Cedar Lake Medical Center, PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CEDAR LAKE MEDICAL CENTER, PA

Practice address

1759 Medical Park Dr
Biloxi, MS 39532-2132

Phone

(228) 385-0075

Fax

(228) 385-0073

NPI assigned

Jun 4, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Mary Seyfarth

Title

Manager

Phone

22838500075

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rickey L Chance, D.O.

  • Family Medicine Physician
  • Biloxi, MS
  • NPI 1437264504
  NPD

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508068230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1759 MEDICAL PARK DR",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395322132",
            "telephone_number": "228-385-0075",
            "fax_number": "228-385-0073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1759 MEDICAL PARK DR",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395322132",
            "telephone_number": "228-385-0075",
            "fax_number": "228-385-0073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR LAKE MEDICAL CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SEYFARTH",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "22838500075",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darrell Glen Castleberry, RN
• Brian Wayne Caswell, CFNP
• Alkini Roycestine Catchings, KINESIOTHERAPIST
• Rene Hood Cathey, FNP
• Cedar Lake Chiropractic Inc.
• Cedar Lake Open MRI LLC (Cedar Lake MRI)
• Cedar Lake Pediatric Clinic PLLC
• Cedar Lake Pharmacy (Lee Pharmacy)
• Cedar Lake Pharmacy (Cedar Lake Pharmacy LLC.)
• Centerwell Senior Primary Care Ms CS PC

• Family Medicine Physician in Biloxi, MS
• Providers in Biloxi, 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 Aug 22, 2020; 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.