Quality Care Internal Medicine of North America

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

15631R Issued in MS

Legal business name

QUALITY CARE INTERNAL MEDICINE OF NORTH AMERICA

Practice address

1212 Broad St
Columbia, MS 39429-3114

Phone

(601) 444-9266

Fax

(601) 444-9267

NPI assigned

Oct 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Martins Thaddeus Ugwu-Dike, MD

Title

President/Owner

Phone

(601) 444-9266

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281312000000",
    "number": "1346438389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1121",
            "city": "COLUMBIA",
            "state": "MS",
            "postal_code": "394291121",
            "telephone_number": "601-444-9266",
            "fax_number": "601-444-9267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 BROAD ST",
            "city": "COLUMBIA",
            "state": "MS",
            "postal_code": "394293114",
            "telephone_number": "601-444-9266",
            "fax_number": "601-444-9267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY CARE INTERNAL MEDICINE OF NORTH AMERICA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-03",
        "last_updated": "2010-08-09",
        "status": "A",
        "authorized_official_last_name": "UGWU-DIKE",
        "authorized_official_first_name": "MARTINS",
        "authorized_official_middle_name": "THADDEUS",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "601-444-9266",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "15631R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09308872",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DN7784",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MS",
            "identifier": "408819123B",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Precise Home Care Solutions LLC
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• Jessica Ross Priddy, FNP
• Psychiatric Services of Columbia
• Pure Touch Home Care, LLC
• Quality Medical Clinic, Inc.
• Conny Christl Randolph, PHYSICAL THERAPIST
• Destiny Rawls
• Gerald Devoe Reed
• Iman A Reed

• Internal Medicine Physician in Columbia, MS
• Providers in Columbia, MS by specialty
• Internal Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2010; 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.