Catherine Vadime Netchvolodoff, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

R-4121 Issued in AR

Practice address

3050 Corder Dr
Corinth, MS 38834-6210

Phone

(662) 284-9995

Fax

(662) 284-9920

NPI assigned

Jul 8, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Magnolia Endoscopy Center, LLC

  • Endoscopy Clinic/Center
  • Corinth, MS
  • NPI 1740264274
  NPD (past)
• Magnolia Gastroenterology Clinic, LLC

  • Gastroenterology Physician
  • Corinth, MS
  • NPI 1518941731

  Gastroenterology

  NPD (past)

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215475200000",
    "number": "1497918593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 BERWYN DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722272201",
            "telephone_number": "501-221-7087",
            "fax_number": "662-284-9920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 CORDER DR",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388346210",
            "telephone_number": "662-284-9995",
            "fax_number": "662-284-9920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NETCHVOLODOFF",
        "first_name": "CATHERINE",
        "middle_name": "VADIME",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-08",
        "last_updated": "2008-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AR",
            "license": "R-4121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS STATE MEDICAL LICENSE",
            "identifier": "R4121",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MS STATE MEDICAL LICENSE",
            "identifier": "19787",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118448001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Todd Murphy
• Chloe Nanney, LPC
• Nanni Pidikiti MD PC
• Trina Lane Nelms, ACNP
• Nes Mississippi, Inc.
• Elizabeth Newcomb, D.PSC
• Nexion Health at Corinth, Inc.
• Ethan Duy-Hien Nguyen, PHARMD
• Erin Elizabeth Nichols, DO
• Brittany Nooner

• All providers in Corinth, MS
• Gastroenterology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.