Organization Active NPI

C. David Finch, Jr., M.D.

  • Nephrology Physician
  • Jackson, MS
National Provider Identifier
1477695815
Registry record updated Apr 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
C. DAVID FINCH, JR., M.D.
Practice address
1828 Raymond Rd
Jackson, MS 39204-4126
Phone
(601) 373-7898
Fax
(601) 373-7899
NPI assigned
Feb 13, 2007
Last updated
Apr 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2008

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

Authorized official

Name
Terry McClendon
Title
Manager
Phone
(601) 331-2453

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X Primary

Addresses

Primary practice location

1828 Raymond Rd
Jackson, MS 39204-4126

Mailing address

1828 Raymond Rd
Jackson, MS 39204-4126
Phone (601) 373-7898

Other identifiers 1

IdentifierTypeStateIssuer
09015046MedicaidMS

National Provider Directory

National Provider Directory

Locations

1828 Raymond Rd
Jackson, MS 39204
Phone (601) 331-2453

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209081600000",
    "number": "1477695815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1828 RAYMOND RD",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392044126",
            "telephone_number": "601-373-7898",
            "fax_number": "601-373-7899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1828 RAYMOND RD",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392044126",
            "telephone_number": "601-373-7898",
            "fax_number": "601-373-7899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C. DAVID FINCH, JR., M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2008-04-25",
        "status": "A",
        "authorized_official_last_name": "MCCLENDON",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "601-331-2453"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09015046",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; 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.