DR. HAL T LIDDELL


Address: 139 Fairfield Dr, Hattiesburg, MS 39402-1303
Phone: 6014502401

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208800000X Urology 09147 MS Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MS 1023032497 05
MS MEDICARE PTAN 509218YTSR 01

Office Location

Street Address 139 FAIRFIELD DR
City HATTIESBURG
State MS
Zip Code 39402-1303

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 208800000X
Grouping Allopathic & Osteopathic Physicians
Classification Urology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

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City HATTIESBURG
Zip Code 39402

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Dataset Information

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.

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