Stephen Marc Wascomb, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

11146 Issued in MS

Practice address

554 Singley Rd
Columbia, MS 39429-9156

Phone

(601) 600-0036

NPI assigned

Sep 11, 2008

Last updated

Apr 20, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in LA, MS2 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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  LA, MS

  Medicare reassignment NPD
• Swla Center for Health Services

  dba SWLA Center For H. S. - Crowley

  • Federally Qualified Health Center (FQHC)
  • Crowley, LA
  • NPI 1336383033
  NPD (past)
• Swla Center for Health Services

  • Pediatrics Physician
  • Lafayette, LA
  • NPI 1366111791
  NPD (past)

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

{
    "created_epoch": "1221091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1366691644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "554 SINGLEY RD",
            "city": "COLUMBIA",
            "state": "MS",
            "postal_code": "394299156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "554 SINGLEY RD",
            "city": "COLUMBIA",
            "state": "MS",
            "postal_code": "394299156",
            "telephone_number": "601-600-0036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASCOMB",
        "first_name": "STEPHEN",
        "middle_name": "MARC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-11",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "11146",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "MD.07163R",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "LA",
            "license": "MD.07163R",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MS",
            "license": "11146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co (Walgreens #13609)
• Ratoya Walker
• Franklin W Waller Jr., MD
• Vickie Leona Walters, LPTA
• Letha Demetra Warren
• Cheryl Lynn Washington
• Danielle Whittington, OTR/L, CLVT
• Sydney Stutzman Wilson, SLP
• Womens Pavilion of South Mississippi, PLLC
• Sonia Woodward, CCSS

• General Practice Physician in Columbia, MS
• Providers in Columbia, MS by specialty
• General Practice Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.