BRANDON WADE SAKSA (NPI# 1144592841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144592841 |
Entity Type | Individual |
Full Name | BRANDON WADE SAKSA |
Practice Address |
14115 Fred and Al Key Rd Kiln MS 39556-8060 |
Practice Telephone | 2284661035 |
Mailing Telephone | 2284661035 |
Enumeration Date | 2012-01-27 |
Last Update Date | 2012-01-27 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 146N00000X | Emergency Medical Technician, Basic | B1978057 | MS | Emergency Medical Service Providers |
Y | 171000000X | Military Health Care Provider | Other Service Providers |
Street Address |
14115 FRED AND AL KEY RD |
City | KILN |
State | MS |
Zip Code | 39556-8060 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932360815 | Samuel Leroy Graham | Military Hospital | 14115 Fred and Al Key Rd, Kiln, MS 39556-8060 | 2008-06-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003167529 | Hancock Medical Health Services, Inc. | Nurse Practitioner | 6122 Cuevas Town Road, Kiln, MS 39556 | 2012-09-24 |
1568713071 | Hancock Medical Health Services | Nurse Practitioner | 4221 Kiln - Delisle Rd., Kiln, MS 39556 | 2012-09-24 |
1548511066 | Hancock Medical Health Services, Inc. | Nurse Practitioner | 7070 Stennis Airport Dr., Kiln, MS 39556 | 2012-09-24 |
1356692875 | Hancock Medical Health Services, Inc. | Nurse Practitioner | 7084 Stennis Airport Dr., Kiln, MS 39556 | 2012-09-24 |
1205955283 | Dana Hal Jones | Dentist | 17094 Hwy 603, Kiln, MS 39556 | 2007-03-28 |
1447549761 | Kiln Dental Center LLC | Dentist | 17094 Hwy 603, Kiln, MS 39556 | 2011-04-07 |
1952420937 | Martin Macrae Murphree | Dentist | 17094 Hwy 603, Kiln, MS 39556 | 2007-03-28 |
1922338037 | Cynthia Lee Dedeaux | Specialist/Technologist | 21271 Lawrence Ladner Rd, Kiln, MS 39556-6490 | 2010-01-12 |
1861920407 | Micah A Ladner Fnp-c LLC | Nurse Practitioner | 22549 Fenton Dedeaux Rd, Kiln, MS 39556-6576 | 2017-05-26 |
1417134230 | Bridget Ann Pendley | Licensed Practical Nurse | 22463 Fenton Dedeaux Rd, Kiln, MS 39556-6578 | 2008-01-23 |
Find all providers in zip 39556 |
Taxonomy Code | 171000000X |
Grouping | Other Service Providers |
Classification | Military Health Care Provider |
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
Notes: [7/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558853689 | John Levasseur | Military Health Care Provider | 301 Fisher St Rm 1g123, Keesler Afb, MS 39534-2508 | 2018-06-05 |
1396250031 | Lilly Pad Home Health, LLC | Military Health Care Provider | 1507 Hardy St Ste 201, Hattiesburg, MS 39401-4978 | 2017-12-04 |
1760912513 | Michael Zipper | Military Health Care Provider | 301 Fisher St, Rm 5a127, 81msgs/sgcq, Keesler Afb, MS 39534 | 2017-06-14 |
1881945566 | Robert Ray Ellis | Military Health Care Provider | 10194 Cottage Ct, Diberville, MS 39540-4744 | 2012-09-21 |
1457566374 | James Wesley Clements | Military Health Care Provider | 664 S State St, Jackson, MS 39201-5611 | 2007-05-14 |
1215049283 | Angela Victoria Thrahser | Military Health Care Provider | 111 G St, Arnold Annex, Bldg 5901, Biloxi, MS 39534-2410 | 2006-08-31 |
1861453870 | Daniel Bruce Smith | Military Health Care Provider | 22224 Lorene Road, Gulfport, MS 39503 | 2006-03-29 |
1093349094 | Victor Dang Hoang | Military Health Care Provider | 301 Fisher St, Biloxi, MS 39534-2508 | 2020-02-27 |
1700438710 | Jacob Travis Burlew | Military Health Care Provider | 500 Fisher St, Biloxi, MS 39534-2502 | 2019-07-10 |
1568936532 | James Barbosa | Military Health Care Provider | 301 Fisher St, Biloxi, MS 39534-2508 | 2019-01-14 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on BRANDON WADE SAKSA.
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.