DR. GREGORY N VICKERS (NPI# 1760428569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760428569 |
| Entity Type | Individual |
| Full Name | DR. GREGORY N VICKERS |
| Credential | M.D. |
| Practice Address |
5000 W 4th St Hattiesburg MS 39402-1000 |
| Practice Telephone | 6014500521 |
| Practice Fax Number | 6014500554 |
| Mailing Telephone | 6014500521 |
| Mailing Fax Number | 6014500554 |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2011-01-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
12576 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00123316 | 05 |
| Street Address |
5000 W 4TH ST |
| City | HATTIESBURG |
| State | MS |
| Zip Code | 39402-1000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336140078 | Steven G Cunningham | Radiology | 5000 W 4th St, Hattiesburg, MS 39402-1000 | 2005-08-03 |
| 1609939396 | Juan Velez, Jr | Radiology | 5000 W 4th St, Hattiesburg, MS 39402-1000 | 2006-12-18 |
| 1437189099 | William Mark Molpus | Radiology | 5000 W 4th St, Hattiesburg, MS 39402-1000 | 2006-07-03 |
| 1801826474 | Scott A Keeler | Radiology | 5000 W 4th St, Hattiesburg, MS 39402-1000 | 2006-07-03 |
| 1043249485 | Cleveland Alexander Hudson | Radiology | 5000 W 4th St, Hattiesburg, MS 39402-1000 | 2006-06-30 |
| 1760410245 | Kelly Seid | Radiology | 5000 W 4th St, Hattiesburg, MS 39402-1000 | 2006-06-30 |
| 1639107147 | Ronald S Young | Radiology | 5000 W 4th St, Hattiesburg, MS 39402-1000 | 2006-06-30 |
| 1639107121 | Thomas Payne Cole | Radiology | 5000 W 4th St, Hattiesburg, MS 39402-1000 | 2006-06-30 |
| 1750310066 | Kenneth E. Duff Jr. | Radiology | 5000 W 4th St, Hattiesburg, MS 39402-1000 | 2006-06-30 |
| 1285663500 | Richard F Mccarthy | Radiology | 5000 W 4th St, Hattiesburg, MS 39402-1000 | 2006-06-30 |
| 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 | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639107147 | Ronald S Young | Radiology | 5000 W 4th St, Hattiesburg, MS 39402-1000 | 2006-06-30 |
| 1285661934 | Neil J Solomon | Radiology | 5000 W 4th St, Hattiesburg, MS 39402-1000 | 2006-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043825540 | Gulf Coast Vascular Care, LLC | Radiology | 14219 Cook Rd, Biloxi, MS 39532-9719 | 2020-09-11 |
| 1093731895 | Vipin S Patel | Radiology | 1010 Lakeland Square Ext Ste B, Flowood, MS 39232-7607 | 2006-07-14 |
| 1376157099 | Kathryn Taylor Parvin | Radiology | 969 Lakeland Dr, Jackson, MS 39216-4699 | 2020-09-01 |
| 1780021170 | Ajinkya Shrinivas Desai | Radiology | 2500 N State St, Jackson, MS 39216-4500 | 2013-05-27 |
| 1023358132 | South Central Regional Medical Center | Radiology | 1410 Jefferson St, Laurel, MS 39440-4243 | 2013-02-26 |
| 1871838490 | Premier Interventional Radiology Clinic | Radiology | 891 Mississippi Dr, Tupelo, MS 38804-0934 | 2012-12-07 |
| 1770832461 | Flowood Vascular Access, LLC | Radiology | 1010 Lakeland Square Ext Ste B, Flowood, MS 39232-7607 | 2012-09-10 |
| 1194048231 | Delta Radiology Pllc | Radiology | 901 E Sunflower Rd, Cleveland, MS 38732-2833 | 2010-03-03 |
| 1083936231 | North Florida Radiological Institute Inc | Radiology | 1401 River Rd, Greenwood, MS 38930-4030 | 2010-02-15 |
| 1851620249 | Vascular Access Center of Bolivar County LLC | Radiology | 810 E Sunflower Rd, Suite 100b, Cleveland, MS 38732-2800 | 2009-12-14 |
| Find all providers with the same taxonomy | ||||
| City | HATTIESBURG |
| Zip Code | 39402 |
Please comment or provide details below to improve the information on DR. GREGORY N VICKERS.
| 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.