William Studdard, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

7058 Issued in MS

Practice address

1405 N State St
Suite 200
Jackson, MS 39202-1642

Phone

(601) 354-4327

Fax

(601) 360-0822

NPI assigned

Aug 16, 2006

Last updated

Jul 14, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mississippi Baptist Medical Center, Inc.

  dba MBMC - Neuro Hospitalists

  • Neurology Physician
  • Jackson, MS
  • NPI 1467589556
  NPD
• Mississippi Baptist Medical Center, Inc.

  dba MS Bapitst Medical Center Geri-Psych Unit

  • Psychiatric Hospital Unit
  • Jackson, MS
  • NPI 1417984360
  NPD (past)

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247529600000",
    "number": "1730292715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 N STATE ST",
            "address_2": "SUITE 200",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392021642",
            "telephone_number": "601-354-4327",
            "fax_number": "601-360-0822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 N STATE ST",
            "address_2": "SUITE 200",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392021642",
            "telephone_number": "601-354-4327",
            "fax_number": "601-360-0822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUDDARD",
        "first_name": "WILLIAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2009-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MS",
            "license": "7058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0115700",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jameika Meshay Stuckey, PHARMD
• Rosemary Stuckey
• Julie Beth Stuckless, OTR/L
• Noah Thomas Stuckless, RN
• John E Studdard, M.D.
• Tyler Thomas Studt, DMD
• Diana Minasian Stulc, M.D.
• Grace Gore Sturdivant, AU.D.
• Kristina Lynn Sturdivant, R.D., L.D.
• Sherice Shunta Stutts-Walker

• Specialist in Jackson, MS
• Providers in Jackson, MS by specialty
• Specialist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2009; 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.