THE PEDIATRIC NEUROLOGY CLINIC OF HATTIESBURG (NPI# 1699921197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699921197 |
| Entity Type | Organization |
| Organization Name | THE PEDIATRIC NEUROLOGY CLINIC OF HATTIESBURG |
| Practice Address |
5003 Hardy St Ste 200 Hattiesburg MS 39402-1331 |
| Practice Telephone | 6012963050 |
| Practice Fax Number | 6012963060 |
| Mailing Telephone | 6012963050 |
| Mailing Fax Number | 6012963060 |
| Enumeration Date | 2008-08-15 |
| Last Update Date | 2008-08-15 |
| Authorized Official Name | MS. STEPHANIE ROBINETT (OWNER) |
| Authorized Official Telephone | 6012963050 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine & OMM | Allopathic & Osteopathic Physicians |
| Street Address |
5003 HARDY ST STE 200 |
| City | HATTIESBURG |
| State | MS |
| Zip Code | 39402-1331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184665580 | Fisher Alan Covin | Internal Medicine | 5003 Hardy St Ste 200, Hattiesburg, MS 39402-1331 | 2006-06-09 |
| 1871145714 | Alicia Pace | Nurse Practitioner | 5003 Hardy St Ste 200, Hattiesburg, MS 39402-1331 | 2019-07-11 |
| 1134608243 | Leigh Ann Cochran | Nurse Practitioner | 5003 Hardy St Ste 200, Hattiesburg, MS 39402 | 2018-08-09 |
| 1114410537 | Destiney Lee | Nurse Practitioner | 5003 Hardy St Ste 200, Hattiesburg, MS 39402 | 2018-06-11 |
| 1629341649 | Amy L. Grubbs | Nurse Practitioner | 5003 Hardy St Ste 200, Hattiesburg, MS 39402-1331 | 2012-02-22 |
| 1851540736 | Kurt A Duncan | Internal Medicine | 5003 Hardy St Ste 200, Hattiesburg, MS 39402-1331 | 2008-09-16 |
| 1295931145 | Viral Lathia | Internal Medicine | 5003 Hardy St Ste 200, Hattiesburg, MS 39402-1331 | 2007-06-26 |
| 1003020561 | Scott Eric Henry | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5003 Hardy St Ste 200, Hattiesburg, MS 39402-1331 | 2007-05-10 |
| 1265521710 | Fidel Fabian Sendra | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5003 Hardy St Ste 200, Hattiesburg, MS 39402-1331 | 2006-10-12 |
| 1265465017 | Karl A Duncan | Internal Medicine | 5003 Hardy St Ste 200, Hattiesburg, MS 39402-1331 | 2006-07-07 |
| Find all providers in the same location | ||||
| 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 | 204D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine & OMM |
| The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. |
| Notes: Source: American Osteopathic Association, 2017 [7/1/2017: added definition] - Additional Resources: American Osteopathic Board of Neuromusculoskeletal Medicine, 2017, http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093278582 | Hattiesburg Musculoskeletal Medicine, Pllc | Neuromusculoskeletal Medicine & OMM | 23 Windstone, Hattiesburg, MS 39402-1254 | 2019-04-11 |
| 1588047443 | Whitney Danjack Lynch | Neuromusculoskeletal Medicine & OMM | 1 Lincoln Pkwy Ste 101, Hattiesburg, MS 39402-3261 | 2015-07-09 |
| 1669705372 | Richard Gray Sloan Jr. | Neuromusculoskeletal Medicine & OMM | 498 Tuscan Ave, Hattiesburg, MS 39401-5461 | 2009-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174730519 | Tana Kathryn Cooper | Neuromusculoskeletal Medicine & OMM | 3680 Sangani Blvd Ste H2, Diberville, MS 39540-8709 | 2007-05-16 |
| 1851486427 | Oxford Neuromuscular Associates, Pllc | Neuromusculoskeletal Medicine & OMM | 2908 South Lamar Blvd., Suite 100, Oxford, MS 38655 | 2006-10-03 |
| 1912933409 | Mohamed Z Knefati | Neuromusculoskeletal Medicine & OMM | 1777 Curtis Dr, Iuka, MS 38852-1001 | 2006-06-25 |
| 1003171091 | Nawal Shaikh | Neuromusculoskeletal Medicine & OMM | 2500 North State Street, Jmm Room 2525, Jackson, MS 39216-4500 | 2012-07-06 |
| 1003098096 | Medical Foundation of Central Mississippi, Inc. | Neuromusculoskeletal Medicine & OMM | 1200 N State St, Suite 420, Jackson, MS 39202-2001 | 2007-11-30 |
| 1720203367 | Wayne General Hospital | Neuromusculoskeletal Medicine & OMM | 950 Matthew Dr, Waynesboro, MS 39367-2567 | 2007-04-17 |
| 1932256492 | Stephen Wayne Mcauliffe | Neuromusculoskeletal Medicine & OMM | 2561 Pass Rd, Suite D, Biloxi, MS 39531-2125 | 2007-01-05 |
| 1053494831 | David Glen Mchenry | Neuromusculoskeletal Medicine & OMM | 971 Lakeland Drive, Suite 557, Jackson, MS 39216 | 2006-10-23 |
| 1013026970 | John C Adams | Neuromusculoskeletal Medicine & OMM | 353 Highway 15 N, Pontotoc, MS 38863-1103 | 2006-08-30 |
| City | HATTIESBURG |
| Zip Code | 39402 |
Please comment or provide details below to improve the information on THE PEDIATRIC NEUROLOGY CLINIC OF HATTIESBURG.
| 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.