Fibroliving LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

21791 Issued in MS

Legal business name

FIBROLIVING LLC

Practice address

742 Magnolia St
Suite D
Madison, MS 39110-8903

Phone

(601) 856-9866

Fax

(601) 856-9824

NPI assigned

Sep 3, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Patrick B Wood, M.D.

Title

President and Clinician

Phone

(601) 856-9866

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Integrative Health Associates Doing business as

Locations

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

{
    "created_epoch": "1409702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409702400000",
    "number": "1184024663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "742 MAGNOLIA ST",
            "address_2": "SUITE D",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391108903",
            "telephone_number": "601-856-9866",
            "fax_number": "601-856-9824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "742 MAGNOLIA ST",
            "address_2": "SUITE D",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391108903",
            "telephone_number": "601-856-9866",
            "fax_number": "601-856-9824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIBROLIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-03",
        "last_updated": "2014-09-03",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT AND CLINICIAN",
        "authorized_official_telephone_number": "601-856-9866",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "21791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER PERSONAL NPI",
            "identifier": "1528086915",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrative Health Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Misbah Fazlani
• Charlsey Felder
• Sandor Feldman, MD
• Feltz Vision Center Ms LLC
• Kristin Renae Ferrell, DPT
• Courtney Harwell Filgo, D.M.D.
• Natalie Finley
• Nhi Finley, PHARM.D
• First Intermed Corporation
• First Intermed Corporation

• Family Medicine Physician in Madison, MS
• Providers in Madison, MS by specialty
• Family Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2014; 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.