Singing River Health System

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

Legal business name

SINGING RIVER HEALTH SYSTEM

Doing business as

The Center for Cardiovascular Surgery

Practice address

2101 Highway 90
Gautier, MS 39553-5340

Phone

(228) 497-7964

NPI assigned

Oct 15, 2007

Last updated

Sep 26, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Kevin Holland

Title

Ceo

Phone

(228) 497-7908

Specialties & licenses 1

Addresses

Other names 1

• The Center for Cardiovascular Surgery Doing business as

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Richard Jason Ardoin, PA-C

  • Surgical Physician Assistant
  • Ocean Springs, MS
  • NPI 1669501680
  NPD (past)
• Hector A Dox, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Columbus, MS
  • NPI 1154324895
  NPD (past)
• Jill R Larsen, PA-C

  • Physician Assistant
  • Ocean Springs, MS
  • NPI 1861672909
  NPD (past)
• Richard S Eubanks Jr., M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Panama City, FL
  • NPI 1518995521
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411689600000",
    "number": "1003005133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 HIGHWAY 90",
            "city": "GAUTIER",
            "state": "MS",
            "postal_code": "395535340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 HIGHWAY 90",
            "city": "GAUTIER",
            "state": "MS",
            "postal_code": "395535340",
            "telephone_number": "228-497-7964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SINGING RIVER HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-15",
        "last_updated": "2014-09-26",
        "status": "A",
        "authorized_official_last_name": "HOLLAND",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "228-497-7908",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Center for Cardiovascular Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sentry-Gautier, Inc. (River Chase Village)
• Serenity Home Care Ms
• Elizabeth Ann Shepard-Bynum
• Brenda Darnetta Shutz
• Zaria Simon
• Singing River Health System
• Singing River Hospital System (Gautier Internal Medicine Clinic)
• Singing River Mental Health Mental Retardation Services (Singing River Services Region XIV)
• Singing River Services
• Singing River Services

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Gautier, MS
• Providers in Gautier, MS by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.