E -Health Ventures, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

E -HEALTH VENTURES, LLC

Doing business as

Medical Spark

Practice address

2906 N State St
Jackson, MS 39216-4233

Phone

(601) 594-7107

NPI assigned

Dec 22, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Chip Slack

Title

Ceo

Phone

(601) 594-7107

Specialties & licenses 1

Addresses

Other names 1

• Medical Spark Doing business as

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

{
    "created_epoch": "1292976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292976000000",
    "number": "1790089324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2906 N STATE ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164233",
            "telephone_number": "601-594-7107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2906 N STATE ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164233",
            "telephone_number": "601-594-7107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E -HEALTH VENTURES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-22",
        "last_updated": "2010-12-22",
        "status": "A",
        "authorized_official_last_name": "SLACK",
        "authorized_official_first_name": "CHIP",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "601-594-7107",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Spark",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Somer Nicole Durr, MD
• Ehsan-Ullah Khan Durrani, M.D.
• Princess Corpuz Duterte, DO
• Eric M. Dyess, M.D.
• Teri S Dyess, M.D.
• Kimberlee Eady, RT(R)(BS)(CT) ARRT
• Ear Nose & Throat Surgical Group
• Ear Nose and Throat Surgical Group
• Truman Markley Earl, MD
• Anne Overton Earwood, MA

• Community/Behavioral Health Agency in Jackson, MS
• Providers in Jackson, MS by specialty
• Community/Behavioral Health Agency in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2010; 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.