Hospitalist Services of Meridian PA
Organization Active NPI Hospitalist Physician · Meridian, MS
NPI 1639629777 · NPPES record last updated Jan 6, 2022
Key facts
- NPI
- 1639629777
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Hospitalist Physician 208M00000X
- Legal business name
- HOSPITALIST SERVICES OF MERIDIAN PA
- Practice address
- 2124 14TH St
Meridian, MS 39301-4040 - Phone
- (601) 553-6000
- Fax
- (901) 795-6060
- NPI assigned
- Oct 13, 2016
- Organization subpart
- No
Authorized official
- Name
- Sanford Glantz, MD
- Title
- Owner
- Phone
- (901) 795-3600
Practitioners 92
-
Jenna Harper, AGPCNP-BC
-
Sarah E Jones, AGACNP-BC
-
Miles Wagner, AGACNP-BC
-
Erin Barnes, FNP-BC
-
Nancy Lynn Brown, NP
-
Kurt F. Bruckmeier, M.D.
-
Heather Daye Bunyard, FNP-BC
-
Kelli R Chunn, ACNP
-
Jasmine M Crosby, FNP
-
John Anthony Dickson, M.D.
-
Ehsan-Ullah Khan Durrani, M.D.
-
Lisa B Elgin, NP
-
Otis Gowdy Jr., M.D.
-
Monica Allen Hagan, FNP-C
-
Jessica Lewis, FNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170316002383 | MS | Part B Supplier - Clinic/Group Practice | 3274818042 |
Receives reassigned benefits from 92 practitioners Practice locations: Meridian, MS |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician |
208M00000X | Yes |
Addresses
Primary practice location
2124 14TH St
Meridian, MS 39301-4040
Mailing address
1201 W Swann Ave
Tampa, FL 33606-2639
Phone (813) 253-5400
Other providers in Meridian, MS
- Juanita Lakeshia Hopson
- Latanya Michelle Hopson
- Mattie P Hopson
- Ronnie T Hopson
- Hospice Advantage, LLC.
- James W Hover
- Mary Ann Howell
- Melanie Rae Howse
- Sam Davis Hudnall Jr.
- Heather Alisha Hudnell
All providers in Meridian, MS · Hospitalist 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 Jan 6, 2022. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.