Baptist Memorial Hospital- Desoto

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

Legal business name

BAPTIST MEMORIAL HOSPITAL- DESOTO

Practice address

7601 Southcrest Pkwy
Southaven, MS 38671-4739

Phone

(662) 349-4000

Fax

(334) 244-1830

NPI assigned

Jan 18, 2007

Organization subpart

Yes

Parent organization

BAPTIST MEMORIAL HEALTH CARE CORP.As reported in NPPES

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

Authorized official

Name

Gregory M Duckett

Title

Sr VP/ Clo

Phone

(901) 227-5233

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Baptist Memorial Health Care Corp

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Baptist Memorial Health Care Corp.

  • General Acute Care Hospital
  • Oxford, MS
  • NPI 1649615964
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Todd Marcos Henderson, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Southaven, MS
  • NPI 1710163050
  NPD

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601510400000",
    "number": "1679625511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 N HUMPHREYS BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202177",
            "telephone_number": "662-349-4000",
            "fax_number": "334-244-1830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 SOUTHCREST PKWY",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386714739",
            "telephone_number": "662-349-4000",
            "fax_number": "334-244-1830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAPTIST MEMORIAL HOSPITAL- DESOTO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BAPTIST MEMORIAL HEALTH CARE CORP.",
        "enumeration_date": "2007-01-18",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A",
        "authorized_official_last_name": "DUCKETT",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SR VP/ CLO",
        "authorized_official_telephone_number": "901-227-5233"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09013581",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Kelly Ballard IV
• Erica R Balthrop, MD
• Mallareddy Banala, MD
• Baptist Desoto Surgery Center, LP
• Baptist Memorial Hospital Desoto
• Baptist Memorial Hospital-Desoto, Inc,
• Baptist Memorial Hospital-Desoto, Inc.
• Baptist Memorial Hospital-Desoto, Inc.
• Bettye Ruth Baptist-Wilson, DDS
• Darrell Duane Barnes, D.C.

• General Acute Care Hospital in Southaven, MS
• Providers in Southaven, MS by specialty
• General Acute Care Hospital in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.