Safeheart Health Screens

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

SAFEHEART HEALTH SCREENS

Practice address

710 S 28TH Ave
Suite a
Hattiesburg, MS 39402-2585

Phone

(601) 450-5483

Fax

(601) 450-9355

NPI assigned

Oct 27, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Karen Wilkins

Title

Owner/Managing Member

Phone

(601) 450-5483

Specialties & licenses 1

Addresses

Other names 1

• LiveWell Health Screens Former legal business name

Locations

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

{
    "created_epoch": "1256601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256601600000",
    "number": "1609102573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 S 28TH AVE",
            "address_2": "SUITE A",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394022585",
            "telephone_number": "601-450-5483",
            "fax_number": "601-450-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 S 28TH AVE",
            "address_2": "SUITE A",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394022585",
            "telephone_number": "601-450-5483",
            "fax_number": "601-450-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFEHEART HEALTH SCREENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-27",
        "last_updated": "2009-10-27",
        "status": "A",
        "authorized_official_last_name": "WILKINS",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OWNER/MANAGING MEMBER",
        "authorized_official_telephone_number": "601-450-5483",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LiveWell Health Screens",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Rachel Ryan, SLP
• Betty L Ryba, MSN FNP-BC
• Kelly W Ryder, D.O.
• Kimberly C Ryder, P.T.
• James Stephen Sabin, M.D.
• Ramata Sakhanokho, PHARM.D.
• Ana Salas-Mondragon
• Naim Joseph Salloum, M.D.
• Silvano Samartine, M.D.
• Ebenezer Sampong, DO

• Physiological Laboratory in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Physiological Laboratory in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2009; 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.