The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
NPI | 1962490755 |
NPI Entity Type | Individual |
Provider Name | MD Darren R Tate |
Enumeration Date | September 30, 2009 |
Last Update Date | September 30, 2009 |
Provider Location Address | 2100 Highway 61 N, Vicksburg, MS, US |
Provider Mailing Address | 2100 Highway 61 N, Vicksburg, MS, US, 391838211 |
Is Sole Proprietor? | No |
Taxonomy Code | |
Taxonomy Name | Obstetrics & Gynecology Physician |
Classification | |
Group | |
License No. | 19641 |
License State | MS |
Description | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
Taxonomy Code | Group | Classification | License No. | State | Primary? |
---|---|---|---|---|---|
L3851 | TX | No |
Identifier | Identifier State | Identifier Issuer | Type/Code |
---|---|---|---|
08575770 | MS | MEDICAID | 05 |
168286601 | TX | MEDICAID | 05 |
1028185 | LA | MEDICAID | 05 |
7442608 | MS | AETNA | 01 |
NPI | Name | Taxonomy | Address |
---|---|---|---|
MISS MOT, OTR/L, SCLV Shirley Blanton Individual |
706 Highway 82 W |
||
DO Madison Leigh Lindgren Individual |
2500 N State St |
||
Optimum Occupational Therapy Services, Llc Organization |
706 Highway 82 W |
||
Jacqueline Cartwright Individual |
3171 Quartz Dr |
||
MSN, APRN, FNP-C Felisa Jeannette Hall Individual |
1046 Division St |
||
IDD WAIVER SERVICES Debbie Jones Individual |
405 N First St |
||
IDD WAIVER SERVICES Beverly Johnson Individual |
1406 Mississippi Dr |
||
CRISIS SERVICES Jaricia Kinchen Individual |
934 West Dr |
||
IDD WAIVER SERVICES Monolisa Keyes Individual |
1224 Hillcrest Dr |
||
IDD WAIVER SERVICES Felicia Keller Individual |
405 N First St |
||
IDD WAIVER SERVICES Sharika Jones Individual |
106 Mize St Apt 26 |
||
IDD WAIVER SERVICES Loverta Jones Individual |
5192 Highway 11 N |
||
IDD WAIVER SERVICES Tamekia Mckines Individual |
119 Chambliss Dr |
||
Mary Fowler Individual |
5192 Highway 11 N |
||
IDD WAIVER SERVICES Porosha Gaines Individual |
106 Mize St Apt 26 |
||
DNP, APRN, AGACNP-BC Jo'niece Phillips Redmond Individual |
232 Market St |
||
IDD WAIVER SERVICES Fraxine Graves Individual |
1110 42nd Ave |
||
IDD WAIVER SERVICES Judy Jones Individual |
405 N First St |
||
IDD WAIVER SERVICES Michael Mcdonald Individual |
41 Bonhomie Rd |
||
IDD WAIVER SERVICES Pamela Mcandrews Individual |
106 Mize St Apt 26 |
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