SOUTH CENTRAL REGIONAL MEDICAL CENTER (NPI# 1609813757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609813757 |
Entity Type | Organization |
Organization Name | SOUTH CENTRAL REGIONAL MEDICAL CENTER |
Other Organization Name | THE WOMENS CLINIC OF LAUREL |
Practice Address |
203 S 12th Ave Laurel MS 39440-4324 |
Mailing Address |
Po Box 2038 Laurel MS 39442-2038 |
Practice Telephone | 6016499904 |
Practice Fax Number | 6016499903 |
Mailing Telephone | 6016499904 |
Mailing Fax Number | 6016499903 |
Enumeration Date | 2006-05-31 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MR. STEVEN W BURFORD (ASSOCIATE EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 6014264415 |
Authorized Official Credential | MSHA |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207V00000X | Obstetrics & Gynecology | MS | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | 07653575 | 05 |
Other Name | Type Code |
---|---|
The Womens Clinic of Laurel | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215282991 | South Central Regional Medical Center | Clinic/Center | 525 Wayne Drive, Laurel, MS 39440 | 2012-07-18 |
1730121088 | South Central Regional Medical Center | Nursing Facility/Intermediate Care Facility | 1100 West Dr, Laurel, MS 39440-4730 | 2006-06-12 |
1437199213 | South Central Regional Medical Center | Skilled Nursing Facility | 683 County Home Rd, Ellisville, MS 39437-8455 | 2006-06-08 |
1629058094 | South Central Regional Medical Center | Ambulance | 23 Mason St, Laurel, MS 39440-4437 | 2006-01-20 |
1093790404 | South Central Regional Medical Center | Home Health | 2260 Us Highway 15 North, Laurel, MS 39440-1521 | 2005-12-08 |
1114923059 | South Central Regional Medical Center | Skilled Nursing Facility | 305 E Ivy St, Ellisville, MS 39437-2746 | 2005-06-24 |
1619973542 | South Central Regional Medical Center | General Acute Care Hospital | 1220 Jefferson St, Laurel, MS 39440-4355 | 2005-06-24 |
1134762610 | South Central Regional Medical Center | Internal Medicine | 1203 Jefferson St, Laurel, MS 39440-4354 | 2019-10-28 |
1114353539 | South Central Regional Medical Center | Dermatology | 920 Matthew Dr, Suite 8, Waynesboro, MS 39367-2553 | 2013-09-17 |
1023358132 | South Central Regional Medical Center | Radiology | 1410 Jefferson St, Laurel, MS 39440-4243 | 2013-02-26 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | SOUTH CENTRAL REGIONAL MEDICAL CENTER, INC | 1220 Jefferson St, Laurel, MS 39440-4355 |
Street Address |
203 S 12TH AVE |
City | LAUREL |
State | MS |
Zip Code | 39440-4324 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467783910 | Sharon W Crumpton | Audiologist | 203 S 12th Ave, Laurel, MS 39440-4324 | 2010-01-22 |
1477724227 | Jessica Hunt Smith | Audiologist | 203 S 12th Ave, Laurel, MS 39440-4324 | 2008-03-20 |
1457489429 | Jamie Don Sisk | Otolaryngology | 203 S 12th Ave, Laurel, MS 39440-4324 | 2007-03-01 |
1336246446 | Carl Wayne Stevens II | Otolaryngology | 203 S 12th Ave, Laurel, MS 39440-4324 | 2006-09-20 |
1174562979 | South Central Regional Medical Center | Obstetrics & Gynecology | 203 S 12th Ave, Laurel, MS 39440 | 2006-06-06 |
1356380414 | Heather Morris | Nurse Practitioner | 203 S 12th Ave, Laurel, MS 39440-4324 | 2006-06-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306323159 | Tender Loving Care Homecare LLC | Homemaker | 509 Central Ave Ste 224, Laurel, MS 39440 | 2018-07-24 |
1669837910 | Laurel Dental Properties | Dentist | 1925 Pine Belt Drive, Laurel, MS 39440 | 2015-12-30 |
1215282991 | South Central Regional Medical Center | Clinic/Center | 525 Wayne Drive, Laurel, MS 39440 | 2012-07-18 |
1568721215 | Terry Ratcliff Perkins | Counselor | 5192 Hwy 11 North, Laurel, MS 39440 | 2012-05-15 |
1437453057 | Alexander Milne Home for Women | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 616 East 19th Street, Laurel, MS 39440 | 2010-12-23 |
1710135629 | Jeffrey R. Moffett | Nurse Practitioner | 3115 Audubon Dr, Laurel, MS 39440 | 2008-09-04 |
1003096785 | Family Health Center, Inc | Obstetrics & Gynecology | 103 S. 12th Avenue, Laurel, MS 39440 | 2007-11-09 |
1669672143 | Laurel Urology Clinic Pa | Urology | 304 S 10th Ave, Laurel, MS 39440 | 2007-07-23 |
1093912370 | Tanweer Hussain Majid | Surgery | 1007 Jefferson Street, Laurel, MS 39440 | 2007-06-29 |
1780889923 | Hattiesburg Eye Clinic, Pa | Ophthalmology | 1431 North 10th St, Suite 1, Laurel, MS 39440 | 2007-06-18 |
Find all providers in zip 39440 |
Taxonomy Code | 207V00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285272310 | Saul J.e. Weinreb Md LLC | Obstetrics & Gynecology | 9811 Mallard Dr Ste 111, Laurel, MD 20708-3180 | 2019-12-19 |
1003096785 | Family Health Center, Inc | Obstetrics & Gynecology | 103 S. 12th Avenue, Laurel, MS 39440 | 2007-11-09 |
1730300328 | James Denver Perkins | Obstetrics & Gynecology | 103 South 11th Avenue, Laurel, MS 39440 | 2007-05-01 |
1649297201 | Rashad N. Ali | Obstetrics & Gynecology | 103 South 12th Avenue, Laurel, MS 39440 | 2006-07-17 |
1053350223 | Robert A Desantis | Obstetrics & Gynecology | 1104 W 1st St, Suite #2, Laurel, MS 39440-4357 | 2006-06-05 |
1467865006 | James Keith Winstead Jr. | Obstetrics & Gynecology | 1008 N 15th Ave, Laurel, MS 39440 | 2014-06-10 |
1194143974 | Rachel Cudworth | Obstetrics & Gynecology | 1008 N 15th Ave, Laurel, MS 39440 | 2014-03-31 |
1255755385 | Laurel Obstetrics and Gynecology Pa | Obstetrics & Gynecology | 1104 W 1st St, Suite 2, Laurel, MS 39440-4357 | 2014-02-10 |
1770880445 | Latoya Renee Walker | Obstetrics & Gynecology | 117 S 11th Ave, Laurel, MS 39440-4312 | 2011-02-16 |
1528223005 | Jennifer Rebecca Roberts | Obstetrics & Gynecology | 1008 N 15th Ave, Laurel, MS 39440-2656 | 2008-07-23 |
Find all providers in LAUREL |
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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.