Organization Active NPI

Tree House Medical Associates, LLC

  • Pediatrics Physician
  • Wiggins, MS
National Provider Identifier
1598082802
Registry record updated Apr 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
18201 Issued in MS
Legal business name
TREE HOUSE MEDICAL ASSOCIATES, LLC
Practice address
2201 Highway 49 Ste B
Wiggins, MS 39577-8013
Phone
(601) 528-9006
Fax
(601) 528-9046
NPI assigned
Apr 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2010

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

Authorized official

Name
Dr. Doug A McBride, MD
Title
Owner
Phone
(601) 528-9006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 18201 MS Primary

Addresses

Primary practice location

2201 Highway 49 Ste B
Wiggins, MS 39577-8013

Mailing address

2201 Highway 49 Ste B
Wiggins, MS 39577-8013
Phone (601) 528-9006

Other names 1

  • TreeHouse Pediatrics Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1272240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272240000000",
    "number": "1598082802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 HIGHWAY 49 STE B",
            "city": "WIGGINS",
            "state": "MS",
            "postal_code": "395778013",
            "telephone_number": "601-528-9006",
            "fax_number": "601-528-9046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 HIGHWAY 49 STE B",
            "city": "WIGGINS",
            "state": "MS",
            "postal_code": "395778013",
            "telephone_number": "601-528-9006",
            "fax_number": "601-528-9046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREE HOUSE MEDICAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-26",
        "last_updated": "2010-04-26",
        "status": "A",
        "authorized_official_last_name": "MCBRIDE",
        "authorized_official_first_name": "DOUG",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-528-9006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "MS",
            "license": "18201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TreeHouse Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wiggins, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.