CARL WAYNE STEVENS II (NPI# 1336246446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336246446 |
| Entity Type | Individual |
| Full Name | CARL WAYNE STEVENS II |
| Credential | MD |
| Practice Address |
203 S 12th Ave Laurel MS 39440-4324 |
| Practice Telephone | 6016499706 |
| Practice Fax Number | 6016499708 |
| Mailing Telephone | 6016499706 |
| Mailing Fax Number | 6016499708 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2011-05-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 15762 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00119265 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235381138 | Carl Joseph Stevens | Pharmacist | 1200 E Columbia Ave, Colville, WA 99114-3354 | 2008-10-22 |
| 1538201595 | Carl Stevens | Emergency Medicine | 1000 W Carson St, Box 480, Torrance, CA 90502-2004 | 2007-02-13 |
| 1477537306 | Carl Stevens | Anesthesiology | 6119 Midtown Ave, Suite 201, Little Rock, AR 72205-5313 | 2005-12-05 |
| Street Address |
203 S 12TH AVE |
| City | LAUREL |
| State | MS |
| Zip Code | 39440-4324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609813757 | South Central Regional Medical Center | Obstetrics & Gynecology | 203 S 12th Ave, Laurel, MS 39440-4324 | 2006-05-31 |
| 1467783910 | Sharon W Crumpton | Audiologist | 203 S 12th Ave, Laurel, MS 39440-4324 | 2010-01-22 |
| 1477724227 | Jessica Hunt Smith | Audiologist | 203 S 12th Ave, Laurel, MS 39440-4324 | 2008-03-20 |
| 1457489429 | Jamie Don Sisk | Otolaryngology | 203 S 12th Ave, Laurel, MS 39440-4324 | 2007-03-01 |
| 1174562979 | South Central Regional Medical Center | Obstetrics & Gynecology | 203 S 12th Ave, Laurel, MS 39440 | 2006-06-06 |
| 1356380414 | Heather Morris | Nurse Practitioner | 203 S 12th Ave, Laurel, MS 39440-4324 | 2006-06-05 |
| 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 | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| 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 Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457489429 | Jamie Don Sisk | Otolaryngology | 203 S 12th Ave, Laurel, MS 39440-4324 | 2007-03-01 |
| 1851496905 | Laurel Ear, Nose, and Throat Surgical Clinic | Otolaryngology | 128 S 11th Ave, Laurel, MS 39440-4313 | 2006-09-13 |
| 1104836543 | Michael Pollard Brooks | Otolaryngology | 128 S 11th Ave, Laurel, MS 39440-4313 | 2006-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205480282 | Charles Palmer Lincoln | Otolaryngology | 248 Crystal Crk, Hattiesburg, MS 39402-7748 | 2019-07-29 |
| 1609420991 | Greg Meekin Ent | Otolaryngology | 1201 31st Avenue, Gulfport, MS 39501 | 2019-07-25 |
| 1386076800 | Bolivar Physician Practices LLC | Otolaryngology | 903 E Sunflower Rd, Suite 400, Cleveland, MS 38732-2835 | 2013-08-07 |
| 1467709212 | Harold Keelen Hudson | Otolaryngology | 1488 Columbine Dr, Tupelo, MS 38801-6975 | 2012-08-11 |
| 1659630911 | Tyler Wayne Winford | Otolaryngology | 401 Baptist Dr Ste 206, Madison, MS 39110-2011 | 2012-05-08 |
| 1548548217 | Edward Grant Vick Sr. | Otolaryngology | 360 Red Eagle Cir, Ridgeland, MS 39157-9775 | 2011-07-29 |
| 1588968572 | Perry Taggart Roberts | Otolaryngology | 536 Wedgewood Dr, Oxford, MS 38655-5414 | 2011-01-05 |
| 1386979961 | South Mississippi Ear, Nose and Throat | Otolaryngology | 2525 Telephone Road, Pascagoula, MS 39567 | 2009-10-15 |
| 1447494570 | Matthew Scott Stevens | Otolaryngology | 618 Pegram Dr., Tupelo, MS 38801-6632 | 2009-04-20 |
| 1194973941 | Howard B Cheek | Otolaryngology | 4080 Boxwood Circle, Jackson, MS 39211-6609 | 2008-09-05 |
| 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.