COMPLETE HEALTH URGICARE, INC (NPI# 1093139040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093139040 |
| Entity Type | Organization |
| Organization Name | COMPLETE HEALTH URGICARE, INC |
| Other Organization Name | COMPLETE HEALTH URGENT CARE, INC |
| Practice Address |
4211 Hospital St Suite 101 Pascagoula MS 39581-5320 |
| Mailing Address |
6504 Big Oak Dr Ocean Springs MS 39564-7812 |
| Practice Telephone | 2284712273 |
| Mailing Telephone | 2284712273 |
| Enumeration Date | 2014-02-11 |
| Last Update Date | 2019-10-30 |
| Authorized Official Name | ANGELA LOFTON (CLINIC MANAGER) |
| Authorized Official Telephone | 2284712273 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | MS BOARD OF MEDICAL LICENSURE - PHYSICIAN ASSISTANT LICENSE | PA00445 | 01 |
| Other Name | Type Code |
|---|---|
| Complete Health Urgent Care, Inc | Doing Business As Name - Organization |
| Street Address |
4211 HOSPITAL ST SUITE 101 |
| City | PASCAGOULA |
| State | MS |
| Zip Code | 39581-5320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548241904 | Pavel L Khimenko | Internal Medicine | 4211 Hospital St, Suite 107, Pascagoula, MS 39581-5310 | 2005-11-10 |
| 1508404831 | Darrah Amanda Norsworthy | Nurse Practitioner | 4211 Hospital St, Pascagoula, MS 39581-5320 | 2019-12-17 |
| 1437579091 | Stephanie Lauren Wilson | Nurse Practitioner | 4211 Hospital St, Pascagoula, MS 39581-5320 | 2014-04-22 |
| 1174822076 | Laura Michele Schepens | Nurse Practitioner | 4211 Hospital St, Pascagoula, MS 39581-5320 | 2011-03-18 |
| 1346495611 | Perry Lawrence Dillard | Pharmacist | 4211 Hospital St, Suite 302, Pascagoula, MS 39581-5320 | 2008-11-29 |
| 1841453883 | W. J. Manuel, Md, Pa | Specialist | 4211 Hospital St, Pascagoula, MS 39581-5320 | 2008-07-09 |
| 1437338985 | John W Degroote PC | Internal Medicine | 4211 Hospital St, Suite 103, Pascagoula, MS 39581-5320 | 2007-11-01 |
| 1376744920 | Cardiovascular & Thoracic Surgery | Specialist | 4211 Hospital St, Suite302, Pascagoula, MS 39581-5320 | 2007-05-30 |
| 1639239387 | Coastal Cardiology, PC | Internal Medicine | 4211 Hospital St, Suite 107, Pascagoula, MS 39581-5310 | 2006-12-11 |
| 1295894293 | Plaza Pharmacy Inc | Pharmacy | 4211 Hospital St, Ste 104, Pascagoula, MS 39581-5320 | 2006-12-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760945448 | Jacquelyn B Ellison | Nurse Practitioner | 4105 Hospital Road, Ste 103, Pascagoula, MS 39581 | 2019-04-10 |
| 1104346816 | Jennifer Ngoc Bui | Dentist | 4001 Denny Ave Suite 1, Pascagoula, MS 39581 | 2017-06-23 |
| 1528486289 | Thomas Stallworth | Nurse Practitioner | 4105 Hospital St Ste 104, Pascagoula, MS 39581 | 2014-03-31 |
| 1487919957 | Candace Noel Pendowski | Nurse Practitioner | 4211 Hospital St Suite 208, Pascagoula, MS 39581 | 2012-07-10 |
| 1649548892 | Kim M. Tumminello | Nurse Practitioner | 4253 Denny Avenue, Pascagoula, MS 39581 | 2011-12-02 |
| 1649547860 | Abrian Norell Flowers | Physical Therapist | 3537 Denny Avenue, Suite 115, Pascagoula, MS 39581 | 2011-11-17 |
| 1164724118 | Coast To Coast Rehab LLC | Rehabilitation Practitioner | 3537 Denny Ave, Suite 115, Pascagoula, MS 39581 | 2010-11-24 |
| 1740500958 | Joshua Eric Tucker | Physical Medicine & Rehabilitation | 4105 Hospital St Ste 112b, Pascagoula, MS 39581 | 2010-06-10 |
| 1720164916 | Vernon W Doster | Family Medicine | 3616 Hospital Street, Suite D, Pascagoula, MS 39581 | 2006-10-31 |
| 1841387727 | David Bruce Allen | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4300 Hospital Rd, Suite 105, Pascagoula, MS 39581 | 2006-10-10 |
| Find all providers in zip 39581 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871682 | Katherine Rae Herndon | Physician Assistant | 2525 Telephone Rd, Pascagoula, MS 39567-3202 | 2020-11-05 |
| 1083124143 | Alejandra Diaz | Physician Assistant | 2525 Telephone Rd, Pascagoula, MS 39567-3202 | 2017-10-03 |
| 1225576820 | Connie Baker Klotzbach | Physician Assistant | 2819 Denny Ave, Pascagoula, MS 39581-5301 | 2017-02-03 |
| 1356796577 | Madison Avara Brown | Physician Assistant | 4105 Hospital St Ste 112b, Pascagoula, MS 39581-5304 | 2016-04-25 |
| 1598016701 | Allison A Garstecki | Physician Assistant | 4105 Hospital St, Suite 112b, Pascagoula, MS 39581-5312 | 2012-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831703958 | Melanie Layne Mccoy | Physician Assistant | 202 Joyce Ave, Long Beach, MS 39560-4332 | 2020-09-04 |
| 1437785482 | Kimberly Jordan Tupper | Physician Assistant | 6371 Shenandoah Ln, Olive Branch, MS 38654-3425 | 2020-03-20 |
| 1700419041 | Alexander Sorokin Flecker | Physician Assistant | 200b Eager St, Clinton, MS 39056-4545 | 2020-02-14 |
| 1548892904 | Meghan Seymour | Physician Assistant | 510 Glensview Dr, Brandon, MS 39047-7919 | 2020-02-04 |
| 1982234183 | Eva Mackenzie Carmody | Physician Assistant | 1190 N State St Suite 502, Jackson, MS 39202 | 2020-01-16 |
| 1477190668 | Kimberly Mcraney Watson | Physician Assistant | 907 Oakhill Cir, Clinton, MS 39056-3743 | 2019-12-06 |
| 1598301632 | Daniel Edward Bloom | Physician Assistant | Naval Branch Health Clinic Gulfport, 5502 Marvin Shields Blvd, Gulfport, MS 39501 | 2019-11-25 |
| 1467097956 | Chandler Stengel | Physician Assistant | 7900 Airways Blvd., Ste B102, Southaven, MS 38671-5809 | 2019-11-08 |
| 1922653526 | Lauren Ramsey | Physician Assistant | 845 E Scenic Dr, Pass Christian, MS 39571-4624 | 2019-08-09 |
| 1972161891 | Allison Taylor | Physician Assistant | 1850 Chadwick Drive, Suite 1427, North Tower, 4 West, Jackson, MS 39204-3404 | 2019-06-05 |
| Find all providers with the same taxonomy | ||||
| City | PASCAGOULA |
| Zip Code | 39581 |
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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.