BECKY F HOLLIBAUGH (NPI# 1982618369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982618369 |
| Entity Type | Individual |
| Full Name | BECKY F HOLLIBAUGH |
| Credential | DO |
| Practice Address |
3920 Promenade Pkwy Biloxi MS 39540 |
| Mailing Address |
735 W 5th St La Place LA 70068-5505 |
| Practice Telephone | 2284560173 |
| Practice Fax Number | 2284560174 |
| Mailing Telephone | 2284560173 |
| Mailing Fax Number | 2284560174 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2018-06-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 504 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 47600054904 | 05 |
| Street Address |
3920 PROMENADE PKWY |
| City | BILOXI |
| State | MS |
| Zip Code | 39540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528347531 | Lindsey Rachelle Cuevas | Pharmacist | 10551 D'iberville Blvd, D'iberville, MS 39540 | 2011-08-08 |
| 1750438255 | Andrea L Davis | Dentist | 11505 Cinema Drive, Suite 6, D'iberville, MS 39540 | 2007-01-05 |
| 1750308250 | South Mississippi Urgent Care | Clinic/Center | 3661 Sangani Blvd, Suite E, Dlberville, MS 39540 | 2006-07-17 |
| 1568948016 | Courtney Leigh Ponder | Nurse Practitioner | 11516 Lamey Bridge Rd Ste I, Diberville, MS 39540 | 2018-07-18 |
| 1134635360 | Southern Regional Chiropractic and Rehabilitation Center | Nurse Practitioner | 11505 Cinema Dr Ste 7, Diberville, MS 39540 | 2017-12-26 |
| 1487177481 | Walgreen Co | Pharmacy | 4031 Popps Ferry Rd Ste A, Diberville, MS 39540 | 2017-07-21 |
| 1891151817 | Total Renal Care Inc | Clinic/Center | 3200 Mallett Rd, Ste F, Diberville, MS 39540 | 2016-01-06 |
| 1679944763 | Katelyn Elizabeth Martin | Behavioral Analyst | 4061 Suzanne Dr, Diberville, MS 39540 | 2015-10-14 |
| 1467880922 | Carla Diane Diffenderfer | Nurse Practitioner | 11516 Lamey Bridge Rd Ste I, Diberville, MS 39540 | 2013-10-21 |
| 1962029629 | Jessica Jensen | Counselor | 356 Ginger Dr. #7385, D'iberville, MS 39540-0003 | 2020-06-29 |
| Find all providers in zip 39540 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225340599 | Hoyet Arlon Hand | Family Medicine | 967 Cedar Lake Rd, Suite B, Biloxi, MS 39532-2128 | 2010-07-02 |
| 1083885941 | James Walter Cook | Family Medicine | 468 Tuscano Ln, Biloxi, MS 39531-2513 | 2008-03-19 |
| 1326102807 | Karen Y Mullen | Family Medicine | 13066 Hwy 67, Suites A & B, Biloxi, MS 39532 | 2006-12-20 |
| 1437264504 | Rickey L Chance | Family Medicine | 1759 Medical Park Dr, Biloxi, MS 39532-2132 | 2006-08-20 |
| 1558396010 | Phillip Lance Barnes | Family Medicine | 201 Lameuse St, Biloxi, MS 39530-3107 | 2006-07-12 |
| 1912964024 | Thomas T Trieu | Family Medicine | 1025 Division St, Suite B, Biloxi, MS 39530-2906 | 2006-05-01 |
| 1417912486 | North Bay Family Medical Clinic, Pa | Family Medicine | 15012 Lemoyne Blvd, Biloxi, MS 39532-5205 | 2006-04-20 |
| 1598751281 | Earnest Calvin Simmons | Family Medicine | 150 Reynoir St., Room 633, Biloxi, MS 39530 | 2005-09-27 |
| 1457951808 | Biloxi Medical Clinic, Inc | Family Medicine | 2490 Pass Rd, Biloxi, MS 39531-2838 | 2020-10-27 |
| 1356900534 | Seren Emerson Ainsworth II | Family Medicine | 15012 Lemoyne Blvd, Biloxi, MS 39532 | 2019-06-11 |
| Find all providers in BILOXI | ||||
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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.