Paul Frederic Dare, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

22769 Issued in MS

Practice address

1151 North State St., Suite 311
Jackson Anesthesia Associates
Jackson, MS 39202

Phone

(210) 567-4500

Fax

(210) 567-0083

NPI assigned

May 24, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS, TN2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Anesthesiology

Education

Louisiana State University School of Medicine in Shreveport, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anesthesia Consultants PAGroup PAC ID 4486637881, 102 clinicians

Physicians Anesthesia Group Staffing, LLCGroup PAC ID 2769928795, 21 clinicians

Mississippi State Hospital at WhitfieldGroup PAC ID 5294727533, 34 clinicians

Physicians Anesthesia Group, P.a.Group PAC ID 6103806864, 54 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Dominic-Jackson Memorial Hospital Hospital, Jackson, MS, CCN 250048
• Whitfield Medical Surgical Hospital Hospital, Whitfield, MS, CCN 250134
• Merit Health River Region Hospital, Vicksburg, MS, CCN 250031

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Anesthesia Consultants PA

  • Anesthesiology Physician
  • Jackson, MS
  • NPI 1750300836
  Medicare reassignment Care Compare group NPD
• Mississippi State Hospital at Whitfield

  • Mental Illness Community Based Residential Treatment Facility
  • Jackson, MS
  • NPI 1336224179
  Medicare reassignment Care Compare group NPD
• Physicians Anesthesia Group Staffing, LLC

  • Anesthesiology Physician
  • Jackson, MS
  • NPI 1558102772
  Medicare reassignment Care Compare group NPD
• Physicians Anesthesia Group, P.a.

  • Anesthesiology Physician
  • Jackson, MS
  • NPI 1407890783
  Medicare reassignment Care Compare group NPD
• Jackson Anesthesia Associates PA

  • Anesthesiology Physician
  • Jackson, MS
  • NPI 1780737577
  Medicare reassignment NPD
• State of Mississippi - University of Mississippi Medical Center

  • General Acute Care Hospital
  • Jackson, MS
  • NPI 1154317527
  Medicare reassignment NPD
• Resource Anesthesiology Associates of TN PC

  • Anesthesiology Physician
  • Memphis, TN
  • NPI 1316724073

  MS

  Medicare reassignment NPD
• Mississippi State Hospital at Whitfield

  • General Practice Physician
  • Whitfield, MS
  • NPI 1982620712
  NPD
• State of Mississippi - University of Mississippi Medical Center

  • Prosthetic/Orthotic Supplier
  • Jackson, MS
  • NPI 1235019530
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mississippi State Hospital at Whitfield

  • General Acute Care Hospital
  • Whitfield, MS
  • NPI 1396830147
  Care Compare affiliation
• St Dominic-Jackson Memorial Hospital

  • General Acute Care Hospital
  • Jackson, MS
  • NPI 1306876065
  Care Compare affiliation
• Vicksburg Healthcare LLC

  • General Acute Care Hospital
  • Vicksburg, MS
  • NPI 1215981303
  Care Compare affiliation

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402963200000",
    "number": "1073724910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HUNTER HILL RD",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391838791",
            "telephone_number": "601-831-6202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 NORTH STATE ST., SUITE 311",
            "address_2": "JACKSON ANESTHESIA ASSOCIATES",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "39202",
            "telephone_number": "210-567-4500",
            "fax_number": "210-567-0083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARE",
        "first_name": "PAUL",
        "middle_name": "FREDERIC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2014-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MS",
            "license": "22769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelnette Daniels
• Gloria Dansby-Giles, ED.D
• Kamaria Akilah Dansby
• Raouf F Daoud, M.D.
• Monica Darby
• Marsha Williams Darnell, LPC
• Damon Allen Darsey, M.D.
• Mary Ann Moss Darsey
• Omkar Hemant Dave, M.D.
• David a. Mosal, DDS, PA

• Anesthesiology Physician in Jackson, MS
• Providers in Jackson, MS by specialty
• Anesthesiology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.