DR. JOHN WELLS GAUDET (NPI# 1144285420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144285420 |
| Entity Type | Individual |
| Full Name | DR. JOHN WELLS GAUDET |
| Credential | MD |
| Practice Address |
39 Franklin Rd Ste. 200 Hattiesburg MS 39402-1588 |
| Practice Telephone | 6012963050 |
| Practice Fax Number | 6012963013 |
| Mailing Telephone | 6012963050 |
| Mailing Fax Number | 6012963013 |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2020-08-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 13989 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 09016137 | 05 | |
| MS | 00116155 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326543414 | John Michael Gaudet | Student in an Organized Health Care Education/Training Program | 1493 Cambridge St, Cambridge, MA 02139-1099 | 2018-03-29 |
| 1033484092 | John Gregory Gaudet | Anesthesiology | 622 W 168th St, Ph5, New York, NY 10032-3720 | 2012-03-09 |
| Street Address |
39 FRANKLIN RD STE. 200 |
| City | HATTIESBURG |
| State | MS |
| Zip Code | 39402-1588 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619012846 | Paula Ann Morris | Nurse Practitioner | 39 Franklin Rd, Suite 300, Hattiesburg, MS 39402-1588 | 2007-02-21 |
| 1609964600 | Southern Surgical Associates, P. A. | Specialist | 39 Franklin Rd, Suite 220, Hattiesburg, MS 39402-1588 | 2006-10-11 |
| 1790706463 | Pacific Physician Services, LLC | General Practice | 39 Franklin Rd, Suite 220, Hattiesburg, MS 39402-1588 | 2006-07-21 |
| 1386670511 | Hattiesburg Ambulatory Surgery Center Lp | Clinic/Center | 39 Franklin Rd, Suite 100, Hattiesburg, MS 39402-1366 | 2006-06-22 |
| 1760447056 | Alice Myers | Pediatrics | 39 Franklin Rd, Hattiesburg, MS 39402-1588 | 2006-04-19 |
| 1013972306 | Lowry C Stanford Jr. | Pediatrics | 39 Franklin Rd, Ste 220, Hattiesburg, MS 39402-1588 | 2006-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518572965 | Resilient Therapy and Solutions, Pllc | Clinic/Center | 5266 Old Hwy 11 Ste 50, #308, Hattiesburg, MS 39402 | 2020-09-12 |
| 1932710225 | Jones County Medical Supplies, Inc | Durable Medical Equipment & Medical Supplies | 6424 Hwy 98 West, Suite 20, Hattiesburg, MS 39402 | 2020-08-11 |
| 1467086736 | Elizabeth A. Perry | Technician | 1220 Marrie St, Hattiesburg, MS 39402 | 2020-02-26 |
| 1225678063 | Connor Gregory Galloway | Physical Therapist | 3688 Veteran Memorial Drive, Hattiesburg, MS 39402 | 2020-01-09 |
| 1487291456 | Megan Marie Smith | Social Worker | 11 Woodstone Plaza, Hattiesburg, MS 39402 | 2019-12-09 |
| 1821656612 | Julie Covington Mcmahan | Dentist | 100 Madison Plaza, Hattiesburg, MS 39402 | 2019-06-05 |
| 1295392074 | Hattiesburg Clinic, Pa | Preventive Medicine | 6414 Highway 98, Suite 120, Hattiesburg, MS 39402 | 2019-05-28 |
| 1760945356 | Rachandeep Chahal | Student in an Organized Health Care Education/Training Program | 5001 Hardy Street Merit Health Wesley, Hattiesburg, MS 39402 | 2019-04-10 |
| 1386101137 | Courtney L Smith | Behavior Technician | 32 Millbanch Road, Suite 40, Hattiesburg, MS 39402 | 2019-02-28 |
| 1891269940 | Amanda Laine Mcarthur-macisaac | Registered Nurse | 5909 Highway 49 South, Suite 30, Hattiesburg, MS 39402 | 2019-01-11 |
| Find all providers in zip 39402 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427342849 | Ann K Fairey | Pediatrics | 2400 Mimosa Ln, Hattiesburg, MS 39402-2536 | 2011-06-02 |
| 1467695411 | John Rushing Jackson, Jr. | Pediatrics | 410 6th Ave, Hattiesburg, MS 39401-4290 | 2009-04-07 |
| 1134239940 | Jeffrey C Williams | Pediatrics | 4210 Lincoln Rd, Hattiesburg, MS 39402 | 2006-08-30 |
| 1598870917 | Samuel K Love | Pediatrics | 4210 Lincoln Road, Hattiesburg, MS 39402 | 2006-08-19 |
| 1184636847 | Leigh A Haden | Pediatrics | 4210 Lincoln Rd., Hattiesburg, MS 39402 | 2006-08-12 |
| 1588689061 | Lisa M Lancaster | Pediatrics | 5 Medical Blvd, Hattiesburg, MS 39401-7231 | 2006-07-13 |
| 1134174097 | Elizabeth M Felder | Pediatrics | 102 Medical Park, Hattiesburg, MS 39401-8025 | 2006-05-22 |
| 1679576458 | Claire C Morgan | Pediatrics | 5003 Hardy St, Hattiesburg, MS 39402-1319 | 2005-05-24 |
| 1578095238 | Kristen Nicole Ramey | Pediatrics | 101 Medical Park, Hattiesburg, MS 39401-9042 | 2017-03-31 |
| 1184037038 | Mary Perez | Pediatrics | 101 Medical Park, Hattiesburg, MS 39401 | 2014-06-09 |
| Find all providers in HATTIESBURG | ||||
| City | HATTIESBURG |
| Zip Code | 39402 |
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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.