PIONEER HEALTH CARE , LLC (NPI# 1336384742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336384742 |
| Entity Type | Organization |
| Organization Name | PIONEER HEALTH CARE , LLC |
| Practice Address |
9 Willow Bend Dr Hattiesburg MS 39402-8552 |
| Practice Telephone | 6012962552 |
| Mailing Telephone | 6012962552 |
| Enumeration Date | 2008-12-14 |
| Last Update Date | 2010-06-25 |
| Authorized Official Name | BRAD H MASSEY (OWNER) |
| Authorized Official Telephone | 6012962552 |
| Authorized Official Credential | NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | R814032 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00124846 | 05 |
| Street Address |
9 WILLOW BEND DR |
| City | HATTIESBURG |
| State | MS |
| Zip Code | 39402-8552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588615868 | Sara J. Scrape | Nurse Practitioner | 9 Willow Bend Dr, Hattiesburg, MS 39402-8552 | 2006-05-12 |
| 1467688986 | Judy Pamela Skaggs | Nurse Practitioner | 9 Willow Bend Dr, Hattiesburg, MS 39402-8552 | 2009-06-10 |
| 1811132285 | Susan Perry | Nurse Practitioner | 9 Willow Bend Dr, Hattiesburg, MS 39402-8552 | 2008-12-12 |
| 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 | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235601907 | William Carey University | General Practice | 710 William Carey Pkwy, Hattiesburg, MS 39401-7842 | 2018-12-19 |
| 1962796789 | Ochsner Clinic LLC | General Practice | #4 Willow Pointe, Suite 1, Hattiesburg, MS 39402 | 2011-06-09 |
| 1285653386 | Pacific Physician Services, LLC | General Practice | 101 Asbury Cirlce, Hattiesburg, MS 39402 | 2006-07-19 |
| 1326003856 | Pacific Physician Services, LLC | General Practice | 14 Orleans Dr, Hattiesburg, MS 39402-8674 | 2006-04-18 |
| 1144724105 | Jacob Mcclendon | General Practice | 5001 Hardy St, Hattiesburg, MS 39402-1308 | 2018-03-22 |
| 1326565763 | Crystal Parker Mcnabb | General Practice | 415 S 28th Ave, Hattiesburg, MS 39401-7246 | 2017-08-25 |
| 1134379175 | Robert E Bailey | General Practice | 222 S 27th Ave, Minor Care Clinic, Hattiesburg, MS 39401-7165 | 2008-09-26 |
| 1982740718 | Bennett E Smith Jr. | General Practice | 118 College Dr, 5066, Hattiesburg, MS 39406 | 2007-01-29 |
| 1790706463 | Pacific Physician Services, LLC | General Practice | 39 Franklin Rd, Suite 220, Hattiesburg, MS 39402-1588 | 2006-07-21 |
| 1316968084 | Pacific Physician Services, LLC | General Practice | 200 Hospital Dr W, Hattiesburg, MS 39402-1346 | 2006-07-21 |
| Find all providers in HATTIESBURG | ||||
| City | HATTIESBURG |
| Zip Code | 39402 |
Please comment or provide details below to improve the information on PIONEER HEALTH CARE , LLC.
| 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.