MR. ROBERT D HEARN SR. (NPI# 1396122628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396122628 |
| Entity Type | Individual |
| Full Name | MR. ROBERT D HEARN SR. |
| Practice Address |
290 Alma Kirk Rd De Kalb MS 39328-8144 |
| Practice Telephone | 6015758932 |
| Practice Fax Number | 6017434173 |
| Mailing Telephone | 6015758932 |
| Mailing Fax Number | 6017434173 |
| Enumeration Date | 2015-05-06 |
| Last Update Date | 2015-05-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 172A00000X | Driver | 802061140 | MS | Other Service Providers |
| Y | 172A00000X | Driver | 802244595 | MS | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568925212 | Robert Jay Hearn | Marriage & Family Therapist | 2022 15th Ave, Columbus, GA 31901-1699 | 2019-04-10 |
| 1205153186 | Robert P Hearn | Dentist | 2201 4th St N, Ste C, Saint Petersburg, FL 33704-4300 | 2010-04-30 |
| Street Address |
290 ALMA KIRK RD |
| City | DE KALB |
| State | MS |
| Zip Code | 39328-8144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871907071 | Totsseta Hearn | Private Vehicle | 290 Alma Kirk Rd, De Kalb, MS 39328-8144 | 2014-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194342592 | Tashanda Chamberlin | Respite Care | 100 Hopper Ave, Dekalb, MS 39328 | 2020-07-01 |
| 1285270801 | Proxsys Rx - Rush LLC | Pharmacy | 14916 Hwy 16 W, Unit #1, Dekalb, MS 39328 | 2019-11-19 |
| 1700303104 | James Waldo Vandevender | Pharmacist | 14916 Hwy 16 West, Dekalb, MS 39328 | 2017-08-25 |
| 1992191084 | Emmanuel Ridge of Dekalb Inc | Registered Nurse | 14632 Hwy 39n/16e, Dekalb, MS 39328 | 2015-04-15 |
| 1376978551 | Bio-medical Applications of Mississippi, Inc. | Clinic/Center | 30 Ponderosa Avenue, Dekalb, MS 39328 | 2013-09-06 |
| 1386729580 | Darrell J Zehr | Dentist | 201 Birch Street, Dekalb, MS 39328 | 2006-10-26 |
| 1225148158 | Daniel Elliot Fulton Jr. | Dentist | Hwy 39 S Church Street, Dexalb, MS 39328 | 2006-08-30 |
| 1467072165 | Haley Ezelle | Occupational Therapist | 220 Willow Ave, Dekalb, MS 39328 | 2020-04-22 |
| 1831116300 | Freds Stores of Tennessee Inc | Pharmacy | 14916 Hwy 16 West, Dekalb, MS 39328 | 2006-07-17 |
| 1609866235 | Kemper County Ltc Inc | Skilled Nursing Facility | 220 Willow Ave, Dekalb, MS 39328-0577 | 2005-10-25 |
| Find all providers in zip 39328 | ||||
| Taxonomy Code | 172A00000X |
| Grouping | Other Service Providers |
| Classification | Driver |
| A person employed to operate a motor vehicle as a carrier of persons or property. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992305148 | Jessica Overstreet | Driver | 1147 Pat Luckett Rd, Canton, MS 39046-9102 | 2020-10-27 |
| 1730793688 | Sharon Gaddis | Driver | 3825 Mount Charity Rd, Carthage, MS 39051-8666 | 2020-09-08 |
| 1265066138 | Sarah Howard | Driver | 5880 Ridgewood Rd Apt H65, Jackson, MS 39211-2628 | 2020-02-28 |
| 1174160758 | Andrew James Rodgers | Driver | 104 Cherry Bark Way, Pearl, MS 39208-5542 | 2019-12-03 |
| 1023653839 | Frank Stovall | Driver | 716 W Georgetown St, Crystal Springs, MS 39059-2778 | 2019-11-15 |
| 1841835006 | Jessica Hearn Hudson | Driver | 403 Westview Ln, Columbus, MS 39705-8162 | 2019-11-12 |
| 1982252300 | Valarie White | Driver | 1305 N 7th Ave, Laurel, MS 39440-2201 | 2019-08-28 |
| 1548827405 | Sonya Jeaneanne Smith | Driver | 160 Broadway St Apt J4, Clinton, MS 39056-4840 | 2019-05-24 |
| 1225694490 | Daniel Scott Morgan | Driver | 5913 Bay Tree Rd, Ocean Springs, MS 39564-2202 | 2019-05-14 |
| 1952965840 | Labrintary Jackson | Driver | 119 Herman Johnson W, Indianola, MS 38751-3664 | 2019-04-25 |
| 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.