Active NPI
David Scott Therrien, M.D.
- Surgery Physician
- Booneville, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 22484
- Practice address
- 100 Hospital St
Booneville, MS 38829-3354 - Phone
- (662) 720-5490
- NPI assigned
- May 1, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 40989 | AL | |
| Surgery Physician | 208600000X | 22484 | MS | Primary |
Addresses
Primary practice location
100 Hospital St
Booneville, MS 38829-3354
Mailing address
PO Box 405827
Atlanta, GA 30384-5827
Phone (901) 226-3186
Other practice location 1
1120 S Jackson Hwy Ste 203
Sheffield, AL 35660-5770
Phone (256) 314-6947
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Mississippi School of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Hospital St
Booneville, MS 38829-3354
Phone (662) 538-2535
Hospital & facility affiliations
- Baptist Memorial Hospital Booneville
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oxford Surgical and Bariatric Clinic PLLC | Surgery | Current | Accepting new patients |
| Advanced Surgical Care PC | Surgery | Current | Accepting new patients |
| Baptist Memorial Medical Group Inc | Surgery | Current | Accepting new patients |
| Baptist Memorial Medical Group Inc | Current | Accepting new patients |
Locations
203 Avalon Ave
Ste 240
Muscle Shoals, AL 35661
Phone (256) 386-4969
1120 S Jackson Hwy
Ste 203
Sheffield, AL 35660
Phone (256) 314-6947
100 Hospital St
Booneville, MS 38829
Phone (662) 720-5000
255 Baptist Blvd
Ste 301
Columbus, MS 39705
Phone (662) 244-2288
456 W Bankhead St
New Albany, MS 38652
Phone (662) 534-7474
506 Azalea Dr
Oxford, MS 38655
Phone (662) 234-4744
Interoperability endpoints
- dtherrien657875@direct.bmhcc.org
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Memphis, TN
- NPI 1306089206
MS, Surgery
-
- Surgery Physician
- Oxford, MS
- NPI 1649436395
-
- Surgery Physician
- Sheffield, AL
- NPI 1871523597
-
- Community/Retail Pharmacy
- Memphis, TN
- NPI 1841006129
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Booneville, MS
- NPI 1396709978
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730851200000",
"number": "1730313974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 405827",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303845827",
"telephone_number": "901-226-3186",
"fax_number": "901-226-3160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 HOSPITAL ST",
"city": "BOONEVILLE",
"state": "MS",
"postal_code": "388293354",
"telephone_number": "662-720-5490"
}
],
"practiceLocations": [
{
"address_1": "1120 S Jackson Hwy Ste 203",
"address_purpose": "LOCATION",
"city": "Sheffield",
"state": "AL",
"postal_code": "356605770",
"country_code": "US",
"telephone_number": "256-314-6947",
"fax_number": "256-314-6902",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THERRIEN",
"first_name": "DAVID",
"middle_name": "SCOTT",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-05-01",
"last_updated": "2024-11-06",
"certification_date": "2024-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AL",
"license": "40989",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MS",
"license": "22484",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Booneville, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.