DR. JENS FRANCIS GRAVERSEN (NPI# 1932233392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932233392 |
| Entity Type | Individual |
| Full Name | DR. JENS FRANCIS GRAVERSEN |
| Credential | M.D. |
| Practice Address |
1002 Jefferson St. Suite 450 Laurel MS 39440-4306 |
| Mailing Address |
Po Box 247 Laurel MS 39441-0247 |
| Practice Telephone | 6014280438 |
| Practice Fax Number | 6014255553 |
| Mailing Telephone | 6013996167 |
| Mailing Fax Number | 6013996281 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2020-01-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 17542 | MS | Allopathic & Osteopathic Physicians |
| N | 208800000X | Urology | MD200326 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 04274856 | 05 | |
| LA | 1598551 | 05 |
| Street Address |
1002 JEFFERSON ST. SUITE 450 |
| City | LAUREL |
| State | MS |
| Zip Code | 39440-4306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316359789 | Terry L. Bang | Pediatrics | 1002 Jefferson St., Suite 200, Laurel, MS 39440-4306 | 2014-05-20 |
| 1720244932 | Derrick Burgess | Orthopaedic Surgery | 1002 Jefferson St., Suite 350, Laurel, MS 39440-4306 | 2008-08-06 |
| 1790988087 | Charles Henry Black Iv | Orthopaedic Surgery | 1002 Jefferson St., Suite 350, Laurel, MS 39440-4306 | 2007-06-06 |
| 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 | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669672143 | Laurel Urology Clinic Pa | Urology | 304 S 10th Ave, Laurel, MS 39440 | 2007-07-23 |
| 1508172990 | Parvez I Shah Mdpa | Urology | 7350 Van Dusen Rd, Suite 450, Laurel, MD 20707-5263 | 2010-08-24 |
| 1275705824 | South Central Clinics, Inc | Urology | 1002 Jefferson Street, Suite 450, Laurel, MS 39440-4306 | 2008-03-24 |
| 1174566756 | Parvez I Shah | Urology | 7350 Van Dusen Rd, Suite 450, Laurel, MD 20707-5263 | 2006-06-13 |
| 1457336257 | Horace C Watkins IIi | Urology | 304 S 10th Ave, Laurel, MS 39440-4309 | 2005-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023678000 | The Urology Clinic, LLC | Urology | 14231 Seaway Rd Ste 6000, Gulfport, MS 39503-4628 | 2019-06-20 |
| 1881006807 | Roy Donald Duncan | Urology | 300 Forrest Hill Cir, Aberdeen, MS 39730-2147 | 2014-05-26 |
| 1396184149 | Robert Joseph Hargis | Urology | 116 Afton Way, Clinton, MS 39056 | 2013-06-14 |
| 1619290400 | Woodie Lynn Mason | Urology | 115 Wildwood Dr, Madison, MS 39110-7045 | 2010-03-08 |
| 1639305592 | William Meredith Brodford | Urology | 3916 Pinewood, Dr., Jackson, MS 39211-6444 | 2009-06-05 |
| 1073682035 | Doyle Land Renfroe | Urology | 1201 Medical Park Dr, Oxford, MS 38655-5327 | 2006-11-06 |
| 1629159587 | Urological Surgery Associates Pllc | Urology | 294 E Layfair Dr, Flowood, MS 39232-9526 | 2006-10-18 |
| 1013098995 | Avinash C Gulanikar | Urology | 294 East Layfair Dr, Flowood, MS 39232 | 2006-10-18 |
| 1912088295 | Urology Clinic of Meridian, P.a. | Urology | 1302 20th Ave, Meridian, MS 39301-4120 | 2006-10-17 |
| 1154421006 | Brookhaven Urology, Pa | Urology | 425 Highway 51 N, Brookhaven, MS 39601-2350 | 2006-09-22 |
| Find all providers with the same taxonomy | ||||
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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.