Kate N Aseme, MD

Individual provider Active NPI Surgery Physician · Hattiesburg, MS

NPI 1629004643 · NPPES record last updated Dec 18, 2013

Key facts

NPI
1629004643
Entity type
Individual (NPI type 1)
Primary specialty
Surgery Physician 208600000X
License
07913 (MS)
Practice address
6051 U S Highway 49
Hattiesburg, MS 39401-7200
Phone
(601) 288-2690
Fax
(601) 288-2695
NPI assigned
Jun 23, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Hattiesburg Clinic PA Past Accepting new patients
Forrest County General Hospital Past
since Jun 6, 2016
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 07913 MS Yes

Addresses

Primary practice location

6051 U S Highway 49
Hattiesburg, MS 39401-7200

Mailing address

PO Box 16745
Hattiesburg, MS 39404-6745
Phone (601) 288-2690

Other identifiers

IdentifierTypeStateIssuer
00119833MedicaidMS

Other providers in Hattiesburg, MS

All providers in Hattiesburg, MS · Surgery Physician in Mississippi

Sources for this page

Verify at the official NPI Registry.