LAUREL OBSTETRICS AND GYNECOLOGY PA (NPI# 1255755385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255755385 |
| Entity Type | Organization |
| Organization Name | LAUREL OBSTETRICS AND GYNECOLOGY PA |
| Practice Address |
1104 W 1st St Suite 2 Laurel MS 39440-4357 |
| Mailing Address |
Po Box 2998 Laurel MS 39442-2998 |
| Practice Telephone | 6016499904 |
| Practice Fax Number | 6016499944 |
| Mailing Telephone | 6016499904 |
| Mailing Fax Number | 6016499944 |
| Enumeration Date | 2014-02-10 |
| Last Update Date | 2014-02-10 |
| Authorized Official Name | DR. ROBERT ALAN DESANTIS (PRESIDENT/OWNER/PHYSICIAN) |
| Authorized Official Telephone | 6016499904 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 13169 | MS | Allopathic & Osteopathic Physicians |
| Street Address |
1104 W 1ST ST SUITE 2 |
| City | LAUREL |
| State | MS |
| Zip Code | 39440-4357 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053350223 | Robert A Desantis | Obstetrics & Gynecology | 1104 W 1st St, Suite #2, Laurel, MS 39440-4357 | 2006-06-05 |
| 1063693802 | Rehabilitation Solutions, Pllc | Physical Medicine & Rehabilitation | 1104 W 1st St, Suite 6, Laurel, MS 39440-4357 | 2007-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306323159 | Tender Loving Care Homecare LLC | Homemaker | 509 Central Ave Ste 224, Laurel, MS 39440 | 2018-07-24 |
| 1669837910 | Laurel Dental Properties | Dentist | 1925 Pine Belt Drive, Laurel, MS 39440 | 2015-12-30 |
| 1215282991 | South Central Regional Medical Center | Clinic/Center | 525 Wayne Drive, Laurel, MS 39440 | 2012-07-18 |
| 1568721215 | Terry Ratcliff Perkins | Counselor | 5192 Hwy 11 North, Laurel, MS 39440 | 2012-05-15 |
| 1437453057 | Alexander Milne Home for Women | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 616 East 19th Street, Laurel, MS 39440 | 2010-12-23 |
| 1710135629 | Jeffrey R. Moffett | Nurse Practitioner | 3115 Audubon Dr, Laurel, MS 39440 | 2008-09-04 |
| 1003096785 | Family Health Center, Inc | Obstetrics & Gynecology | 103 S. 12th Avenue, Laurel, MS 39440 | 2007-11-09 |
| 1669672143 | Laurel Urology Clinic Pa | Urology | 304 S 10th Ave, Laurel, MS 39440 | 2007-07-23 |
| 1093912370 | Tanweer Hussain Majid | Surgery | 1007 Jefferson Street, Laurel, MS 39440 | 2007-06-29 |
| 1780889923 | Hattiesburg Eye Clinic, Pa | Ophthalmology | 1431 North 10th St, Suite 1, Laurel, MS 39440 | 2007-06-18 |
| Find all providers in zip 39440 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285272310 | Saul J.e. Weinreb Md LLC | Obstetrics & Gynecology | 9811 Mallard Dr Ste 111, Laurel, MD 20708-3180 | 2019-12-19 |
| 1003096785 | Family Health Center, Inc | Obstetrics & Gynecology | 103 S. 12th Avenue, Laurel, MS 39440 | 2007-11-09 |
| 1730300328 | James Denver Perkins | Obstetrics & Gynecology | 103 South 11th Avenue, Laurel, MS 39440 | 2007-05-01 |
| 1649297201 | Rashad N. Ali | Obstetrics & Gynecology | 103 South 12th Avenue, Laurel, MS 39440 | 2006-07-17 |
| 1053350223 | Robert A Desantis | Obstetrics & Gynecology | 1104 W 1st St, Suite #2, Laurel, MS 39440-4357 | 2006-06-05 |
| 1609813757 | South Central Regional Medical Center | Obstetrics & Gynecology | 203 S 12th Ave, Laurel, MS 39440-4324 | 2006-05-31 |
| 1467865006 | James Keith Winstead Jr. | Obstetrics & Gynecology | 1008 N 15th Ave, Laurel, MS 39440 | 2014-06-10 |
| 1194143974 | Rachel Cudworth | Obstetrics & Gynecology | 1008 N 15th Ave, Laurel, MS 39440 | 2014-03-31 |
| 1770880445 | Latoya Renee Walker | Obstetrics & Gynecology | 117 S 11th Ave, Laurel, MS 39440-4312 | 2011-02-16 |
| 1528223005 | Jennifer Rebecca Roberts | Obstetrics & Gynecology | 1008 N 15th Ave, Laurel, MS 39440-2656 | 2008-07-23 |
| Find all providers in LAUREL | ||||
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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.