| Ochsner - Pediatric Cardiology Hattiesburg | |
|
#4 Willow Pointe Suite 1 Hattiesburg MS 39402 | |
| (601) 296-3070 | |
| Not Available |
| Full Name | Ochsner - Pediatric Cardiology Hattiesburg |
|---|---|
| Speciality | General Practice |
| Location | #4 Willow Pointe, Hattiesburg, Mississippi |
| Authorized Official Name and Position | Scott J Posecai (CFO) |
| Authorized Official Contact | 5048424000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ochsner - Pediatric Cardiology Hattiesburg Po Box 54851 New Orleans LA 70154-4851 Ph: (504) 842-4000 | Ochsner - Pediatric Cardiology Hattiesburg #4 Willow Pointe Suite 1 Hattiesburg MS 39402 Ph: (601) 296-3070 |
| NPI Number | 1962796789 |
|---|---|
| Provider Enumeration Date | 06/09/2011 |
| Last Update Date | 06/09/2011 |
| Medicare PECOS PAC ID | 8224933619 |
|---|---|
| Medicare Enrollment ID | O20110815000940 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962796789 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Lawrence L Haber |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1962441352 PECOS PAC ID: 5890782783 Enrollment ID: I20040430000918 |
| Provider Name | Lamar Davis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003006206 PECOS PAC ID: 3779761119 Enrollment ID: I20110707000119 |
| Provider Name | Sartaj Hans |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407893324 PECOS PAC ID: 4587650965 Enrollment ID: I20120928000004 |
| Provider Name | Michael T Friel |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1265698195 PECOS PAC ID: 7416097845 Enrollment ID: I20131126000298 |
| Provider Name | Glenn M Polin |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1598928418 PECOS PAC ID: 8224162151 Enrollment ID: I20140221000462 |
| Provider Name | Esteban O Romano |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1386643682 PECOS PAC ID: 1052316387 Enrollment ID: I20141023002208 |
| Provider Name | Mahmoud Daftary |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1063411361 PECOS PAC ID: 4688728504 Enrollment ID: I20141024001963 |
| Provider Name | Jennifer C Chamberlain |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1265669295 PECOS PAC ID: 6608090444 Enrollment ID: I20150223000997 |
| Provider Name | Stephen J Fortunato |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669422440 PECOS PAC ID: 9638081995 Enrollment ID: I20150514000665 |
| Provider Name | Kevin Michael Doulens |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1447263694 PECOS PAC ID: 7113023334 Enrollment ID: I20151216000697 |
| Provider Name | Asahel L Gridley |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578723599 PECOS PAC ID: 2264666742 Enrollment ID: I20160727001143 |
| Provider Name | Gabriel A Vidal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871788216 PECOS PAC ID: 9335291020 Enrollment ID: I20160806000139 |
| Provider Name | Richard Zweifler |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295774347 PECOS PAC ID: 4486725603 Enrollment ID: I20170104000594 |
| Provider Name | Lesley Meng |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1144287137 PECOS PAC ID: 0345215026 Enrollment ID: I20170106000382 |
| Provider Name | Daniel M Chehebar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518177229 PECOS PAC ID: 1153415914 Enrollment ID: I20170817000565 |
| Provider Name | Joseph R Biggio |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437104668 PECOS PAC ID: 4688613607 Enrollment ID: I20170905001247 |
| Provider Name | Daniel P Mokry |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346209806 PECOS PAC ID: 6800925280 Enrollment ID: I20180307001757 |
| Provider Name | Johnny William Swiger |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700855962 PECOS PAC ID: 2466554605 Enrollment ID: I20180312000830 |
Hattiesburg Clinic, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4209 Lincoln Rd, Hattiesburg, MS 39402 Phone: 601-705-2896 Fax: 601-579-5240 | |
Thames Elementary School Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2900 Jamestown Rd, Hattiesburg, MS 39402 Phone: 601-545-8700 Fax: 601-582-5461 | |
Hattiesburg Public School And Community Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 404 Lillie Burney St, Hattiesburg, MS 39401 Phone: 601-450-6500 Fax: 601-450-6503 | |
Inland Family Practice Center Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3700 Hardy St Ste 10, Hattiesburg, MS 39402 Phone: 601-602-2014 Fax: 601-544-7013 | |
Lincoln Center Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Lincoln Pkwy, Suite 302, Hattiesburg, MS 39402 Phone: 601-296-7848 Fax: 601-296-7828 | |
Parkway Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2503 Glendale Ave, Hattiesburg, MS 39401 Phone: 601-582-5805 Fax: 601-582-5806 | |
Southern Medical Care, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6600 U S Highway 98, Suite B, Hattiesburg, MS 39402 Phone: 601-261-2727 Fax: 601-261-9847 |