SOUTH MISSISSIPPI ASSOCIATE IN RADIATION THERAPY, PLLC (NPI# 1114121373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114121373 |
| Entity Type | Organization |
| Organization Name | SOUTH MISSISSIPPI ASSOCIATE IN RADIATION THERAPY, PLLC |
| Practice Address |
301 S 28th Ave Hattiesburg MS 39401-7233 |
| Practice Telephone | 6012881700 |
| Mailing Telephone | 6012881700 |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2008-01-29 |
| Authorized Official Name | DR. MEI-CHANG CHENG (RADIATION ONCOLOGIST) |
| Authorized Official Telephone | 6012881700 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QX0203X |
Clinic/Center Specialization: Oncology, Radiation |
MS | Ambulatory Health Care Facilities |
| Street Address |
301 S 28TH AVE |
| City | HATTIESBURG |
| State | MS |
| Zip Code | 39401-7233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669464012 | Harry L Butler | Internal Medicine | 301 S 28th Ave, Hattiesburg, MS 39401-7233 | 2005-08-19 |
| 1215542725 | Cancer Care of Hattiesburg Pllc | Radiology | 301 S 28th Ave, Hattiesburg, MS 39401-7233 | 2020-09-11 |
| 1023641305 | Kristen Sentell | Nurse Practitioner | 301 S 28th Ave, Hattiesburg, MS 39401-7233 | 2020-02-14 |
| 1912372798 | Julie Simmons | Nurse Practitioner | 301 S 28th Ave, Hattiesburg, MS 39401-7233 | 2015-12-05 |
| 1104293463 | Bradley Martin Myers | Nurse Practitioner | 301 S 28th Ave, Hattiesburg, MS 39401-7233 | 2015-08-21 |
| 1962845438 | Joseph Salloum, M.d. LLC | Radiology | 301 S 28th Ave, Hattiesburg, MS 39401-7233 | 2013-04-15 |
| 1558704189 | Mei Chang Cheng M.d. | Radiology | 301 S 28th Ave, Hattiesburg, MS 39401-7233 | 2013-04-13 |
| 1013173590 | Laurie Evans Douglas | Internal Medicine | 301 S 28th Ave, Hattiesburg, MS 39401-7233 | 2008-08-04 |
| 1164685004 | Sophy H Mangana | Radiology | 301 S 28th Ave, Hattiesburg, MS 39401-7233 | 2008-07-09 |
| 1669682134 | Louis Varner | Internal Medicine | 301 S 28th Ave, Hattiesburg, MS 39401-7233 | 2007-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598315863 | Lisa Thornton | Technician | 18 Timberline Dr., Hattiesburg, MS 39401 | 2019-09-18 |
| 1548813637 | Caroline Estes Barnes | Counselor | Barnes, 8 App Slade Road, Hattiesburg, MS 39401 | 2019-07-18 |
| 1396252441 | Selection Healthcare Services, LLC | In Home Supportive Care | 606 Adeline St Ste 1c, Hattiesburg, MS 39401 | 2018-01-10 |
| 1225545585 | Whitney Wilkinson | Nurse Practitioner | 301 South 28th Avenue, Hattiesburg, MS 39401 | 2018-01-08 |
| 1740795806 | Forrest General Hospital | Pharmacy | 1414 South 28th Avenue, Hattiesburg, MS 39401 | 2017-12-11 |
| 1275058455 | Casey Payne | Pharmacist | 6130 Us 49, Hattiesburg, MS 39401 | 2017-08-08 |
| 1225562705 | Sarah Marie Hudson | Family Medicine | 6051 Us Highway 49 S, Hattiesburg, MS 39401 | 2017-04-12 |
| 1043671704 | The Covington's Cove Assisted Living Center LLC | Assisted Living Facility | 192 Mary Magdalene Church Rd, Hattiesburg, MS 39401 | 2016-03-09 |
| 1780083626 | Dominique Reed Watson | Pharmacist | 602 Adeline St, Hattiesburg, MS 39401 | 2014-08-15 |
| 1558778936 | Willie Davis Jr. | Day Training, Developmentally Disabled Services | 701 Duke Ave., Hattiesbiurg, MS 39401 | 2014-07-17 |
| Find all providers in zip 39401 | ||||
| Taxonomy Code | 261QX0203X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Oncology, Radiation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528399524 | Radiation Oncology of North Ms Pllc | Clinic/Center | 1207 Highway 182 W, Starkville, MS 39759-9820 | 2010-01-15 |
| City | HATTIESBURG |
| Zip Code | 39401 |
Please comment or provide details below to improve the information on SOUTH MISSISSIPPI ASSOCIATE IN RADIATION THERAPY, PLLC.
| 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.