OCHSNER MISSISSIPPI, LLC (NPI# 1003313180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003313180 |
| Entity Type | Organization |
| Organization Name | OCHSNER MISSISSIPPI, LLC |
| Other Organization Name | OCHSNER HEALTH CENTER - SHEPHERD SQUARE |
| Practice Address |
4550 Shepherd Sq Diamondhead MS 39525-3325 |
| Mailing Address |
1514 Jefferson Hwy New Orleans LA 70121-2429 |
| Practice Telephone | 2282558216 |
| Mailing Telephone | 5048424000 |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2018-04-06 |
| Authorized Official Name | RICHARD JOINT (DIRECTOR) |
| Authorized Official Telephone | 5047034127 |
| Is Organization Subpart | Y |
| Parent Organization Name | OCHSNER MISSISSIPPI, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 09627255 | 05 |
| Other Name | Type Code |
|---|---|
| Ochsner Health Center - Shepherd Square | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013533637 | Ochsner Mississippi, LLC | Internal Medicine | 111 N Cleveland Ave, Long Beach, MS 39560-4713 | 2020-06-19 |
| 1619477577 | Ochsner Mississippi, LLC | Internal Medicine | 202 Drinkwater Rd, Bay St Louis, MS 39520-1638 | 2018-02-17 |
| 1487253407 | Ochsner Mississippi, LLC | Internal Medicine | 906 Sixth Ave, Picayune, MS 39466-3802 | 2020-10-21 |
| 1821609009 | Ochsner Mississippi, LLC | Internal Medicine | 2274 Highway 43 S, Picayune, MS 39466-8141 | 2020-08-12 |
| 1265050942 | Ochsner Mississippi, LLC | Internal Medicine | 1839 Cooper Rd Ste 100, Picayune, MS 39466-2836 | 2020-07-09 |
| 1295353878 | Ochsner Mississippi, LLC | Internal Medicine | 4507 15th St, Gulfport, MS 39501-2500 | 2020-07-09 |
| 1568026425 | Ochsner Mississippi, LLC | Internal Medicine | 421 S 28th Ave Ste 110, Hattiesburg, MS 39401-7208 | 2019-04-26 |
| 1356836118 | Ochsner Mississippi, LLC | Internal Medicine | 401 Baptist Dr Ste 301, Madison, MS 39110-2012 | 2018-06-25 |
| 1972009363 | Ochsner Mississippi, LLC | Internal Medicine | 303 Marion Ave, Mccomb, MS 39648-2707 | 2018-04-04 |
| 1457857062 | Ochsner Mississippi, LLC | Internal Medicine | 309 Llewellyn Ave, Mccomb, MS 39648-2703 | 2018-04-03 |
| Street Address |
4550 SHEPHERD SQ |
| City | DIAMONDHEAD |
| State | MS |
| Zip Code | 39525-3325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447762042 | South Mississippi Home Care, LLC | Home Health | 56128 Diamondhead Dr E, Diamondhead, MS 39525 | 2017-11-04 |
| 1093247553 | Deedy Killen | Registered Nurse | 124a Lakeside Villa Bldg C, Diamondhead, MS 39525 | 2017-04-03 |
| 1730502055 | Hancock Medical Health Services | Clinic/Center | 5435 Gex Road, Diamondhead, MS 39525 | 2014-01-22 |
| 1760756423 | Catherine Michelle Brashear | Nurse Practitioner | 4045b Shepards Square, Diamondhead, MS 39525 | 2012-02-28 |
| 1669745303 | Christopher Byron Arcement | Nurse Practitioner | 5435 Gex Rd., Diamondhead, MS 39525 | 2012-02-10 |
| 1184894354 | Gary S. Porter | Nurse Practitioner | 4540 B Shepherds Squard, Diamondhead, MS 39525 | 2008-03-04 |
| 1003007006 | Hancock Medical Center | Clinic/Center | 4540 Shepherd Square, Suite B, Diamondhead, MS 39525 | 2007-08-05 |
| 1346461423 | Charles Eugene Harris | Psychologist | 5427-a Gex Rd, Diamondhead, MS 39525 | 2007-05-02 |
| 1548318025 | Total Rehab Plus LLC | Physical Therapist | 4363 C Leisuretime Dr, Diamondhead, MS 39525 | 2007-01-08 |
| 1356445944 | Cornelia H. Swayze | Social Worker | 4387 Leisure Time Drive, Diamondhead, MS 39525 | 2006-09-12 |
| Find all providers in zip 39525 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972003838 | Ochsner Mississippi, LLC | Internal Medicine | 5435 Gex Rd, Diamondhead, MS 39525-3208 | 2018-02-17 |
| 1720596539 | Ochsner Mississippi, LLC | Internal Medicine | 4540 Shepherd Sq, Diamondhead, MS 39525-3325 | 2018-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275148264 | Ludmila Nahar | Internal Medicine | 18 Windwood Cv, Flowood, MS 39232-7921 | 2020-09-15 |
| 1013533637 | Ochsner Mississippi, LLC | Internal Medicine | 111 N Cleveland Ave, Long Beach, MS 39560-4713 | 2020-06-19 |
| 1215556048 | Hannah Roberts Badon | Internal Medicine | 2450 Wild Valley Dr, Jackson, MS 39211-6224 | 2020-04-12 |
| 1649809476 | Rachel Horn Mullins | Internal Medicine | 5379 Fairway St, Jackson, MS 39211-4251 | 2020-04-03 |
| 1497391288 | Ahmad Abdali Haidar Md Pa | Internal Medicine | 200 Golf Course Dr, Carriere, MS 39426-9037 | 2019-11-27 |
| 1437711991 | Amanda L Wiltshire | Internal Medicine | 1300 Sunset Dr Ste A, Grenada, MS 38901-4081 | 2019-07-05 |
| 1447812540 | Waqaar Ahmed Arshad | Internal Medicine | 3226 Kendrick Rd Apt 14, Corinth, MS 38834-9207 | 2019-06-28 |
| 1023675048 | Fitvisits LLC | Internal Medicine | 731 S Pear Orchard Rd Ste 16, Ridgeland, MS 39157-4800 | 2019-05-24 |
| 1629542832 | Internal Medicine Primary Care Pa | Internal Medicine | 140 Daughdrill Sta, Flowood, MS 39232-8406 | 2019-01-22 |
| 1619477577 | Ochsner Mississippi, LLC | Internal Medicine | 202 Drinkwater Rd, Bay St Louis, MS 39520-1638 | 2018-02-17 |
| Find all providers with the same taxonomy | ||||
| City | DIAMONDHEAD |
| Zip Code | 39525 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.