| Nmmc Ekg Interpretations | |
|
830 S Gloster St Tupelo MS 38801-4934 | |
| (662) 377-4685 | |
| (662) 377-2755 |
| Full Name | Nmmc Ekg Interpretations |
|---|---|
| Speciality | Internal Medicine |
| Location | 830 S Gloster St, Tupelo, Mississippi |
| Authorized Official Name and Position | Bruce Toppin (CORPORATE SECRETARY) |
| Authorized Official Contact | 6623773000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nmmc Ekg Interpretations 830 S Gloster St Tupelo MS 38801-4934 Ph: (662) 377-4685 | Nmmc Ekg Interpretations 830 S Gloster St Tupelo MS 38801-4934 Ph: (662) 377-4685 |
| NPI Number | 1013202886 |
|---|---|
| Provider Enumeration Date | 06/09/2011 |
| Last Update Date | 02/21/2019 |
| Medicare PECOS PAC ID | 6608048590 |
|---|---|
| Medicare Enrollment ID | O20111019000518 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013202886 | NPI | - | NPPES |
| 302G707180 | Other | MS | MEDICARE |
| 08022030 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Newt P Harrison |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1285619163 PECOS PAC ID: 7113909359 Enrollment ID: I20040602001061 |
| Provider Name | Douglas L Hill |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063504157 PECOS PAC ID: 6103894803 Enrollment ID: I20040921000385 |
| Provider Name | Brady David Russell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942266341 PECOS PAC ID: 5698735215 Enrollment ID: I20041018000451 |
| Provider Name | Francisco J Sierra |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922118173 PECOS PAC ID: 9234184052 Enrollment ID: I20050315000442 |
| Provider Name | Amit Kumar Gupta |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1265640148 PECOS PAC ID: 6406940873 Enrollment ID: I20070915000160 |
| Provider Name | Joseph C Adams |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1912003005 PECOS PAC ID: 1355430943 Enrollment ID: I20071205000006 |
| Provider Name | Barry D Bertolet |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1295845444 PECOS PAC ID: 0042309643 Enrollment ID: I20071205000048 |
| Provider Name | John M Estess |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497865638 PECOS PAC ID: 3577652171 Enrollment ID: I20071205000059 |
| Provider Name | William S Carroll |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1649342585 PECOS PAC ID: 4385733997 Enrollment ID: I20071205000169 |
| Provider Name | Roger A Williams |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1568572709 PECOS PAC ID: 9133211881 Enrollment ID: I20071205000299 |
| Provider Name | James C Johnson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821180514 PECOS PAC ID: 1052400686 Enrollment ID: I20071205000321 |
| Provider Name | William B Calhoun |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932219177 PECOS PAC ID: 2062501596 Enrollment ID: I20071205000391 |
| Provider Name | Nelson K Little |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821184136 PECOS PAC ID: 8224127758 Enrollment ID: I20071205000402 |
| Provider Name | David Irwin |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821108077 PECOS PAC ID: 8921020165 Enrollment ID: I20071205000438 |
| Provider Name | Benjamin D Blossom |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1477648087 PECOS PAC ID: 8820143811 Enrollment ID: I20090826000847 |
| Provider Name | George Van Osten |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1174768287 PECOS PAC ID: 8527128867 Enrollment ID: I20100210000641 |
| Provider Name | John M Matthews |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891754057 PECOS PAC ID: 5193869048 Enrollment ID: I20100216000909 |
| Provider Name | William L Rice |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1598735177 PECOS PAC ID: 1153223938 Enrollment ID: I20100312000772 |
| Provider Name | James K Harvey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881660942 PECOS PAC ID: 0042346165 Enrollment ID: I20100329000365 |
| Provider Name | Norris V Crump |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841344892 PECOS PAC ID: 4880889757 Enrollment ID: I20101117001036 |
| Provider Name | Richard Rainey |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1063624948 PECOS PAC ID: 2668666942 Enrollment ID: I20111012000358 |
| Provider Name | Raymond Orgler |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487639373 PECOS PAC ID: 9830362409 Enrollment ID: I20111026000417 |
| Provider Name | Michael Ted Boler |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023305687 PECOS PAC ID: 0143441550 Enrollment ID: I20141029000770 |
| Provider Name | William L Cauthen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1417186347 PECOS PAC ID: 3274855739 Enrollment ID: I20141211001579 |
| Provider Name | Jonathan Ashley Blossom |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1407235617 PECOS PAC ID: 3779899026 Enrollment ID: I20180523000832 |
| Provider Name | Richard Dane Ballard |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1366739054 PECOS PAC ID: 8628324076 Enrollment ID: I20180627003171 |
| Provider Name | Benjamin Duke Spencer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316588858 PECOS PAC ID: 8820410665 Enrollment ID: I20200624000211 |
| Provider Name | Jonathan Schneider |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1730530064 PECOS PAC ID: 4486948387 Enrollment ID: I20231026001556 |
South Madison Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1040a S. Madison St, Tupelo, MS 38801 Phone: 662-377-4685 Fax: 662-377-2755 | |
North Mississippi Neurosurgical Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4381 S Eason Blvd, Suite 302, Tupelo, MS 38801 Phone: 662-377-5700 Fax: 662-377-5720 | |
Pontotoc Health Providers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 450 E President Ave, Tupelo, MS 38801 Phone: 662-377-4685 Fax: 662-377-2057 | |
Grant Family Medical Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 805 Varsity Dr, Tupelo, MS 38801 Phone: 484-252-6707 | |
North Mississippi Medical Clinics Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 450 E President Ave, Tupelo, MS 38801 Phone: 662-377-4685 | |
Advanced Wound Center Professionals Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 830 S Gloster St, 1st Floor East Tower, Tupelo, MS 38801 Phone: 662-377-2395 Fax: 662-377-2397 |