Medical Foundation, Inc.
Organization Active NPI Emergency Medicine Physician · Meridian, MS
NPI 1700917994 · NPPES record last updated Apr 21, 2023
Key facts
- NPI
- 1700917994
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- MEDICAL FOUNDATION, INC.
- Practice address
- 1314 19TH Ave
Meridian, MS 39301-4116 - Phone
- (601) 703-9260
- Fax
- (601) 703-4050
- NPI assigned
- Mar 8, 2007
- Organization subpart
- No
Authorized official
- Name
- Don Larkin Kennedy
- Title
- Regional Ceo
- Phone
- (601) 703-9614
Practitioners 285
-
Michael Murry Adams Jr., D.O.
-
Brandon Gary Allen, FNP-C, PMHNP-BC
-
Kimberly Ann Amerson, DNP CRNA
-
Rehmat Ullah Awan, M.B,B.S , MD
-
James Earl Bankhead Jr., CRNA
-
Michael Beard, MD
-
Russell E. Belenchia, D.O.
-
Douglas Hunt Blackledge, D.O.
-
Roger Alan Blake, M.D.
-
Kaitlyn Nicole Bonner, FNP-C
-
Morgan Alyse Boswell, D.O.
-
Doris Nicole Bradley, FNP-BC
-
Jonathan J Bruno, MD
-
Melissa Bryan, CNM
-
Mark C. Burrell, CRNA
-
Melissa D. Campbell, M.D.
-
Andrew Daughton Chambers, FNP-BC
-
Dana Chard, M. D.
-
Rachel S Chard, M.D.
-
Evan Ciarloni, MD
National Provider Directory
Locations
1 Independence Sq
Ste 1D
Butler, AL 36904
Phone (205) 459-4388
1 Independence Sq
Ste 1E
Butler, AL 36904
Phone (205) 459-5001
401 Vanity Fair Ave
Ste 2
Butler, AL 36904
Phone (601) 703-4531
1 Independence Sq
Butler, AL 36904
Phone (205) 459-4488
14365 Highway 16 W
Ste 2
De Kalb, MS 39328
Phone (601) 703-4918
24489 Highway 80
Lake, MS 39092
Phone (601) 775-3264
4331 Highway 39 N
#A
Meridian, MS 39301
Phone (601) 484-6180
5100 Highway 21 S
Preston, MS 39354
Phone (601) 677-3099
605 S Archusa Ave
Ste 2
Quitman, MS 39355
Phone (601) 703-4918
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes | ||
| Nurse Practitioner |
363L00000X |
Addresses
Primary practice location
1314 19TH Ave
Meridian, MS 39301-4116
Mailing address
Dept 3020, P.O. Box 1000
Memphis, TN 38148-3020
Phone (601) 213-3010
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 529702610 | Medicaid | AL | |
| 09014812 | Medicaid | MS |
Other names
- Ochsner Rush Medical Center Emergency Room Professional Services
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Cobius Healthcare Solutions |
Other providers in Meridian, MS
- Medical Foundation, Inc.
- Medical Foundation, Inc.
- Medical Foundation, Inc.
- Medical Foundation, Inc.
- Medical Foundation, Inc.
- Medical Foundation, Inc.
- Medical Foundation, Inc.
- Medical Plaza Eye Clinic, P.a.
- Medivice Global LLC
- Medselect LLC
All providers in Meridian, MS · Emergency Medicine Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 21, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.