Comprehensive Radiology Services, PLLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

COMPREHENSIVE RADIOLOGY SERVICES, PLLC

Practice address

5000 W 4TH St
Hattiesburg, MS 39402

Phone

(601) 450-0521

Fax

(601) 450-0554

NPI assigned

Jun 24, 2006

Last updated

Jul 25, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Steven Cunningham, MDNPI 1336140078

Title

Administrator

Phone

(601) 450-0521

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MS, FL, LA, NY, GA, TN, NH, MA, IA, AZ, CA, DC, PA, NJ, TX15 enrollments

Enrollment records 15

Locations

Practitioners 67

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Steven G Cunningham, MD

  • Diagnostic Radiology Physician
  • Hattiesburg, MS
  • NPI 1336140078
  Medicare reassignment Care Compare group NPD Authorized official
• William W. Boone, M.D.

  • Diagnostic Radiology Physician
  • Hattiesburg, MS
  • NPI 1972784999
  Medicare reassignment Care Compare group NPD
• Gerald B Broussard Jr., MD

  • Diagnostic Radiology Physician
  • Hattiesburg, MS
  • NPI 1104117688
  Medicare reassignment Care Compare group NPD
• Thomas Payne Cole, M.D.

  • Diagnostic Radiology Physician
  • Hattiesburg, MS
  • NPI 1639107121
  Medicare reassignment Care Compare group NPD
• Kenneth E. Duff Jr., M.D.

  • Diagnostic Radiology Physician
  • Hattiesburg, MS
  • NPI 1750310066
  Medicare reassignment Care Compare group NPD
• Anthony Lee Fortin, MD

  • Diagnostic Radiology Physician
  • Jackson, MS
  • NPI 1437680899
  Medicare reassignment Care Compare group NPD
• Jeffrey Hooker

  • Neuroradiology Physician
  • Jackson, MS
  • NPI 1073909271
  Medicare reassignment Care Compare group NPD
• Cleveland Alexander Hudson, M.D.

  • Diagnostic Radiology Physician
  • Hattiesburg, MS
  • NPI 1043249485
  Medicare reassignment Care Compare group NPD
• Marshall Hutchison, D.O.

  • Vascular & Interventional Radiology Physician
  • Hattiesburg, MS
  • NPI 1447783717
  Medicare reassignment Care Compare group NPD
• Charles David Johnson, AGACNP

  • Acute Care Nurse Practitioner
  • Hattiesburg, MS
  • NPI 1437538410
  Medicare reassignment Care Compare group NPD
• Scott A Keeler, M.D.

  • Diagnostic Radiology Physician
  • Hattiesburg, MS
  • NPI 1801826474
  Medicare reassignment Care Compare group NPD
• Robert W Lee II, ACNP, RN

  • Acute Care Nurse Practitioner
  • Hattiesburg, MS
  • NPI 1801164363
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532476800000",
    "number": "1992731590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 W 4TH ST",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021000",
            "telephone_number": "601-450-0521",
            "fax_number": "601-450-0554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 W 4TH ST",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "39402",
            "telephone_number": "601-450-0521",
            "fax_number": "601-450-0554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE RADIOLOGY SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2018-07-25",
        "status": "A",
        "authorized_official_last_name": "CUNNINGHAM",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "601-450-0521",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9010984",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CC9947",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Community Healthcare Connections
• Community Healthcare Connections Personal Care Services
• Community Hospice, LLC (Halcyon Hospice - Hattiesburg)
• Compassionate Hearts and Hands LLC
• Complete Healthcare Solutions, LLC (Chaquita Henderson)
• Comprhensive National Recovery Systems of Mississippi
• Astrid Compton, MD ON MAY 08
• Nathan Lyle Compton, M.D.
• Shamara Conerly
• Stephen L Conerly, MD

• Diagnostic Radiology Physician in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Diagnostic Radiology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.