MR. DERRICK K SCOTT (NPI# 1154339497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154339497 |
| Entity Type | Individual |
| Full Name | MR. DERRICK K SCOTT |
| Credential | CRNA |
| Practice Address |
859 Winter St Lucedale MS 39452-6603 |
| Practice Telephone | 6019473161 |
| Practice Fax Number | 6019479948 |
| Mailing Telephone | 6019473161 |
| Mailing Fax Number | 6019479948 |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2010-11-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | R597066 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 0110750 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821609843 | Derrick Dontae Scott | Massage Therapist | 1811 Hampton Blvd Apt A5, Norfolk, VA 23517-1661 | 2020-08-13 |
| 1700202843 | Derrick Scott | Driver | 1904 Franklin St, Suite 330, Oakland, CA 94612-2912 | 2014-03-13 |
| Street Address |
859 WINTER ST |
| City | LUCEDALE |
| State | MS |
| Zip Code | 39452-6603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770552259 | William Frank Mcarthur | Family Medicine | 859 Winter St, Lucedale, MS 39452-6603 | 2006-03-16 |
| 1932765625 | Grhs Hospital Pediatricians | Pediatrics | 859 Winter St, Lucedale, MS 39452-6603 | 2019-05-17 |
| 1407379084 | Edward Eray Howell | Registered Nurse | 859 Winter St, Lucedale, MS 39452-6603 | 2017-07-25 |
| 1114389541 | Jo'el Cheri Welch | Family Medicine | 859 Winter St, Lucedale, MS 39452-6603 | 2016-03-24 |
| 1871978403 | Frankie Mixon | Nurse Practitioner | 859 Winter St, Lucedale, MS 39452-6603 | 2015-07-24 |
| 1043690936 | George Regional Er Physicians | Emergency Medicine | 859 Winter St, Lucedale, MS 39452-6603 | 2015-06-04 |
| 1982023149 | Christopher Shane Blomberg | Family Medicine | 859 Winter St, Lucedale, MS 39452-6603 | 2014-04-15 |
| 1992059315 | Cmc Hospital Services | Family Medicine | 859 Winter St, Lucedale, MS 39452-6603 | 2012-11-07 |
| 1982958302 | Wiggins Hospital Services | Family Medicine | 859 Winter St, Lucedale, MS 39452-6603 | 2012-11-07 |
| 1750648515 | George Regional Hospital | General Acute Care Hospital | 859 Winter St, Lucedale, MS 39452-6603 | 2012-04-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033420609 | Jennifer K. Walker | Massage Therapist | 352 Oak Street, Lucedale, MS 39452 | 2010-06-29 |
| 1780827543 | David J.conner D.d.s. | Dentist | 17215 Hwy 26, Lucedale, MS 39452 | 2009-04-09 |
| 1285873042 | Rebecca Graves | Nurse Practitioner | 92 W Ratliff St, Lucedale, MS 39452 | 2009-02-18 |
| 1639381791 | George County School District | Registered Nurse | Rocky Creek Elementary, 2183 Rocky Creek Road, Lucedale, MS 39452 | 2007-05-03 |
| 1386856425 | George County School District | Registered Nurse | Central Elementary School, 14159 Hwy 26 West, Lucedale, MS 39452 | 2007-05-03 |
| 1730301961 | George County School District | Registered Nurse | Agricola Elementary School, 6165 Hwy 613, Lucedale, MS 39452 | 2007-05-03 |
| 1932311156 | George County School District | Registered Nurse | Lucedale Elementary School, 689 Church Street, Lucedale, MS 39452 | 2007-05-03 |
| 1295947471 | George County School District | Registered Nurse | George County Middle School, 330 Church Street, Lucedale, MS 39452 | 2007-05-03 |
| 1952522583 | David J. Conner | Dentist | 17215 Highway 26 W, Lucedale, MS 39452 | 2007-05-01 |
| 1225258676 | Keith A Brown | Dentist | 16 Plaza Drive, Lucedale, MS 39452 | 2007-04-26 |
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| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033476288 | David A Brentz | Nurse Anesthetist, Certified Registered | 859 Winter St, Lucedale, MS 39452-6603 | 2012-04-12 |
| 1649373705 | George A Strickland | Nurse Anesthetist, Certified Registered | 859 Winter St, Lucedale, MS 39452-6603 | 2006-09-06 |
| 1003830795 | Rhett Scott | Nurse Anesthetist, Certified Registered | 859 Winter St, Lucedale, MS 39452-6603 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407478209 | Laura Polk Phillips | Nurse Anesthetist, Certified Registered | 125 Stone Creek Dr, Madison, MS 39110-5058 | 2020-05-14 |
| 1457970923 | Sola Medical Services, LLC | Nurse Anesthetist, Certified Registered | 3037 Corder Drive, Corinth, MS 38834-3883 | 2020-04-14 |
| 1770046690 | Brittany Ball | Nurse Anesthetist, Certified Registered | 6232 Vera Ln, Olive Branch, MS 38654-6494 | 2019-04-08 |
| 1285106658 | Brian F Seymour Jr. | Nurse Anesthetist, Certified Registered | 13413 Saint Martin Dr, Ocean Springs, MS 39564-9258 | 2018-12-26 |
| 1174095749 | Emily E Randle | Nurse Anesthetist, Certified Registered | 3900 Lakeland Dr Ste 505c, Flowood, MS 39232-8854 | 2018-12-20 |
| 1194213926 | Justin Michael Coats | Nurse Anesthetist, Certified Registered | 1163 Carriage Dr S, Southaven, MS 38671-2330 | 2018-04-26 |
| 1609314400 | Dale P Hotard IIi | Nurse Anesthetist, Certified Registered | 103 Fairview Dr, Vicksburg, MS 39180-8934 | 2017-02-01 |
| 1457807794 | Freelance Anesthesia Mississippi, LLC | Nurse Anesthetist, Certified Registered | 1746 Highway 1 S Ste C, Greenville, MS 38701-7817 | 2016-08-28 |
| 1063873438 | Holder Anesthesia | Nurse Anesthetist, Certified Registered | 2311 Jackson Ave W, Suite 302, Oxford, MS 38655-5750 | 2016-03-14 |
| 1124496906 | Sova Anesthesia, Pllc | Nurse Anesthetist, Certified Registered | 2734 Lizzie Cv, Southaven, MS 38671-7510 | 2015-09-09 |
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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.