Hattiesburg Ambulatory Surgery Center LP

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

024 Issued in MS

Legal business name

HATTIESBURG AMBULATORY SURGERY CENTER LP

Practice address

39 Franklin Rd
Suite 100
Hattiesburg, MS 39402-1366

Phone

(601) 296-3800

Fax

(601) 296-3810

NPI assigned

Jun 22, 2006

Organization subpart

No

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

Authorized official

Name

Laurie Holtsford

Title

Director, Business Office Support

Phone

(615) 465-7466

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• South Mississippi Surgery Center Doing business as

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1386670511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 849823",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752849823",
            "telephone_number": "601-296-3800",
            "fax_number": "601-296-3810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 FRANKLIN RD",
            "address_2": "SUITE 100",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021366",
            "telephone_number": "601-296-3800",
            "fax_number": "601-296-3810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HATTIESBURG AMBULATORY SURGERY CENTER LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "HOLTSFORD",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "DIRECTOR, BUSINESS OFFICE SUPPORT",
        "authorized_official_telephone_number": "615-465-7466"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MS",
            "license": "024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04275391",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00172366",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Mississippi Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shahzaib Hassan, M.D.
• John Cade Hathorn, RN
• Kristi Hatten, P.T.
• Lewis E Hatten, MD
• Hattieburg Physical Therapy Center
• Hattiesburg Anesthesia Associates, LLC
• Hattiesburg Clinic PA
• Hattiesburg Clinic PA
• Hattiesburg Clinic PA
• Hattiesburg Clinic PA

• All providers in Hattiesburg, MS
• Ambulatory Surgical Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; 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.