Clarksdale Hma LLC
Organization Active NPI Anesthesiology Physician · Clarksdale, MS
NPI 1386679744 · NPPES record last updated May 23, 2019
Key facts
- NPI
- 1386679744
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Anesthesiology Physician 207L00000X
- Legal business name
- CLARKSDALE HMA LLC
- Practice address
- 1970 Hospital Dr
Clarksdale, MS 38614-7202 - Phone
- (662) 624-3401
- NPI assigned
- Jul 12, 2006
- Organization subpart
- No
Authorized official
- Name
- James P Wright
- Title
- VP Physician Business Services
- Phone
- (615) 778-8074
Practitioners 46
-
Gafar Ajani Adesoji, M.D
-
Rodney William Baine, MD,MFA,PHD
-
Stephen Wayne Barker, CRNA
-
G D Berryhill Jr., M.D.
-
Clifford Blaylock, CRNA
-
Dorothy L Booker, RD,LD
-
Irene Buckner, M.D.
-
Michael L. Foss, M.D.
-
Patricia Dianne Hudson, CRNA
-
Vernon T. Hughes Jr., D.O.
-
Kenneth W Kellough, M.D.
-
Keith A Kersten, D.O.
-
Stephanie G Mullins, ACNP
-
George Thomas Murphy, FNP
-
Ann I. Pelegrin, CRNA
-
Sonja Pennington, CNP
-
Leigh B Pickard, MS, RD, LD
-
Richard D Sutherlin III, CRNA
National Provider Directory
Locations
1967 Hospital Dr
Clarksdale, MS 38614
Phone (601) 627-7361
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician |
207L00000X | Yes | ||
| Certified Registered Nurse Anesthetist |
367500000X |
Addresses
Primary practice location
1970 Hospital Dr
Clarksdale, MS 38614-7202
Mailing address
1970 Hospital Dr
Clarksdale, MS 38614-7202
Phone (662) 624-3401
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000019315A | Other | MS | BC CRNA |
| 090114363 | Medicaid | MS |
Other names
- Clarksdale Phys Serv Anesthesia CRNA
Other providers in Clarksdale, MS
- Matthew Joe Chow
- Danielle Clark
- Clarksdale Hma
- Clarksdale Hma Inc
- Clarksdale Hma LLC
- Clarksdale Hma LLC
- Clarksdale Hma LLC
- Clarksdale Hma LLC
- Clarksdale Hma LLC
- Clarksdale Hma Physican Management, LLC
All providers in Clarksdale, MS · Anesthesiology Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 23, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.