Micah J Bahr, M.D.
Individual provider Active NPI Anesthesiology Physician · Pascagoula, MS
NPI 1497843064 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1497843064
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 23454 (MS)
- Practice address
- 2809 Denny Ave
Pascagoula, MS 39581-5301 - Phone
- (228) 809-5000
- Fax
- (678) 553-8152
- NPI assigned
- Oct 10, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Jackson County Anesthesia
Practice addresses (Care Compare)
2809 Denny Ave
Pascagoula, MS 39581-5301
Phone (228) 809-5000
Hospital & facility affiliations
- Singing River Health System
- Singing River Gulfport
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180223001690 | MS | Practitioner - Anesthesiology | 4183985641 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23454 | MS | MD | Anesthesiology Physician |
| 23811 | NE | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jackson County Anesthesia | Anesthesiology | Current |
Accepting new patients |
Locations
3109 Bienville Blvd
Ocean Springs, MS 39564
Phone (228) 818-1100
2809 Denny Ave
Pascagoula, MS 39581
Phone (228) 809-5000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 23811 | NE | |
| Anesthesiology Physician | 207L00000X | 23454 | MS | Yes |
Addresses
Primary practice location
2809 Denny Ave
Pascagoula, MS 39581-5301
Mailing address
PO Box 3488
Dept 05-113
Tupelo, MS 38803-3488
Phone (678) 553-8150
Other practice location 1
3109 Bienville Blvd
Ocean Springs, MS 39564-4361
Phone (228) 818-1100
Other practice location 2
97th Medical Operations SQ
Altus AFB, OK 73523-5005
Phone (580) 481-5423
Other providers in Pascagoula, MS
- Tricia K Aultman
- Aura Wellness L.L.C
- Austin Taylor D.D.S., P.a.
- William Travis Avara III
- Clarence Renshaw Avery
- John Doyle Bailey
- John Marc Bailey
- Michael John Baker
- Glenda Darlene Balius
- John A Banahan Jr.
All providers in Pascagoula, 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 Mar 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.