Active NPI
Hancock Medical Center
- Surgery Physician
- Bay St Louis, MS
National Provider Identifier
1801023692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 11214
- Legal business name
- HANCOCK MEDICAL CENTER
- Practice address
- 952 Green Meadow Rd
Bay St Louis, MS 39520-1620 - Phone
- (228) 467-1386
- Fax
- (228) 467-1770
- NPI assigned
- Jun 18, 2009
- 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. Donald L Wade, CPA
- Title
- Chief Financial Officer
- Phone
- (228) 467-8700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 11214 | MS | Primary |
Addresses
Primary practice location
952 Green Meadow Rd
Bay St Louis, MS 39520-1620
Mailing address
PO Box 2790
Bay St Louis, MS 39521-2790
Phone (228) 467-8600
Other names 1
- Brian Anthony M.D. Clinic
National Provider Directory
National Provider Directory- Part of
- Hancock Family Care Cen
Locations
952 Green Meadow Rd
Bay St Louis, MS 39520
Phone (228) 463-1649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245283200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1255478400000",
"number": "1801023692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2790",
"city": "BAY ST LOUIS",
"state": "MS",
"postal_code": "395212790",
"telephone_number": "228-467-8600",
"fax_number": "228-467-8799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "952 GREEN MEADOW RD",
"city": "BAY ST LOUIS",
"state": "MS",
"postal_code": "395201620",
"telephone_number": "228-467-1386",
"fax_number": "228-467-1770"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HANCOCK MEDICAL CENTER",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HANCOCK MEDICAL CENTER",
"enumeration_date": "2009-06-18",
"last_updated": "2009-10-14",
"status": "A",
"authorized_official_last_name": "WADE",
"authorized_official_first_name": "DONALD",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "228-467-8700",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CPA"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "MS",
"license": "11214",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Brian Anthony M.D. Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Bay St Louis, MS
- Gulf Coast Mental Health Center
- Gulf States Mobility and Rehab LLC
- Hancock Chiropractic LLC
- Hancock Emergency Group LLC
- Hancock Medical Center
- Hancock Medical Center
- Hancock Medical Health Services
- Hancock Medical Health Services
- Hancock Medical Health Services, Inc.
- Hancock Medical Health Services, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.