Individual provider Active NPI

Frederick E Nora, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Hattiesburg, MS
National Provider Identifier
1679556989
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
18068 Issued in MS
Practice address
5052 W 4TH St
Hattiesburg, MS 39402-1069
Phone
(601) 268-5995
Fax
(601) 261-3201
NPI assigned
Nov 22, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 18068 MS Primary

Addresses

Primary practice location

5052 W 4TH St
Hattiesburg, MS 39402-1069

Mailing address

5052 W 4TH St
Hattiesburg, MS 39402-1069
Phone (601) 268-5995

Other identifiers 2

IdentifierTypeStateIssuer
07802313MedicaidMS
P00448955OtherMSMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040130000369 MS Practitioner - PathologyPractitioner - Hematology 6002719689 Reassigns benefits to 1 organization
I20121010000485 TX Practitioner - Pathology 6002719689 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Loyola University of Chicago, Stritch School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
USA Pathology PLLCGroup PAC ID 4183873003, 6 clinicians

Practice addresses (Care Compare)

305 N Highland Ave
Sherman, TX 75092-7349
Phone (903) 328-2029

Hospital & facility affiliations

  • North Texas Medical Center Hospital, Gainesville, TX, CCN 450090
  • Baylor Scott and White Surgical Hospital at Sherma Hospital, Sherman, TX, CCN 670076
  • Wilson N Jones Regional Medical Center Hospital, Sherman, TX, CCN 450469

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
USA Pathology PLLC Anatomic Pathology & Clinical Pathology CurrentSince Aug 1, 2012 Accepting new patients
Hub Care Pathology, P.a. Anatomic Pathology & Clinical Pathology CurrentSince Jun 1, 2007 Accepting new patients
USA Pathology PLLC Anatomic Pathology & Clinical Pathology CurrentSince Aug 1, 2012 Accepting new patients
Associated Pathologists LLC Past Accepting new patients
Mississippi Baptist Medical Center, Inc. Past Accepting new patients
West Florida Medical Center Clinic PA Past Accepting new patients
Associated Pathologists, LLC Anatomic Pathology & Clinical Pathology Past Accepting new patients

Locations

5052 W 4th St
#3
Hattiesburg, MS 39402
Phone (601) 261-2587

5052 W 4th St
Hattiesburg, MS 39402
Phone (601) 261-2587

5016 US Highway 75
Denison, TX 75020
Phone (855) 222-9637

1900 Hospital Blvd
Gainesville, TX 76240
Phone (940) 612-8150

500 N Highland Ave
Sherman, TX 75092
Phone (903) 870-4494

305 N Highland Ave
Sherman, TX 75092
Phone (903) 328-2029

11104 W Airport Blvd
Ste 206
Stafford, TX 77477
Phone (601) 261-2587

Organizations & group practices 7

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211328000000",
    "number": "1679556989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5052 W 4TH ST",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021069",
            "telephone_number": "601-268-5995",
            "fax_number": "601-261-3201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5052 W 4TH ST",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021069",
            "telephone_number": "601-268-5995",
            "fax_number": "601-261-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORA",
        "first_name": "FREDERICK",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2008-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MS",
            "license": "18068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07802313",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00448955",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

Verify at the official NPI Registry.