Active NPI
Hancock Medical Center
- Anesthesiology Physician
- Bay Saint Louis, MS
National Provider Identifier
1730118068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 11214
- Legal business name
- HANCOCK MEDICAL CENTER
- Practice address
- 149 Drinkwater Blvd
Bay Saint Louis, MS 39520-1658 - Phone
- (228) 467-8787
- Fax
- (228) 467-8799
- NPI assigned
- Jun 30, 2006
- Last updated
- Mar 2, 2015
- Organization subpart
- Yes
- Parent organization
- HANCOCK MEDICAL CENTER
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Thomas P Ramsey
- Title
- Chief Financial Officer
- Phone
- (228) 467-8787
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 11214 | MS | Primary |
| Family Medicine Physician | 207Q00000X | 11214 | MS | |
| Internal Medicine Physician | 207R00000X | 11214 | MS | |
| Pediatrics Physician | 208000000X | 11214 | MS | |
| Surgery Physician | 208600000X | 11214 | MS | |
| Podiatrist | 213E00000X | 11214 | MS | |
| Certified Registered Nurse Anesthetist | 367500000X | 11214 | MS |
Addresses
Primary practice location
149 Drinkwater Blvd
Bay Saint Louis, MS 39520-1658
Mailing address
149 Drinkwater Rd
Bay Saint Louis, MS 39520-1658
Phone (228) 467-8787
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19166A | Other | MS | B-CROSS CRNA PRO FEE |
| 09015704 | Medicaid | MS |
National Provider Directory
National Provider Directory- Part of
- Hancock Family Care Cen
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1425254400000",
"number": "1730118068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "149 DRINKWATER RD",
"city": "BAY SAINT LOUIS",
"state": "MS",
"postal_code": "395201658",
"telephone_number": "228-467-8787",
"fax_number": "228-467-8799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "149 DRINKWATER BLVD",
"city": "BAY SAINT LOUIS",
"state": "MS",
"postal_code": "395201658",
"telephone_number": "228-467-8787",
"fax_number": "228-467-8799"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HANCOCK MEDICAL CENTER",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HANCOCK MEDICAL CENTER",
"enumeration_date": "2006-06-30",
"last_updated": "2015-03-02",
"status": "A",
"authorized_official_last_name": "RAMSEY",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "228-467-8787",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MS",
"license": "11214",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MS",
"license": "11214",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MS",
"license": "11214",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MS",
"license": "11214",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MS",
"license": "11214",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MS",
"license": "11214",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MS",
"license": "11214",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "B-CROSS CRNA PRO FEE",
"identifier": "19166A",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "09015704",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bay Saint Louis, MS
- Noel M Duplantier, MD FAC OG
- Emily Gilkeson
- Richard I Hadden, M.D.
- Hancock Chiroractic LLC
- Hancock Medical Center
- Hancock Medical Center (Hancock Medical Inpatient Physician Services)
- Hancock Medical Center
- Hancock Oral and Maxillofacial Surgery
- Hancock Physician Services, LLC
- Ethel Wiest Hetrick, PH.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.