DR. HAL T LIDDELL (NPI# 1023032497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023032497 |
Entity Type | Individual |
Full Name | DR. HAL T LIDDELL |
Credential | M.D. |
Practice Address |
139 Fairfield Dr Hattiesburg MS 39402-1303 |
Practice Telephone | 6014502401 |
Practice Fax Number | 6014502433 |
Mailing Telephone | 6014502401 |
Mailing Fax Number | 6014502434 |
Enumeration Date | 2006-07-27 |
Last Update Date | 2016-10-04 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208800000X | Urology | 09147 | MS | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | 1023032497 | 05 | |
MS | MEDICARE PTAN | 509218YTSR | 01 |
Street Address |
139 FAIRFIELD DR |
City | HATTIESBURG |
State | MS |
Zip Code | 39402-1303 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518990266 | Robin H Schwartz | Anesthesiology | 139 Fairfield Dr, Hattiesburg, MS 39402-1303 | 2006-07-08 |
1780025767 | Southern Anesthesia Inc | Nurse Anesthetist, Certified Registered | 139 Fairfield Dr, Hattiesburg, MS 39402-1303 | 2013-07-08 |
1285923144 | Robin H. Schwartz, M.d., P.a. | Anesthesiology | 139 Fairfield Dr, Hattiesburg, MS 39402-1303 | 2011-03-31 |
1740413764 | Carey Leigh Norris | Nurse Practitioner | 139 Fairfield Dr, Hattiesburg, MS 39402-1303 | 2009-08-25 |
1801058821 | Charles Robert Moore | Urology | 139 Fairfield Dr, Hattiesburg, MS 39402-1303 | 2008-06-30 |
1316110745 | Nathan Lyle Compton | Surgery | 139 Fairfield Dr, Hattiesburg, MS 39402-1303 | 2008-04-07 |
1639369689 | Southern Surgery Wound Care Clinic Pllc | Surgery | 139 Fairfield Dr, Hattiesburg, MS 39402-1303 | 2007-07-26 |
1265551162 | Southern Surgical Associates, P. A. | Specialist | 139 Fairfield Dr, Hattiesburg, MS 39402-1303 | 2007-03-29 |
1316065436 | Southern Urology, P. A. | Specialist | 139 Fairfield Dr, Hattiesburg, MS 39402-1303 | 2007-03-27 |
1851471270 | Deborah Tarpley Azar | Specialist | 139 Fairfield Dr, Hattiesburg, MS 39402-1303 | 2006-10-17 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518572965 | Resilient Therapy and Solutions, Pllc | Clinic/Center | 5266 Old Hwy 11 Ste 50, #308, Hattiesburg, MS 39402 | 2020-09-12 |
1932710225 | Jones County Medical Supplies, Inc | Durable Medical Equipment & Medical Supplies | 6424 Hwy 98 West, Suite 20, Hattiesburg, MS 39402 | 2020-08-11 |
1467086736 | Elizabeth A. Perry | Technician | 1220 Marrie St, Hattiesburg, MS 39402 | 2020-02-26 |
1225678063 | Connor Gregory Galloway | Physical Therapist | 3688 Veteran Memorial Drive, Hattiesburg, MS 39402 | 2020-01-09 |
1487291456 | Megan Marie Smith | Social Worker | 11 Woodstone Plaza, Hattiesburg, MS 39402 | 2019-12-09 |
1821656612 | Julie Covington Mcmahan | Dentist | 100 Madison Plaza, Hattiesburg, MS 39402 | 2019-06-05 |
1295392074 | Hattiesburg Clinic, Pa | Preventive Medicine | 6414 Highway 98, Suite 120, Hattiesburg, MS 39402 | 2019-05-28 |
1760945356 | Rachandeep Chahal | Student in an Organized Health Care Education/Training Program | 5001 Hardy Street Merit Health Wesley, Hattiesburg, MS 39402 | 2019-04-10 |
1386101137 | Courtney L Smith | Behavior Technician | 32 Millbanch Road, Suite 40, Hattiesburg, MS 39402 | 2019-02-28 |
1891269940 | Amanda Laine Mcarthur-macisaac | Registered Nurse | 5909 Highway 49 South, Suite 30, Hattiesburg, MS 39402 | 2019-01-11 |
Find all providers in zip 39402 |
Taxonomy Code | 208800000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Urology |
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164446522 | Nathan P Shappley | Urology | 101 Aldersgate Cir, Hattiesburg, MS 39402-1301 | 2006-07-27 |
1063824688 | John Moore | Urology | 415 S 28th Ave, Hattiesburg, MS 39401-7246 | 2014-06-02 |
1518386788 | Kaitlen Sicard Schexnayder | Urology | 415 S 28th Ave, Hattiesburg, MS 39401-7246 | 2014-04-15 |
1093081168 | Sean Philip Douglas | Urology | 415 S 28th Ave, Hattiesburg, MS 39401-7246 | 2012-03-22 |
1801058821 | Charles Robert Moore | Urology | 139 Fairfield Dr, Hattiesburg, MS 39402-1303 | 2008-06-30 |
1669553541 | Hattiesburg Clinic Pa | Urology | 415 S 28th Ave, Hattiesburg, MS 39401-7246 | 2006-10-18 |
1609960848 | Hattiesburg Clinic Pa | Urology | 415 S 28th Ave, Hattiesburg, MS 39401-7246 | 2006-10-03 |
1396854899 | David C Stout | Urology | 415 S 28th Ave, Hattiesburg, MS 39401-7246 | 2006-08-29 |
1518076157 | Randolph J Ross | Urology | 415 S 28th Ave, Hattiesburg, MS 39401-7246 | 2006-08-29 |
1306955950 | Bradley N Secrest | Urology | 415 S 28th Ave, Hattiesburg, MS 39401-7246 | 2006-08-29 |
Find all providers in HATTIESBURG |
City | HATTIESBURG |
Zip Code | 39402 |
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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.