Ochsner Specialty Hospital Professional Services | |
1314 19th Ave Meridian MS 39301-4116 | |
(601) 703-4274 | |
(601) 703-4294 |
Full Name | Ochsner Specialty Hospital Professional Services |
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Speciality | Internal Medicine |
Location | 1314 19th Ave, Meridian, Mississippi |
Authorized Official Name and Position | Don Larkin Kennedy (REGIONAL CEO) |
Authorized Official Contact | 6017039614 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ochsner Specialty Hospital Professional Services Dept 3031 Po Box 1000 Memphis TN 38148-3031 Ph: (601) 213-3010 | Ochsner Specialty Hospital Professional Services 1314 19th Ave Meridian MS 39301-4116 Ph: (601) 703-4274 |
NPI Number | 1467736421 |
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Provider Enumeration Date | 10/07/2011 |
Last Update Date | 12/21/2022 |
Medicare PECOS PAC ID | 6901702901 |
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Medicare Enrollment ID | O20031210000862 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467736421 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | John W Johnston |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1306814801 PECOS PAC ID: 3971520362 Enrollment ID: I20051025000677 |
Provider Name | Frederick T Duggan |
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Provider Type | Practitioner - Pulmonary Disease |
Provider Identifiers | NPI Number: 1003893652 PECOS PAC ID: 3678643681 Enrollment ID: I20080604000006 |
Provider Name | Patsy Lenan Holloway |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003045410 PECOS PAC ID: 0345383048 Enrollment ID: I20100203000430 |
Provider Name | James C. Matthews |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1164417598 PECOS PAC ID: 6103940929 Enrollment ID: I20100901000039 |
Provider Name | Jamil Meloelain |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1538262076 PECOS PAC ID: 0749206977 Enrollment ID: I20130418000218 |
Provider Name | Amina Goodwin-fernandez |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1669618302 PECOS PAC ID: 3678715174 Enrollment ID: I20130813000546 |
Provider Name | Elizabeth Sims |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851774681 PECOS PAC ID: 8426364811 Enrollment ID: I20150831002096 |
Provider Name | Ajay R Vongala |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1194089508 PECOS PAC ID: 9133429764 Enrollment ID: I20151203000378 |
Provider Name | Ashley Vandewalker |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104310309 PECOS PAC ID: 4587916556 Enrollment ID: I20181003001079 |
Provider Name | Chelsi Elise Slay |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851993984 PECOS PAC ID: 4688089402 Enrollment ID: I20210209000362 |
Provider Name | Jennifer Joy Brown |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1225690100 PECOS PAC ID: 8729468830 Enrollment ID: I20220707001482 |
Greater Meridian Health Clinic, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2701 Davis St, Meridian, MS 39301 Phone: 601-693-0118 Fax: 844-778-8922 | |
East Ms State Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4555 Highland Park Dr, Meridian, MS 39307 Phone: 601-481-1135 Fax: 601-581-7676 | |
Ochsner Health Center- Hwy 19 Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1500 Highway 19 N, Meridian, MS 39307 Phone: 601-483-5353 Fax: 601-696-3231 | |
Greater Meridian Health Clinic, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2701 Davis St, Meridian, MS 39301 Phone: 601-693-0118 Fax: 844-778-8922 | |
Anderson Infectious Disease Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 20th St, Meridian, MS 39301 Phone: 601-553-6361 Fax: 601-484-5384 | |
Primary Medical Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5000 Highway 39 N, Meridian, MS 39301 Phone: 601-646-0898 | |
Gmhc, Inc./mpsd G W Carver Community School Base Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 900 44th Ave, Meridian, MS 39307 Phone: 601-693-0118 Fax: 844-778-8922 |