Individual provider Active NPI

Eric D Washington, M.D.

  • Orthopaedic Surgery Physician
  • Pascagoula, MS
National Provider Identifier
1902825573
Registry record updated Mar 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
17936 Issued in MS
Practice address
3615 Hospital St
Pascagoula, MS 39581-4112
Phone
(228) 762-3664
Fax
(228) 763-7015
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 17936 MS Primary

Addresses

Primary practice location

3615 Hospital St
Pascagoula, MS 39581-4112

Mailing address

6300 E Lake Blvd
Ste. 301
Vancleave, MS 39565-6770
Phone (228) 230-2663

Other identifiers 1

IdentifierTypeStateIssuer
08351366MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100913000049 MS Practitioner - Orthopedic Surgery 5496640021 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bienville Orthopaedic Specialists, LLCGroup PAC ID 0547155178, 43 clinicians

Practice addresses (Care Compare)

3615 Hospital St
Pascagoula, MS 39581-4112
Phone (228) 762-3664

Hospital & facility affiliations

  • Deaconess Homecare- Region I Home health agency, Laurel, MS, CCN 257085
  • Vitalcaring Group Home health agency, Gulfport, MS, CCN 257090
  • Singing River Health System Hospital, Pascagoula, MS, CCN 250040
  • Singing River Gulfport Hospital, Gulfport, MS, CCN 250123
  • George Regional Health System Hospital, Lucedale, MS, CCN 250036

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement22
Lower limb (leg) arthroscopy (minimally invasive joint repair)18
Upper limb (arm) arthroscopy (minimally invasive joint repair)16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
George County Hospital Current Accepting new patients
Oal Care of Al, LLC Orthopaedic Surgery CurrentSince Jan 23, 2021 Accepting new patients
Bienville Orthopaedic Specialists, LLC Orthopaedic Surgery CurrentSince Oct 1, 2001 Accepting new patients
Bienville Orthopaedic Specialists, LLC Orthopaedic Surgery CurrentSince Oct 1, 2001 Accepting new patients

Locations

1720A Medical Park Dr
Ste 220
Biloxi, MS 39532
Phone (228) 392-9355

3615 Hospital St
Pascagoula, MS 39581
Phone (228) 762-3664

6300 E Lake Blvd
Ste 201
Vancleave, MS 39565
Phone (228) 206-2263

6300 E Lake Blvd
Ste 301
Vancleave, MS 39565

102 Woodmont Blvd
Ste 350
Nashville, TN 37205
Phone (615) 297-1020

Interoperability endpoints

  • Direct secure messaging: ericwashington@grh.medalliesdirect.net

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.

Hospital & facility affiliations 6

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490140800000",
    "number": "1902825573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 E LAKE BLVD",
            "address_2": "STE. 301",
            "city": "VANCLEAVE",
            "state": "MS",
            "postal_code": "395656770",
            "telephone_number": "228-230-2663",
            "fax_number": "228-206-1192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 HOSPITAL ST",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395814112",
            "telephone_number": "228-762-3664",
            "fax_number": "228-763-7015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "ERIC",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2017-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MS",
            "license": "17936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08351366",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pascagoula, MS

Sources for this page

Verify at the official NPI Registry.