SERGEY S DZUGAN (NPI# 1861683203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861683203 |
| Entity Type | Individual |
| Full Name | SERGEY S DZUGAN |
| Credential | M.D. |
| Practice Address |
103 Medical Park Hattiesburg MS 39401-9042 |
| Mailing Address |
415 S 28th Ave Hattiesburg MS 39401-7246 |
| Practice Telephone | 6012685630 |
| Practice Fax Number | 6012685819 |
| Mailing Telephone | 6012685630 |
| Mailing Fax Number | 6015795240 |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2020-07-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 21418 | MS | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | PGY.2.TUL-OSUR | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 06825007 | 05 | |
| MS | HEALTHSPRINGS | 6056928 | 01 |
| MS | CIGNA | 7542115 | 01 |
| MS | UNITED HEALTHCARE | 3304723 | 01 |
| MS | AETNA | 9772841 | 01 |
| Street Address |
103 MEDICAL PARK |
| City | HATTIESBURG |
| State | MS |
| Zip Code | 39401-9042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821102740 | Robert Clint Hudson | Physical Therapist | 103 Medical Park, Hattiesburg, MS 39401-9042 | 2006-08-18 |
| 1407470990 | Hattiesburg Clinic, Pa | Physical Medicine & Rehabilitation | 103 Medical Park, Hattiesburg, MS 39401-9042 | 2020-06-01 |
| 1811548696 | Lauren Mckenzy Reynolds | Physical Therapist | 103 Medical Park, Hattiesburg, MS 39401-9042 | 2019-09-24 |
| 1962051946 | John Reynolds Clark | Physical Therapist | 103 Medical Park, Hattiesburg, MS 39401-9042 | 2019-09-11 |
| 1821655150 | Nancy Danielle Lewis | Physical Therapist | 103 Medical Park, Hattiesburg, MS 39401-9042 | 2019-05-22 |
| 1255869665 | Jennifer Lacroix Gunther | Nurse Practitioner | 103 Medical Park, Hattiesburg, MS 39401-9042 | 2017-05-30 |
| 1518347681 | John Michael Porter | Occupational Therapist | 103 Medical Park, Hattiesburg, MS 39401-9042 | 2015-06-04 |
| 1306254255 | Jessica Mccallister Tullos | Emergency Medicine | 103 Medical Park, Hattiesburg, MS 39401-9042 | 2014-07-23 |
| 1063848075 | Rowdy Chance Lee | Physician Assistant | 103 Medical Park, Hattiesburg, MS 39401-9042 | 2013-09-23 |
| 1144517822 | Jeremy Blake Wells | Family Medicine | 103 Medical Park, Hattiesburg, MS 39401-9042 | 2011-07-01 |
| 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 | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184068413 | Thomas Payne Royals | Orthopaedic Surgery | 103 Tatum Rd, Hattiesburg, MS 39401-5186 | 2013-04-17 |
| 1639426117 | Southern Bone & Joint Specialists, Pa | Orthopaedic Surgery | 7127 Highway 98, Suite 20, Hattiesburg, MS 39402 | 2012-08-14 |
| 1356638977 | John Hunter Berry | Orthopaedic Surgery | 3688 Veterans Memorial Dr Ste 200, Hattiesburg, MS 39401 | 2011-07-03 |
| 1316916869 | Donald R. Ward | Orthopaedic Surgery | 3688 Veterans Memorial Dr., Suite 200, Hattiesburg, MS 39401 | 2006-03-16 |
| 1033115597 | Jeffrey A Burns | Orthopaedic Surgery | 5003 Hardy St Ste 401, Hattiesburg, MS 39402-1331 | 2005-06-21 |
| 1750667002 | Premier Orthopaedics & Sports Medicine, Pllc | Orthopaedic Surgery | 5003 Hardy St, Suite 401, Hattiesburg, MS 39402-1319 | 2011-11-01 |
| 1801026141 | George H. Robertson IIi | Orthopaedic Surgery | 3688 Veterans Memorial Dr., Suite 200, Hattiesburg, MS 39401 | 2009-07-21 |
| 1932357498 | Premier Orthopaedics and Sports Medicine, Pllc | Orthopaedic Surgery | 5003 Hardy St Ste 401, Hattiesburg, MS 39402-1331 | 2008-09-08 |
| 1356514988 | Michael Joseph Cox | Orthopaedic Surgery | 103 Medical Park, Hattiesburg, MS 39401-9042 | 2008-04-03 |
| 1295937928 | John Herrington Kosko | Orthopaedic Surgery | 3688 Veterans Memorial Dr, Suite 200, Hattiesburg, MS 39401-8246 | 2007-06-04 |
| Find all providers in HATTIESBURG | ||||
| City | HATTIESBURG |
| Zip Code | 39401 |
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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.