Active NPI
Marlaina Berch, M.D.
- Pediatrics Physician
- Jackson, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 26689
- Practice address
- 2500 N State St
Department of Pediatrics
Jackson, MS 39216-4500 - Phone
- (601) 984-5200
- Fax
- (601) 984-2086
- NPI assigned
- Mar 22, 2016
- Last updated
- Oct 15, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Pediatrics Physician | 208000000X | 26689 | MS | Primary |
Addresses
Primary practice location
2500 N State St
Department of Pediatrics
Jackson, MS 39216-4500
Mailing address
2500 N State St
Department of Pediatrics
Jackson, MS 39216-4500
Phone (601) 984-5200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26689 | MS | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Magnolia Regional Health Center | Current | Accepting new patients | |
| Magnolia Regional Health Center | Current | Accepting new patients | |
| Magnolia Regional Health Center | Current | Accepting new patients | |
| Magnolia Regional Health Center | Current | Accepting new patients | |
| Magnolia Regional Health Center | Current | Accepting new patients | |
| Magnolia Regional Health Center | Pediatrics | Past | Accepting new patients |
Locations
401 Alcorn Dr
Ste 2C
Corinth, MS 38834
Phone (662) 286-9255
611 Alcorn Dr
Corinth, MS 38834
Phone (601) 286-6961
Interoperability endpoints
- marlainaberch@magnolia.medalliesdirect.net
Organizations & group practices 6
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.
-
- General Acute Care Hospital
- Corinth, MS
- NPI 1699756445
-
dba Magnolia Women's Center
- Internal Medicine Physician
- Corinth, MS
- NPI 1093546566
-
dba MRHC - CRNA Svcs
- Certified Registered Nurse Anesthetist
- Corinth, MS
- NPI 1245410398
-
dba MRHC - Pulmonology Pro Fee
- Pulmonary Disease Physician
- Corinth, MS
- NPI 1689906117
-
dba MRHC - Emergency Medicine Pro Fee
- Emergency Medicine Physician
- Corinth, MS
- NPI 1922266857
-
dba Magnolia Pediatric Clinic
- Pediatrics Physician
- Corinth, MS
- NPI 1104078328
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571097600000",
"number": "1750743670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 N STATE ST",
"address_2": "DEPARTMENT OF PEDIATRICS",
"city": "JACKSON",
"state": "MS",
"postal_code": "392164500",
"telephone_number": "601-984-5200",
"fax_number": "601-984-2086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 N STATE ST",
"address_2": "DEPARTMENT OF PEDIATRICS",
"city": "JACKSON",
"state": "MS",
"postal_code": "392164500",
"telephone_number": "601-984-5200",
"fax_number": "601-984-2086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERCH",
"first_name": "MARLAINA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-22",
"last_updated": "2019-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MS",
"license": "26689",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.