Greenwood Anesthesia & Pain MGMT, PLLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

16017 Issued in MS

Legal business name

GREENWOOD ANESTHESIA & PAIN MGMT, PLLC

Practice address

1401 River Rd
Anesthesia Department
Greenwood, MS 38930-4030

Phone

(662) 459-7000

NPI assigned

Nov 9, 2005

Last updated

Mar 27, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Todd Besselievre, M.D.

Title

President

Phone

(800) 222-1335

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332806400000",
    "number": "1518948264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 CREAMERY LN",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216013137",
            "telephone_number": "800-222-1335",
            "fax_number": "410-819-0712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 RIVER RD",
            "address_2": "ANESTHESIA DEPARTMENT",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389304030",
            "telephone_number": "662-459-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWOOD ANESTHESIA & PAIN MGMT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-09",
        "last_updated": "2012-03-27",
        "status": "A",
        "authorized_official_last_name": "BESSELIEVRE",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-222-1335",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MS",
            "license": "16017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08074314",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cherome Grant
• Markesha Nicole Grant, RN
• Jonathan W. Grantham, LPC
• Ashley M Greco, DMD
• Felica Laneta Green
• Greenwood Clinic for Women PLLC
• Greenwood Comprehensive Medical Clinic
• Greenwood Downtown Drugs Inc
• Greenwood Downtown Drugs Inc
• Greenwood Drugs LLC (Greenwood Drugs)

• Anesthesiology Physician in Greenwood, MS
• Providers in Greenwood, MS by specialty
• Anesthesiology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; 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.