Donald E Netherland, MD

Key facts

NPI

1275601015

Entity type

Individual (NPI type 1)

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X

License

12566 (MS)

Practice address

300 Marion Ave
McComb, MS 39648-2754

Phone

(601) 249-1350

Fax

(601) 249-1339

NPI assigned

Dec 1, 2006

Sex

Male

Sole proprietor

No

Organizations & group practices 10

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.

• Kings Daughters Medical Center Anesthesiology Physician · Brookhaven, MS · NPI 1043245368
  Medicare reassignment Care Compare group NPD MS
• Paeon Health Services Inc Anesthesiology Physician · Houma, LA · NPI 1568985612
  Medicare reassignment Care Compare group LA
• King'S Daughters Medical Center Durable Medical Equipment & Medical Supplies · Brookhaven, MS · NPI 1881476364
  Care Compare group NPD
• King'S Daughters Medical Center General Acute Care Hospital · Brookhaven, MS · NPI 1972503464
  Care Compare group NPD
• Cardiothoracic & Vascular Surgery, PA Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Pensacola, FL · NPI 1306047873
  NPD (past) Authorized official THORACIC SURGERY (CARDIOTHORACIC VASCULAR SURGERY)
• King'S Daughters Medical Center Rural Health Clinic/Center · Brookhaven, MS · NPI 1003680729
  Care Compare group
• King'S Daughters Medical Center Rural Health Clinic/Center · Brookhaven, MS · NPI 1013781731
  Care Compare group
• King'S Daughters Medical Center Rural Health Clinic/Center · Brookhaven, MS · NPI 1275307902
  Care Compare group
• Terrebonne Parish Hospital Service District #1 Anesthesiology Physician · Houma, LA · NPI 1740248129
  NPD
• Southwest Mississippi Regional Medical Center General Acute Care Hospital · McComb, MS · NPI 1407805971
  NPD (past)

Hospital & facility affiliations 1

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

• Terrebonne Parish Hospital Service District #1 General Acute Care Hospital · Houma, LA · NPI 1518924109
  Care Compare affiliation Hospital

Medicare Care Compare profile

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

Kings Daughters Medical Center (75 clinicians)
Paeon Health Services Inc (55 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Terrebonne General Medical Center - Parish Hospital · Houma, LA · CCN 190008

Procedures performed for Medicare patients

Medicare participation

Medicare fee-for-service enrollment

Enrolled (2 enrollments) in MS, LA

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

Practice roles

Locations

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 11, 2013.

{
    "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04821701",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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All providers in McComb, MS · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Mississippi