DIGESTIVE DISEASES CENTER OF HATTIESBURG, LLC (NPI# 1598879009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598879009 |
| Entity Type | Organization |
| Organization Name | DIGESTIVE DISEASES CENTER OF HATTIESBURG, LLC |
| Practice Address |
100 Methodist Hospital Blvd Hattiesburg MS 39402-1295 |
| Practice Telephone | 6012685189 |
| Practice Fax Number | 6012685006 |
| Mailing Telephone | 6012685189 |
| Mailing Fax Number | 6012685006 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. STEPHEN E BUCKLEY (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 6012685189 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0800X |
Clinic/Center Specialization: Endoscopy |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 02358833 | 05 | |
| MS | RAILROAD MEDICARE | P00138452 | 01 |
| Street Address |
100 METHODIST HOSPITAL BLVD |
| City | HATTIESBURG |
| State | MS |
| Zip Code | 39402-1295 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740283126 | Stephen E Buckley | Internal Medicine | 100 Methodist Hospital Blvd, Hattiesburg, MS 39402-1295 | 2005-05-31 |
| 1730293234 | Hattiesburg Gi Associates, Pllc | Internal Medicine | 100 Methodist Hospital Blvd, Hattiesburg, MS 39402-1295 | 2006-08-19 |
| 1407859887 | Henry Creed Fox | Internal Medicine | 100 Methodist Hospital Blvd, Hattiesburg, MS 39402-1295 | 2005-05-31 |
| 1760485148 | Charles Troy Morrissette | Internal Medicine | 100 Methodist Hospital Blvd, Hattiesburg, MS 39402-1295 | 2005-05-31 |
| 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 | 261QE0800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Endoscopy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558553859 | Gastrointestinal Associates Endoscopy Center, LLC | Clinic/Center | 106 Highland Way Ste 101, Madison, MS 39110-6930 | 2007-08-10 |
| 1740264274 | Magnolia Endoscopy Center, LLC | Clinic/Center | 3050 Corder Dr, Corinth, MS 38834-6210 | 2005-11-29 |
| 1255883690 | State of Mississippi - University of Mississippi Medical Center | Clinic/Center | 2500 N State St, Jmm Suite 2525, Jackson, MS 39216-4500 | 2016-11-02 |
| 1932537750 | Digestive Health Endoscopy Asc LLC | Clinic/Center | 90 Industrial Park Cir, Ocean Springs, MS 39564-5800 | 2013-10-15 |
| 1366634669 | Gastrointestinal Associates Endoscopy Center, LLC | Clinic/Center | 1815 Mission 66, Vicksburg, MS 39180-3709 | 2007-08-10 |
| 1245352327 | Gastrointestinal Associates Endoscopy Center, LLC | Clinic/Center | 2510 Lakeland Dr, Flowood, MS 39232-9513 | 2007-04-06 |
| 1053483735 | Premier Medical Management of Mississippi, Inc | Clinic/Center | 501 Marshall St, Suite 201, Jackson, MS 39202-1651 | 2006-11-15 |
| City | HATTIESBURG |
| Zip Code | 39402 |
Please comment or provide details below to improve the information on DIGESTIVE DISEASES CENTER OF HATTIESBURG, 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.