Desoto Thyroid and Endocrinology

Primary specialty

SpecialistTaxonomy code 174400000X

License

20121 Issued in MS

Legal business name

DESOTO THYROID AND ENDOCRINOLOGY

Practice address

5960 Getwell Rd
Suite 212-D
Southaven, MS 38672-7318

Phone

(662) 895-6455

NPI assigned

Aug 19, 2008

Organization subpart

No

Name

Dr. Amanda R Cunningham, M.D.NPI 1760663579

Title

Physician

Phone

(662) 895-6455

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

• Amanda Ring Cunningham, M.D,

  • Endocrinology, Diabetes & Metabolism Physician
  • Winston Salem, NC
  • NPI 1760663579

  MS

  Medicare reassignment NPD Authorized official
• Jeff Jordan Cunningham, M.D.

  • Otolaryngology Physician
  • Southaven, MS
  • NPI 1073798781
  NPD
• Stacy L Sanders, AU.D.

  • Audiologist
  • Southaven, MS
  • NPI 1659516524
  NPD
• Melanie White, M.S., CCC-A

  • Audiologist
  • Southaven, MS
  • NPI 1891199238
  NPD
• Julie Anne Gardino, AU.D., CCC-A

  • Audiologist
  • Germantown, TN
  • NPI 1205087905
  NPD
• Carla Jenice Williams, AU.D.

  • Audiologist
  • Fort Worth, TX
  • NPI 1194188904
  NPD
• Mary Gunn Prewitt, AU.D., CCC-A

  • Audiologist
  • Jackson, MS
  • NPI 1306258553
  NPD (past)
• Sarah Womack Williams, AUD

  • Audiologist
  • Southaven, MS
  • NPI 1659653012
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JFDIBD

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 19, 2008.

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219104000000",
    "number": "1710134945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5960 GETWELL RD",
            "address_2": "SUITE 212-D",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386727318",
            "telephone_number": "662-895-6455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5960 GETWELL RD",
            "address_2": "SUITE 212-D",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386727318",
            "telephone_number": "662-895-6455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESOTO THYROID AND ENDOCRINOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-19",
        "last_updated": "2008-08-19",
        "status": "A",
        "authorized_official_last_name": "CUNNINGHAM",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "662-895-6455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MS",
            "license": "20121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desoto Healthcare Inc
• Desoto Heart Clinic, PC
• Desoto Osteopathic
• Desoto Surgery Clinic LLC
• Desoto Therapy, Inc.
• Desoto Urgent Care Clinic, LLC
• Desoto Wellness Clinic LLC
• Desoto Womens Care Center, PLLC
• Kayla Desutter, SLP
• Brandon Deterding, PHARM.D.

• All providers in Southaven, MS
• Specialist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.