Thipavan Boone, M.D.
Individual provider Active NPI Diagnostic Radiology Physician · Cleveland, MS
NPI 1881780286 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1881780286
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 09550 (MS)
- Practice address
- 901 East Sunflower Road
Cleveland, MS 38732 - Phone
- (662) 846-0061
- Fax
- (662) 846-2380
- NPI assigned
- Oct 4, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington Regional Medical System | Past | Accepting new patients | |
| PHC-Cleveland LLC | Diagnostic Radiology | Past | Accepting new patients |
| Rad-One, PA | Diagnostic Radiology | Past | Accepting new patients |
| Greenwood Leflore Hospital | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 09550 | MS | Yes |
Addresses
Primary practice location
901 East Sunflower Road
Cleveland, MS 38732
Mailing address
8910 Forest Ridge Cove
Cordova, TN 38018
Phone (901) 751-8153
Other providers in Cleveland, MS
- Bolivar Physician Practices LLC
- Bolivar Physician Practices LLC
- Bolivar Physician Practices LLC
- Bolivar Physician Practices LLC
- Bolivar Urology Clinic, PA
- Borders-Blackwell Medical & Wellness Corporation
- Michael Borowicz
- Mari Jane Bosworth
- Mari Micci Bramuchi
- Michael Braswell
All providers in Cleveland, MS · Diagnostic Radiology Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.