MR. FIDEL FABIAN SENDRA (NPI# 1265521710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265521710 |
| Entity Type | Individual |
| Full Name | MR. FIDEL FABIAN SENDRA |
| Credential | MD |
| Practice Address |
5003 Hardy St Ste 200 Hattiesburg MS 39402-1331 |
| Mailing Address |
16 Cherry Hill Covington LA 70433 |
| Practice Telephone | 6012963880 |
| Practice Fax Number | 6012963903 |
| Mailing Telephone | 9858935639 |
| Mailing Fax Number | 9858716758 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2018-11-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 14594 | MS | Allopathic & Osteopathic Physicians |
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | MD13230R | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RR MEDICARE | 060060321 | 01 | |
| LA | 1562769 | 05 | |
| MS | 09826251 | 05 |
| Street Address |
5003 HARDY ST STE 200 |
| City | HATTIESBURG |
| State | MS |
| Zip Code | 39402-1331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184665580 | Fisher Alan Covin | Internal Medicine | 5003 Hardy St Ste 200, Hattiesburg, MS 39402-1331 | 2006-06-09 |
| 1871145714 | Alicia Pace | Nurse Practitioner | 5003 Hardy St Ste 200, Hattiesburg, MS 39402-1331 | 2019-07-11 |
| 1134608243 | Leigh Ann Cochran | Nurse Practitioner | 5003 Hardy St Ste 200, Hattiesburg, MS 39402 | 2018-08-09 |
| 1114410537 | Destiney Lee | Nurse Practitioner | 5003 Hardy St Ste 200, Hattiesburg, MS 39402 | 2018-06-11 |
| 1629341649 | Amy L. Grubbs | Nurse Practitioner | 5003 Hardy St Ste 200, Hattiesburg, MS 39402-1331 | 2012-02-22 |
| 1851540736 | Kurt A Duncan | Internal Medicine | 5003 Hardy St Ste 200, Hattiesburg, MS 39402-1331 | 2008-09-16 |
| 1699921197 | The Pediatric Neurology Clinic of Hattiesburg | Neuromusculoskeletal Medicine & OMM | 5003 Hardy St Ste 200, Hattiesburg, MS 39402-1331 | 2008-08-15 |
| 1295931145 | Viral Lathia | Internal Medicine | 5003 Hardy St Ste 200, Hattiesburg, MS 39402-1331 | 2007-06-26 |
| 1003020561 | Scott Eric Henry | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5003 Hardy St Ste 200, Hattiesburg, MS 39402-1331 | 2007-05-10 |
| 1265465017 | Karl A Duncan | Internal Medicine | 5003 Hardy St Ste 200, Hattiesburg, MS 39402-1331 | 2006-07-07 |
| Find all providers in the same location | ||||
| 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 | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003020561 | Scott Eric Henry | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5003 Hardy St Ste 200, Hattiesburg, MS 39402-1331 | 2007-05-10 |
| 1508948910 | Hattiesburg Clinic Pa | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 415 S 28th Ave, Hattiesburg, MS 39401-7246 | 2006-10-19 |
| 1780792945 | Robert J Robbins | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 415 S 28th Ave, Hattiesburg, MS 39401-7246 | 2006-08-28 |
| 1427163724 | Lacy C Mcclain | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 415 S 28th Ave, Hattiesburg, MS 39401-7246 | 2006-08-20 |
| 1144334814 | James B Kot | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 415 S 28th Ave, Hattiesburg, MS 39401-7246 | 2006-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588939581 | William Lawson Safley | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 11078 Channelside Dr, Gulfport, MS 39503-6049 | 2012-03-09 |
| 1932400769 | Stewart Allen Nutting | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6716 Alewa Pl, Diamondhead, MS 39525-3429 | 2010-11-10 |
| 1922285378 | Coast Cardiothoracic Surgery, Pllc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1308 44th Ave, Gulfport, MS 39501-2552 | 2008-01-29 |
| 1407072747 | Robert P. N. Shearin | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 308 Hillchase Dr, Madison, MS 39110-8841 | 2007-04-17 |
| 1467571430 | Delta Physician Practices | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1202 Hospital St, Greenville, MS 38703-3213 | 2007-03-28 |
| 1841387727 | David Bruce Allen | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4300 Hospital Rd, Suite 105, Pascagoula, MS 39581 | 2006-10-10 |
| 1114021722 | Robert G Johnson | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3603 Bienville Blvd, Suite 103, Ocean Springs, MS 39564-5727 | 2006-09-12 |
| 1114036290 | David A Geer | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1400 20th Ave, Suite F, Meridian, MS 39301-4111 | 2006-08-30 |
| 1477560050 | James C Gilmore | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 611 Alcorn Dr Ste 200, Corinth, MS 38834-9323 | 2006-08-03 |
| 1740203199 | Hazem Barmada | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1155 Ocean Springs Rd, Ocean Springs, MS 39564-3421 | 2006-07-26 |
| Find all providers with the same taxonomy | ||||
| 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.