Active NPI
Hendrik K. Kuiper, M.D.
- Surgery Physician
- Natchez, MS
National Provider Identifier
1548207384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 08005
- Practice address
- 41 SGT. S. Prentiss Drive
Natchez, MS 39120 - Phone
- (601) 442-5388
- Fax
- (601) 445-5850
- NPI assigned
- Jun 1, 2006
- Last updated
- May 18, 2010
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 08005 | MS | Primary |
Addresses
Primary practice location
41 SGT. S. Prentiss Drive
Natchez, MS 39120
Mailing address
41 SGT. S. Prentiss Drive
Natchez, MS 39120
Phone (601) 442-5388
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00016640 | Medicaid | MS |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08005 | MS | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vicksburg Clinic LLC | Surgery | Past | Accepting new patients |
| Vicksburg Clinic LLC | Past | Accepting new patients | |
| Natchez Regional Clinic | Surgery | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Vicksburg, MS
- NPI 1790711158
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274140800000",
"number": "1548207384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 SGT. S. PRENTISS DRIVE",
"city": "NATCHEZ",
"state": "MS",
"postal_code": "39120",
"telephone_number": "601-442-5388",
"fax_number": "601-445-5850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 SGT. S. PRENTISS DRIVE",
"city": "NATCHEZ",
"state": "MS",
"postal_code": "39120",
"telephone_number": "601-442-5388",
"fax_number": "601-445-5850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUIPER",
"first_name": "HENDRIK",
"middle_name": "K.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-01",
"last_updated": "2010-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MS",
"license": "08005",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00016640",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Natchez, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.