Active NPI
Myron Jude Tassin Jr., CRNA
- Certified Registered Nurse Anesthetist
- Bay St. Louis, MS
National Provider Identifier
1427091479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R875521
- Practice address
- 149 Drinkwater Blvd.
Bay St. Louis, MS 39520 - Phone
- (228) 467-8600
- NPI assigned
- Jun 14, 2006
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R875521 | MS | Primary |
Addresses
Primary practice location
149 Drinkwater Blvd.
Bay St. Louis, MS 39520
Mailing address
149 Drinkwater Blvd.
Bay St. Louis, MS 39520
Phone (228) 467-8600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R875521 | MS | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426723200000",
"number": "1427091479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "149 DRINKWATER BLVD.",
"city": "BAY ST. LOUIS",
"state": "MS",
"postal_code": "39520",
"telephone_number": "228-467-8600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "149 DRINKWATER BLVD.",
"city": "BAY ST. LOUIS",
"state": "MS",
"postal_code": "39520",
"telephone_number": "228-467-8600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TASSIN",
"first_name": "MYRON",
"middle_name": "JUDE",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2015-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MS",
"license": "R875521",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bay St. Louis, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.