Active NPI
Donald E Netherland, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- McComb, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 12566
- Practice address
- 300 Marion Ave
McComb, MS 39648-2754 - Phone
- (601) 249-1350
- Fax
- (601) 249-1339
- NPI assigned
- Dec 1, 2006
- Last updated
- Jul 11, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 12566 | MS | Primary |
Addresses
Primary practice location
300 Marion Ave
McComb, MS 39648-2754
Mailing address
PO Box 490
McComb, MS 39649-0490
Phone (601) 249-1350
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- University of Tennessee, HSC, College of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
427 Hwy 51 N
Brookhaven, MS 39601-2350
Phone (601) 833-6011
8166 Main St
Houma, LA 70360-3404
Phone (985) 873-4751
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary artery bypass graft (CABG) | 1-10 |
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kings Daughters Medical Center | Current | Accepting new patients | |
| Terrebonne Parish Hospital Service District #1 | Current | Accepting new patients | |
| King's Daughters Medical Center | Current | Accepting new patients | |
| King's Daughters Medical Center | Current | Accepting new patients | |
| Cardiothoracic & Vascular Surgery, PA | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Past | Accepting new patients |
| Southwest Mississippi Regional Medical Center | Past | Accepting new patients |
Locations
8166 Main St
Houma, LA 70360
Phone (800) 456-9121
855 Belanger St
Ste 101
Houma, LA 70360
Phone (985) 850-6222
427 Highway 51 N
Brookhaven, MS 39601
Phone (601) 833-6011
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Kings Daughters Pro Anesthesia
- Anesthesiology Physician
- Brookhaven, MS
- NPI 1043245368
-
- Anesthesiology Physician
- Houma, LA
- NPI 1568985612
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Pensacola, FL
- NPI 1306047873
-
dba King's Daughters Medical Equipment
- Durable Medical Equipment & Medical Supplies
- Brookhaven, MS
- NPI 1881476364
-
- General Acute Care Hospital
- Brookhaven, MS
- NPI 1972503464
-
dba Terrebonne General Medical Center
- Anesthesiology Physician
- Houma, LA
- NPI 1740248129
-
- General Acute Care Hospital
- McComb, MS
- NPI 1407805971
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Terrebonne General Medical Center
- General Acute Care Hospital
- Houma, LA
- NPI 1518924109
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373500800000",
"number": "1275601015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 490",
"city": "MCCOMB",
"state": "MS",
"postal_code": "396490490",
"telephone_number": "601-249-1350",
"fax_number": "601-249-1339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 MARION AVE",
"city": "MCCOMB",
"state": "MS",
"postal_code": "396482754",
"telephone_number": "601-249-1350",
"fax_number": "601-249-1339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NETHERLAND",
"first_name": "DONALD",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-01",
"last_updated": "2013-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "MS",
"license": "12566",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McComb, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2013; 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.