MOMENTUM MEDICAL SERVICES, LLC (NPI# 1265874648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265874648 |
| Entity Type | Organization |
| Organization Name | MOMENTUM MEDICAL SERVICES, LLC |
| Practice Address |
400 Wainwright St Waveland MS 39576-2511 |
| Practice Telephone | 2282630037 |
| Practice Fax Number | 2284664925 |
| Mailing Telephone | 2282630037 |
| Mailing Fax Number | 2284664925 |
| Enumeration Date | 2013-07-25 |
| Last Update Date | 2013-07-25 |
| Authorized Official Name | MR. ORTON F GRINNELL II (PRESIDENT) |
| Authorized Official Telephone | 2282630037 |
| Authorized Official Credential | CSFA/CST |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CSFA CERTIFICATE NUMBER | 115739 | 01 |
| Street Address |
400 WAINWRIGHT ST |
| City | WAVELAND |
| State | MS |
| Zip Code | 39576-2511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649817917 | Sharon Angels Homecare LLC | Home Health | 2208 Mclaurin St., Waveland, MS 39576 | 2019-12-05 |
| 1538410105 | Hancock Medical Health Services | Nurse Practitioner | 1101 St. Joseph St., Waveland, MS 39576 | 2012-09-24 |
| 1326321506 | Wesley Leroy Mcfarland | Family Medicine | 417 Old Spanish Trail, Waveland, MS 39576 | 2011-09-23 |
| 1073874194 | Natisha Reynoso | Developmental Therapist | 210 Dogwood St, Waveland, MS 39576-2003 | 2012-06-05 |
| 1700991288 | Leland Kendrick | Family Medicine | 1903 Waveland Ave, Waveland, MS 39576-2319 | 2006-08-21 |
| 1316066475 | Thomas Beatty Murphree Jr. | Dentist | 110 Auderer Blvd, Waveland, MS 39576-2432 | 2007-03-28 |
| 1679507644 | Waveland Pharmacy LLC | Pharmacy | 112 Auderer Blvd, Waveland, MS 39576-2432 | 2006-07-10 |
| 1548559586 | Waveland Dental Center Pllc | Dentist | 110 Auderer Blvd, Waveland, MS 39576-2432 | 2011-03-30 |
| 1336346113 | Waveland Dental Centerpllc | Dentist | 110 Auderer Blvd, Waveland, MS 39576-2432 | 2007-06-27 |
| 1972150860 | Christa M Hosey | Nurse Practitioner | 451 Highway 90, Waveland, MS 39576-2507 | 2019-08-24 |
| Find all providers in zip 39576 | ||||
| Taxonomy Code | 246ZC0007X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Assistant |
| A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training. |
| Notes: Source: Association of Surgical Assistants, 2014. [7/1/2014: title modified, definition modified] http://www.surgicalassistant.org/index.php/surgical-assisting Additional Resources: National Surgical Assistant Association, www.nsaa.net. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376178954 | Melissa Ann Ranson | Specialist/Technologist, Other | 14200 Deneen Rd, Vancleave, MS 39565-6704 | 2020-03-04 |
| 1093376998 | Latrice R Spivey | Specialist/Technologist, Other | 9444 Mclemore Cv, Walls, MS 38680-9782 | 2019-06-22 |
| 1700440732 | Cessalee Nell Williams | Specialist/Technologist, Other | 1905 E Mchenry Rd, Perkinston, MS 39573-3453 | 2019-04-25 |
| 1164999009 | James Roy Sanderson | Specialist/Technologist, Other | 223 Myrtle St W, Philadelphia, MS 39350-3037 | 2018-10-29 |
| 1932682879 | Nathan Ladner | Specialist/Technologist, Other | 24816 Saucier Advance Rd, Saucier, MS 39574-8164 | 2018-09-06 |
| 1497233324 | Kimberly S Evans | Specialist/Technologist, Other | 7016 Oak Cove Dr, Biloxi, MS 39532-5013 | 2018-08-02 |
| 1740719491 | Lindsay Runnels | Specialist/Technologist, Other | 1000 Highland Colony Pkwy Ste 27202, Ridgeland, MS 39157-2073 | 2017-06-07 |
| 1396289203 | Keneen Childress | Specialist/Technologist, Other | 12035 Springridge Rd, Terry, MS 39170-8105 | 2016-12-12 |
| 1013382910 | April Jones | Specialist/Technologist, Other | 11117 Johns Bayou Rd, Vancleave, MS 39565-8857 | 2015-12-03 |
| 1093102394 | Destini Jones | Specialist/Technologist, Other | 1151 Old Highway 26, Perkinston, MS 39573-5844 | 2015-04-24 |
| Find all providers with the same taxonomy | ||||
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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.