SOUTHERN MS HEART CENTER,PA (NPI# 1982620126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982620126 |
| Entity Type | Organization |
| Organization Name | SOUTHERN MS HEART CENTER,PA |
| Practice Address |
4300 Hospital St Ste 102 Pascagoula MS 39581-5329 |
| Practice Telephone | 2287621002 |
| Mailing Telephone | 2287621002 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2011-10-19 |
| Authorized Official Name | AMY E COUCH (OFFICE MANAGER) |
| Authorized Official Telephone | 2287621002 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | RAILROAD MEDICARE GRP NO | CG1009 | 01 |
| MN | 09014546 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306062641 | Southern Ms Heart Center,pa | Internal Medicine | 3704 Bienville Blvd Ste B, Ocean Springs, MS 39564-5710 | 2007-04-17 |
| 1285911693 | Southern Ms Heart Center,pa | Internal Medicine | 7001 Highway 614, Hurley, MS 39555 | 2011-11-14 |
| Street Address |
4300 HOSPITAL ST STE 102 |
| City | PASCAGOULA |
| State | MS |
| Zip Code | 39581-5329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699790196 | Mahmoud H Zayed | Internal Medicine | 4300 Hospital St Ste 102, Pascagoula, MS 39581-5329 | 2006-07-13 |
| 1053670166 | Ediz Tasan | Internal Medicine | 4300 Hospital St Ste 102, Pascagoula, MS 39581 | 2012-05-09 |
| 1285653113 | William O Passarelli II | Internal Medicine | 4300 Hospital St Ste 102, Pascagoula, MS 39581-5329 | 2006-07-19 |
| 1124043641 | Hugo A Quintana | Internal Medicine | 4300 Hospital St Ste 102, Pascagoula, MS 39581-5329 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760945448 | Jacquelyn B Ellison | Nurse Practitioner | 4105 Hospital Road, Ste 103, Pascagoula, MS 39581 | 2019-04-10 |
| 1104346816 | Jennifer Ngoc Bui | Dentist | 4001 Denny Ave Suite 1, Pascagoula, MS 39581 | 2017-06-23 |
| 1528486289 | Thomas Stallworth | Nurse Practitioner | 4105 Hospital St Ste 104, Pascagoula, MS 39581 | 2014-03-31 |
| 1487919957 | Candace Noel Pendowski | Nurse Practitioner | 4211 Hospital St Suite 208, Pascagoula, MS 39581 | 2012-07-10 |
| 1649548892 | Kim M. Tumminello | Nurse Practitioner | 4253 Denny Avenue, Pascagoula, MS 39581 | 2011-12-02 |
| 1649547860 | Abrian Norell Flowers | Physical Therapist | 3537 Denny Avenue, Suite 115, Pascagoula, MS 39581 | 2011-11-17 |
| 1164724118 | Coast To Coast Rehab LLC | Rehabilitation Practitioner | 3537 Denny Ave, Suite 115, Pascagoula, MS 39581 | 2010-11-24 |
| 1740500958 | Joshua Eric Tucker | Physical Medicine & Rehabilitation | 4105 Hospital St Ste 112b, Pascagoula, MS 39581 | 2010-06-10 |
| 1720164916 | Vernon W Doster | Family Medicine | 3616 Hospital Street, Suite D, Pascagoula, MS 39581 | 2006-10-31 |
| 1841387727 | David Bruce Allen | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4300 Hospital Rd, Suite 105, Pascagoula, MS 39581 | 2006-10-10 |
| Find all providers in zip 39581 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982011326 | Gulf Coast Heart Institute | Internal Medicine | 2915 Shortcut Rd, Pascagoula, MS 39567-1809 | 2014-07-17 |
| 1356550594 | Satjit Adlakha | Internal Medicine | 3111 Shortcut Rd, Pascagoula, MS 39567-1811 | 2007-05-22 |
| 1699790196 | Mahmoud H Zayed | Internal Medicine | 4300 Hospital St Ste 102, Pascagoula, MS 39581-5329 | 2006-07-13 |
| 1548241904 | Pavel L Khimenko | Internal Medicine | 4211 Hospital St, Suite 107, Pascagoula, MS 39581-5310 | 2005-11-10 |
| 1639239387 | Coastal Cardiology, PC | Internal Medicine | 4211 Hospital St, Suite 107, Pascagoula, MS 39581-5310 | 2006-12-11 |
| 1447357710 | The Heart Center, P.l.l.c | Internal Medicine | 4300 Hospital St, Suite 103, Pascagoula, MS 39581-5329 | 2006-09-20 |
| 1720092877 | Simon Georges Rizk | Internal Medicine | 4300 Hospital St, Suite 103, Pascagoula, MS 39581-5329 | 2006-07-27 |
| 1285653113 | William O Passarelli II | Internal Medicine | 4300 Hospital St Ste 102, Pascagoula, MS 39581-5329 | 2006-07-19 |
| 1295754372 | Jaswinder S Kandola | Internal Medicine | 4300 Hospital St, Suite103, Pascagoula, MS 39581-5329 | 2006-07-19 |
| 1124043641 | Hugo A Quintana | Internal Medicine | 4300 Hospital St Ste 102, Pascagoula, MS 39581-5329 | 2006-07-13 |
| Find all providers in PASCAGOULA | ||||
| City | PASCAGOULA |
| Zip Code | 39581 |
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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.