East Mississippi Medical Clinic, PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

14494 Issued in MS

Legal business name

EAST MISSISSIPPI MEDICAL CLINIC, PLLC

Practice address

9425 Eastside Drive Ext
Newton, MS 39345-8068

Phone

(601) 635-3333

Fax

(601) 635-3330

NPI assigned

Dec 7, 2011

Last updated

Dec 7, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Razee Ameir Ahmad, M.D.

Title

Owner

Phone

(601) 635-3333

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cynthia Marguerite Schuetz Boyd Smith, CFNP

  • Family Nurse Practitioner
  • Newton, MS
  • NPI 1043541337
  NPD (past)

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

{
    "created_epoch": "1323216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323216000000",
    "number": "1811265622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9425 EASTSIDE DRIVE EXT",
            "city": "NEWTON",
            "state": "MS",
            "postal_code": "393458068",
            "telephone_number": "601-635-3333",
            "fax_number": "601-635-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9425 EASTSIDE DRIVE EXT",
            "city": "NEWTON",
            "state": "MS",
            "postal_code": "393458068",
            "telephone_number": "601-635-3333",
            "fax_number": "601-635-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST MISSISSIPPI MEDICAL CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-07",
        "last_updated": "2011-12-07",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "RAZEE",
        "authorized_official_middle_name": "AMEIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-635-3333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "14494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tricia Driggers
• East Central Mississippi Health Care, Inc. (Newton Health Care)
• East Central Planning & Development District
• East Central Planning and Development District
• East Mississippi Medical Clinic
• East Mississippi State Hospital (EMSH Community Services)
• Rebecca Elon Everett Espey, N.P.
• Leslie Kevin Ethridge, D.C.
• Fast Pace Mississippi, PLLC
• Footprints Adult Day Services

• Internal Medicine Physician in Newton, MS
• Providers in Newton, MS by specialty
• Internal Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; 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.