MS 38671-5652 | 2006-08-22 |
| 1679588974 | Rome Sherrod II | Specialist | 835 Brandywine Dr, Suite 102, Southaven, MS 38671-2434 | 2006-07-29 |
| 1447282991 | Mukesh Jain | Specialist | 7615 Clarington Cv, Southaven, MS 38671-5647 | 2006-07-07 |
| 1073567251 | Olufemi Adeleye | Specialist | 1890 Goodman Rd E, Suite 101, Southaven, MS 38671-9504 | 2006-05-20 |
| 1588089288 | Southaven Sleep Clinic | Specialist | 7420 Guthrie Dr N, Suite 110, Southaven, MS 38671-5876 | 2014-03-04 |
| 1780810614 | Prethi Vaddadi | Specialist | 7736 Airways Blvd, Southaven, MS 38671-5306 | 2009-06-05 |
| 1104007558 | Lee Grimm, M.d., P.C. | Specialist | 7580 Clarington Cv, Suite 3, Southaven, MS 38671-5657 | 2007-11-14 |
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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.