JOHN D SOBIESK (NPI# 1508975178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508975178 |
| Entity Type | Individual |
| Full Name | JOHN D SOBIESK |
| Credential | MD |
| Practice Address |
1605 S 28th Ave Hattiesburg MS 39402-3110 |
| Mailing Address |
415 S 28th Ave Hattiesburg MS 39401-7246 |
| Practice Telephone | 6015793310 |
| Practice Fax Number | 6012640231 |
| Mailing Telephone | 6015793310 |
| Mailing Fax Number | 6015795240 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2020-08-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 14826 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | AMERICAN ADMIN GROUP | 640507572AT | 01 |
| MS | 00116692 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538797410 | John Logan Sobiesk | Student in an Organized Health Care Education/Training Program | 534 Unadilla St, Shreveport, LA 71106-1240 | 2020-03-27 |
| Street Address |
1605 S 28TH AVE |
| City | HATTIESBURG |
| State | MS |
| Zip Code | 39402-3110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396757910 | Michael J Hammett | Otolaryngology | 1605 S 28th Ave, Hattiesburg, MS 39402-3110 | 2006-08-12 |
| 1679905186 | Susan Fortenberry Reeves | Speech-Language Pathologist | 1605 S 28th Ave, Hattiesburg, MS 39402-3110 | 2013-08-07 |
| 1730476144 | Andrew Merlan Nida | Otolaryngology | 1605 S 28th Ave, Hattiesburg, MS 39402-3110 | 2011-07-06 |
| 1245402247 | Megan Mcdaniel Mullican | Audiologist | 1605 S 28th Ave, Hattiesburg, MS 39402-3110 | 2008-03-31 |
| 1922270032 | Brandi Griffin Harper | Audiologist | 1605 S 28th Ave, Hattiesburg, MS 39402-3110 | 2008-03-28 |
| 1578747390 | Timothy Luke Thompson | Specialist | 1605 S 28th Ave, Hattiesburg, MS 39402-3110 | 2007-12-28 |
| 1861553224 | Kathryn A. Smith | Audiologist | 1605 S 28th Ave, Hattiesburg, MS 39402-3110 | 2006-12-12 |
| 1003905076 | Hattiesburg Clinic Pa | Otolaryngology | 1605 S 28th Ave, Hattiesburg, MS 39402-3110 | 2006-10-11 |
| 1942213152 | James M Hodges | Otolaryngology | 1605 S 28th Ave, Hattiesburg, MS 39402-3110 | 2006-08-15 |
| 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 | 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 |
|---|---|---|---|---|
| 1205480282 | Charles Palmer Lincoln | Otolaryngology | 248 Crystal Crk, Hattiesburg, MS 39402-7748 | 2019-07-29 |
| 1396757910 | Michael J Hammett | Otolaryngology | 1605 S 28th Ave, Hattiesburg, MS 39402-3110 | 2006-08-12 |
| 1962463968 | James Robert Coltharp Jr. | Otolaryngology | 107 Millsaps Dr, Hattiesburg, MS 39402 | 2006-03-29 |
| 1285695288 | Larry Hale Day | Otolaryngology | 107 Millsaps Drive, Hattiesburg, MS 39402 | 2006-03-29 |
| 1730476144 | Andrew Merlan Nida | Otolaryngology | 1605 S 28th Ave, Hattiesburg, MS 39402-3110 | 2011-07-06 |
| 1003905076 | Hattiesburg Clinic Pa | Otolaryngology | 1605 S 28th Ave, Hattiesburg, MS 39402-3110 | 2006-10-11 |
| 1942213152 | James M Hodges | Otolaryngology | 1605 S 28th Ave, Hattiesburg, MS 39402-3110 | 2006-08-15 |
| 1922069921 | Curtis Scott Childress | Otolaryngology | 107 Millsaps Dr, Hattiesburg, MS 39402 | 2006-03-29 |
| 1831150838 | Charles Edwin Guice IIi | Otolaryngology | 107 Millsaps Dr, Hattiesburg, MS 39402 | 2006-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1619150349 | Cody Boyd Aull | Otolaryngology | 1521 A 22nd Avenue, Meridian, MS 39301-4016 | 2007-12-17 |
| 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.