DR. FRED CALVIN BORDELON (NPI# 1972695922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972695922 |
| Entity Type | Individual |
| Full Name | DR. FRED CALVIN BORDELON |
| Credential | MD |
| Practice Address |
200 Arnold Avenue Greenville MS 38701-4203 |
| Practice Telephone | 6623355448 |
| Practice Fax Number | 6623355453 |
| Mailing Telephone | 6623355448 |
| Mailing Fax Number | 6623355453 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Y00000X | Otolaryngology | R3944 | AR | Allopathic & Osteopathic Physicians |
| Y | 207Y00000X | Otolaryngology | 05247 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00015577 | 05 |
| Street Address |
200 ARNOLD AVENUE |
| City | GREENVILLE |
| State | MS |
| Zip Code | 38701-4203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851882328 | G & M Transportation LLC | Non-emergency Medical Transport (VAN) | 1525 South Dr. Mlk Dr, Suite E, Greenville, MS 38701 | 2018-05-21 |
| 1528564143 | Gyton Brijjetta Williams | Nurse Practitioner | 1400 East Union Street, Greenville, MS 38701 | 2018-04-03 |
| 1225552557 | Stephanie Epley | Counselor | 365 West Reed Rd Ste A-1, Greenville, MS 38701 | 2017-07-28 |
| 1861943425 | Roderick Montgomery | Non-emergency Medical Transport (VAN) | 537 Patricia Dr, Greenville, MS 38701 | 2016-10-19 |
| 1649694183 | Denise Wright | Nurse Practitioner | 1746-c Ms State Hwy 1 South, Greenville, MS 38701 | 2014-02-04 |
| 1174953525 | Sharkey-issaquena Adult Daycare | Psychologist | 449 Oakland Drive, Greenville, MS 38701 | 2013-11-21 |
| 1881953198 | New Hope Prosthetics & Orthodics Inc | Prosthetic/Orthotic Supplier | 585 Tennessee Gas Rd, Greenville, MS 38701 | 2012-05-07 |
| 1306139928 | Delta Regional Medical Center | Psychiatric Hospital | 300 South Washington Ave., Greenville, MS 38701 | 2011-05-17 |
| 1730305871 | First Choice Home Medical Equipment Inc. | Durable Medical Equipment & Medical Supplies | 428 Highway 82 East, Greenville, MS 38701 | 2007-04-17 |
| 1750435301 | Greg Heath Hairston | Chiropractor | 871 Hwy 1 South, Greenville, MS 38701 | 2007-01-22 |
| Find all providers in zip 38701 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316497845 | Thomas Edward Nix | Otolaryngology | 28 Collins Ridge Dr, Greenville, SC 29607-3775 | 2016-10-07 |
| 1306055702 | Andrew Mitchell Rampey | Otolaryngology | 11402 Anderson Rd Ste D, Greenville, SC 29611-7560 | 2007-05-22 |
| 1740385749 | Gabriel O Te | Otolaryngology | 11 Leech Rd, Greenville, PA 16125-9724 | 2006-09-14 |
| 1760498620 | Arvinder S Uppal | Otolaryngology | 1727 E Union St, Greenville, MS 38703-3253 | 2006-07-31 |
| 1518942044 | W Kenneth Easley Jr. | Otolaryngology | 101 S Venture Dr, Greenville, SC 29615-3571 | 2005-12-07 |
| 1336141167 | Robert G Mahon Jr. | Otolaryngology | 4200 E North St Ste 5, Greenville, SC 29615 | 2005-08-11 |
| 1013915347 | Augustus J Goforth IIi | Otolaryngology | 131 Commonwealth Dr, Suite 230, Greenville, SC 29615-4883 | 2005-07-11 |
| 1730181819 | Stabler Clinic, P.C. | Otolaryngology | 300 N College St, Greenville, AL 36037-2025 | 2005-06-02 |
| 1558927905 | Uppal Medical Center LLC | Otolaryngology | 1727 E Union St, Greenville, MS 38703-3253 | 2019-05-10 |
| 1306224035 | Foothills Ent | Otolaryngology | 4200 E North St Ste 5, Greenville, SC 29615-2437 | 2015-05-14 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 38701 |
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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.