RELIAS EMERGENCY MEDICINE SPECIALISTS OF HATTIESBURG LLC (NPI# 1609409440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609409440 |
| Entity Type | Organization |
| Organization Name | RELIAS EMERGENCY MEDICINE SPECIALISTS OF HATTIESBURG LLC |
| Practice Address |
6051 U S Highway 49 Hattiesburg MS 39401-7200 |
| Mailing Address |
Po Box 30275 Charlotte NC 28230-0275 |
| Practice Telephone | 6624324106 |
| Mailing Telephone | 6624324106 |
| Enumeration Date | 2020-02-20 |
| Last Update Date | 2020-07-17 |
| Authorized Official Name | LUKE WEST (CEO) |
| Authorized Official Telephone | 6626358383 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
6051 U S HIGHWAY 49 |
| City | HATTIESBURG |
| State | MS |
| Zip Code | 39401-7200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497730469 | James A York | Radiology | 6051 U S Highway 49, Hattiesburg, MS 39401-7200 | 2005-12-13 |
| 1952908105 | Steven Matthew Hudson | Pharmacist | 6051 U S Highway 49, Hattiesburg, MS 39401-7201 | 2020-10-01 |
| 1336767748 | Zackery Johnson | Nurse Practitioner | 6051 U S Highway 49, Hattiesburg, MS 39401-7200 | 2020-07-12 |
| 1629698741 | Cassandra Wood | Student in an Organized Health Care Education/Training Program | 6051 U S Highway 49, Hattiesburg, MS 39401-7200 | 2020-04-18 |
| 1376162438 | Michael Andrew Mclarty | Student in an Organized Health Care Education/Training Program | 6051 U S Highway 49, Hattiesburg, MS 39401-7200 | 2020-04-09 |
| 1942829171 | Kaleb King | Student in an Organized Health Care Education/Training Program | 6051 U S Highway 49, Hattiesburg, MS 39401-7201 | 2020-04-08 |
| 1255950416 | Taylor Hairston | Student in an Organized Health Care Education/Training Program | 6051 U S Highway 49, Hattiesburg, MS 39401-7200 | 2020-04-08 |
| 1285263103 | Courtney Lynn Cruthirds | Registered Nurse | 6051 U S Highway 49, Hattiesburg, MS 39401-7201 | 2020-04-02 |
| 1205487238 | Ashley Harper Miles | Nurse Practitioner | 6051 U S Highway 49, Hattiesburg, MS 39401-7200 | 2019-09-20 |
| 1811552490 | Camille Shofner Roberts | Pharmacist | 6051 U S Highway 49, Hattiesburg, MS 39401-7200 | 2019-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598315863 | Lisa Thornton | Technician | 18 Timberline Dr., Hattiesburg, MS 39401 | 2019-09-18 |
| 1548813637 | Caroline Estes Barnes | Counselor | Barnes, 8 App Slade Road, Hattiesburg, MS 39401 | 2019-07-18 |
| 1396252441 | Selection Healthcare Services, LLC | In Home Supportive Care | 606 Adeline St Ste 1c, Hattiesburg, MS 39401 | 2018-01-10 |
| 1225545585 | Whitney Wilkinson | Nurse Practitioner | 301 South 28th Avenue, Hattiesburg, MS 39401 | 2018-01-08 |
| 1740795806 | Forrest General Hospital | Pharmacy | 1414 South 28th Avenue, Hattiesburg, MS 39401 | 2017-12-11 |
| 1275058455 | Casey Payne | Pharmacist | 6130 Us 49, Hattiesburg, MS 39401 | 2017-08-08 |
| 1225562705 | Sarah Marie Hudson | Family Medicine | 6051 Us Highway 49 S, Hattiesburg, MS 39401 | 2017-04-12 |
| 1043671704 | The Covington's Cove Assisted Living Center LLC | Assisted Living Facility | 192 Mary Magdalene Church Rd, Hattiesburg, MS 39401 | 2016-03-09 |
| 1780083626 | Dominique Reed Watson | Pharmacist | 602 Adeline St, Hattiesburg, MS 39401 | 2014-08-15 |
| 1558778936 | Willie Davis Jr. | Day Training, Developmentally Disabled Services | 701 Duke Ave., Hattiesbiurg, MS 39401 | 2014-07-17 |
| Find all providers in zip 39401 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790130151 | Patrick Bryant | Emergency Medicine | 5001 Hardy Street, Hattiesburg, MS 39402 | 2016-05-04 |
| 1588034227 | Srikar Karanam | Emergency Medicine | 114 Breckenridge Dr Apt 203, Hattiesburg, MS 39402-3709 | 2015-10-06 |
| 1346261195 | Charles Samuel Fillingane | Emergency Medicine | 27 Lake Forgetful Apt 528, Hattiesburg, MS 39402-8275 | 2006-07-21 |
| 1912948803 | Frederick Robert Martin | Emergency Medicine | 6051 Highway 49, Hattiesburg, MS 39401-7200 | 2006-06-09 |
| 1861445108 | Keith A Kersten | Emergency Medicine | 123 S 27th Ave, Hattiesburg, MS 39401-7136 | 2006-05-18 |
| 1619488228 | Jonathan Warren Meadows | Emergency Medicine | 5001 Hardy St, Hattiesburg, MS 39402 | 2017-10-23 |
| 1720510837 | Kevin Mclendon | Emergency Medicine | 5001 Hardy St, Hattiesburg, MS 39402-1308 | 2017-03-28 |
| 1033650031 | Miju Yu Kurtzweil | Emergency Medicine | 5001 Hardy St, Merit Health Wesley, Hattiesburg, MS 39402-1308 | 2017-03-10 |
| 1134668189 | Jacob Robert Fenster | Emergency Medicine | 5001 Hardy St, Hattiesburg, MS 39402-1308 | 2017-02-22 |
| 1336688795 | Alexander K Chang | Emergency Medicine | 5001 Hardy St, Hattiesburg, MS 39402-1308 | 2017-02-17 |
| Find all providers in HATTIESBURG | ||||
| City | HATTIESBURG |
| Zip Code | 39401 |
Please comment or provide details below to improve the information on RELIAS EMERGENCY MEDICINE SPECIALISTS 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.