ANDERSON REGIONAL MEDICAL CENTER (NPI# 1073759494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073759494 |
| Entity Type | Organization |
| Organization Name | ANDERSON REGIONAL MEDICAL CENTER |
| Other Organization Name | ANDERSON REGIONAL MEDICAL CENTER SOUTH CAMPUS |
| Practice Address |
1102 Constitution Ave Meridian MS 39301-4001 |
| Mailing Address |
2124 14th St Meridian MS 39301-4040 |
| Practice Telephone | 6015536647 |
| Practice Fax Number | 6015536115 |
| Mailing Telephone | 6015536000 |
| Mailing Fax Number | 6015536848 |
| Enumeration Date | 2009-01-07 |
| Last Update Date | 2013-08-05 |
| Authorized Official Name | MR. KEITH HEARTSILL (CFO) |
| Authorized Official Telephone | 6015536104 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Anderson Regional Medical Center South Campus | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912305988 | Anderson Regional Medical Center | Family Medicine | 6694 Poplar Springs Drive, Meridian, MS 39305 | 2014-12-08 |
| 1598105447 | Anderson Regional Medical Center | Clinic/Center | 1600 22nd Avenue, Medical Towers 3, 3rd Floor, Suite B, Meridian, MS 39301 | 2013-06-25 |
| 1164078911 | Anderson Regional Medical Center | Obstetrics & Gynecology | 2420 11th St, Meridian, MS 39301-5033 | 2019-08-16 |
| 1376040121 | Anderson Regional Medical Center | Internal Medicine | 2124 14th St, Meridian, MS 39301-4040 | 2018-04-09 |
| 1043764699 | Anderson Regional Medical Center | Radiology | 2124 14th St, Meridian, MS 39301-4040 | 2016-08-12 |
| 1710352356 | Anderson Regional Medical Center | Clinic/Center | 1523 22nd Ave Ste B, Meridian, MS 39301-4016 | 2015-12-08 |
| 1598104671 | Anderson Regional Medical Center | Clinic/Center | 1404 E Pushmataha St, Butler, AL 36904-2728 | 2013-06-21 |
| 1053750125 | Anderson Regional Medical Center | Clinic/Center | 1056 Holland Ave, Philadelphia, MS 39350-9121 | 2013-06-21 |
| 1285073353 | Anderson Regional Medical Center | Clinic/Center | 2514 67th Avenue Loop, Suite 112, Meridian, MS 39307-7259 | 2013-06-21 |
| 1356780423 | Anderson Regional Medical Center | Clinic/Center | 83a Old Mill Creek Rd, Enterprise, MS 39330-9649 | 2013-06-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ANDERSON REGIONAL MEDICAL CENTER | 2124 14th St, Meridian, MS 39301-4040 |
| Street Address |
1102 CONSTITUTION AVE |
| City | MERIDIAN |
| State | MS |
| Zip Code | 39301-4001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952303778 | Regency Hospital Company of Meridian, LLC | Long Term Care Hospital | 1102 Constitution Ave, 2nd Floor, Meridian, MS 39301-4001 | 2005-08-11 |
| 1225566128 | Eva Nicole Dye | Nurse Practitioner | 1102 Constitution Ave, Meridian, MS 39301 | 2017-05-23 |
| 1285171074 | Rachel Temple | Nurse Practitioner | 1102 Constitution Ave, Meridian, MS 39301-4001 | 2017-01-31 |
| 1336691112 | Lauren Elizabeth Kemp | Nurse Practitioner | 1102 Constitution Ave, Meridian, MS 39301-4001 | 2016-10-27 |
| 1841665817 | Haley Gipson | Dietitian, Registered | 1102 Constitution Ave, Meridian, MS 39301-4001 | 2015-12-02 |
| 1558784975 | Shannon Gibbs | Nurse Practitioner | 1102 Constitution Ave, Meridian, MS 39301-4001 | 2014-01-22 |
| 1679916415 | Micah Ryan Morlas | Dietitian, Registered | 1102 Constitution Ave, Meridian, MS 39301 | 2013-04-11 |
| 1497016117 | Anderson Regional Medical Center | Psychiatric Unit | 1102 Constitution Ave, Meridian, MS 39301-4001 | 2012-05-30 |
| 1972875995 | Katelyn Rebecca Moffett | Nurse Practitioner | 1102 Constitution Ave, Meridian, MS 39301-4001 | 2012-02-07 |
| 1164794178 | Heather Daye Bunyard | Nurse Practitioner | 1102 Constitution Ave, Meridian, MS 39301-4001 | 2012-02-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407460439 | Kayla Lee Monsour | Pharmacist | 1415 24th Avenue, Meridian, MS 39301 | 2020-09-08 |
| 1306478359 | K&r Optical Solutions Corporation | Eyewear Supplier (Equipment, not the service) | 3126 8th St., Suite A, Meridian, MS 39301 | 2020-02-07 |
| 1912537317 | Courtney M Hollie | Counselor | 1054 Ms-19, Meridian, MS 39301 | 2020-01-24 |
| 1932636495 | Rcg Mississippi, Inc. | Clinic/Center | 1300 38th Ave E, Meridian, MS 39301 | 2017-05-16 |
| 1811428915 | Tierria Mcglothin | Nurse Practitioner | 1054 Highway 19 S, Meridian, MS 39301 | 2017-03-21 |
| 1154869303 | Lindsay Nemanich | Physical Therapist | 3716 Ms-39, Meridian, MS 39301 | 2017-02-08 |
| 1700323599 | Wal-mart Stores East Lp | Pharmacy | 3310-a Highway 39 North, Meridian, MS 39301 | 2017-01-31 |
| 1972977460 | Southeast Pharmacy LLC | Pharmacy | 2402 Long Creek Road, Meridian, MS 39301 | 2015-11-20 |
| 1235508342 | East Mississippi Oral & Facial Surgery, LLC | Clinic/Center | 1212 24th Avenue, Meridian, MS 39301 | 2015-09-18 |
| 1831580778 | Clarkdale Pharmacy and Gifts LLC | Pharmacy | 6935c Hwy 145, Meridian, MS 39301 | 2015-02-13 |
| Find all providers in zip 39301 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275930174 | Medical Foundation, Inc. | Anesthesiology | 1200 16th Ave, Meridian, MS 39301-4209 | 2014-11-21 |
| 1558421651 | Gregory Alvin Auzenne | Anesthesiology | 4803 29th Ave Ste A, Meridian, MS 39305-2675 | 2006-12-11 |
| 1942212840 | Michael T. Salman | Anesthesiology | 4700 26th Ave, Meridian, MS 39305-4706 | 2006-08-12 |
| 1891707790 | Ben M. Grimes | Anesthesiology | 2107 N Hills St, Meridian, MS 39305-2657 | 2006-08-12 |
| 1982633889 | Karl Zarse | Anesthesiology | 1859 S Topaz Way Ste 106, Meridian, ID 83642 | 2006-07-02 |
| 1306291836 | Idaho Spine & Pain Pllc | Anesthesiology | 1859 S Topaz Way Ste 106, Meridian, ID 83642-4401 | 2016-05-03 |
| 1124412234 | Charles C Martin Iv | Anesthesiology | 1001 14th St, Meridian, MS 39301-4458 | 2015-03-26 |
| 1851527485 | Brett J. Person | Anesthesiology | 4700 26th Ave, Meridian Anesthesiology Group, Meridian, MS 39305-4706 | 2009-06-10 |
| 1396943007 | Gregory J. Gravell | Anesthesiology | 1314 19th Ave, Meridian, MS 39301-4116 | 2007-07-03 |
| 1972709228 | Timothy H. Seymour | Anesthesiology | 1314 19th Ave, Meridian, MS 39301-4116 | 2007-06-25 |
| Find all providers in MERIDIAN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.