Rodney William Baine, MD,MFA,PHD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

07201 Issued in MS

Practice address

1970 Hospital Dr
Clarksdale, MS 38614-7202

Phone

(662) 624-3580

Fax

(662) 624-6673

NPI assigned

Apr 24, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Master of Fine Arts, Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Clarksdale Hma LLC

  dba Clarksdale Phys Serv Anesthesia CRNA

  • Anesthesiology Physician
  • Clarksdale, MS
  • NPI 1386679744
  NPD (past)
• Paragon Contracting Services LLC

  • Emergency Medicine Physician
  • Birmingham, AL
  • NPI 1225071459
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043439854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 RIDGE RD",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386149765",
            "telephone_number": "662-627-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1970 HOSPITAL DR",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386147202",
            "telephone_number": "662-624-3580",
            "fax_number": "662-624-6673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAINE",
        "first_name": "RODNEY",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "MD,MFA,PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "07201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avritt Medical Equipment, Inc.
• Ayers Martin Enterprises LLC (MidSouth Pathology Laboratories)
• Laura Hawkins Babb, DPT
• Lori Ashcraft Bailey, M.ED.
• Malcolm Douglas Bailey, DDS
• Antwaia Baker, M.ED.
• Casandra Banks
• Jccee M Barney, M.S.
• William Michael Barr, MD
• Willie George Bays II

• Emergency Medicine Physician in Clarksdale, MS
• Providers in Clarksdale, MS by specialty
• Emergency Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.