DHS ANESTHESIA, LLC (NPI# 1184147431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184147431 |
| Entity Type | Organization |
| Organization Name | DHS ANESTHESIA, LLC |
| Practice Address |
589 Garfield St Tupelo MS 38801-6301 |
| Mailing Address |
Po Box 21 Tupelo MS 38802-0021 |
| Practice Telephone | 6626805565 |
| Practice Fax Number | 6628408636 |
| Mailing Telephone | 6626805565 |
| Mailing Fax Number | 6628408636 |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2017-07-19 |
| Authorized Official Name | CLARENCE ALLEN JUSTICE (PRESIDENT) |
| Authorized Official Telephone | 6626805565 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians |
| Street Address |
589 GARFIELD ST |
| City | TUPELO |
| State | MS |
| Zip Code | 38801-6301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184614620 | Clarence A Justice | Emergency Medicine | 589 Garfield St, Suite 201, Tupelo, MS 38801-6301 | 2005-10-26 |
| 1407280183 | Cara L Harris | Nurse Practitioner | 589 Garfield St, Suite 201, Tupelo, MS 38801-6301 | 2013-08-29 |
| 1609185859 | Ashley L Vaughn | Internal Medicine | 589 Garfield St, Suite 201, Tupelo, MS 38801-6301 | 2010-10-05 |
| 1205161080 | Nicholas R Barron | Nurse Anesthetist, Certified Registered | 589 Garfield St, Tupelo, MS 38801-6301 | 2009-10-12 |
| 1154563005 | Vicki A Fitzgerald | Nurse Practitioner | 589 Garfield St, Suite 201, Tupelo, MS 38801-6301 | 2009-03-24 |
| 1821250978 | Robert Brasfield Smith | Internal Medicine | 589 Garfield St, Suite 201, Tupelo, MS 38801-6301 | 2008-06-30 |
| 1679734933 | Christopher Hale Decker | Internal Medicine | 589 Garfield St, Suite 201, Tupelo, MS 38801-6301 | 2008-06-19 |
| 1881816619 | William G Ogg | Internal Medicine | 589 Garfield St, Suite 201, Tupelo, MS 38801-6301 | 2007-05-02 |
| 1235240813 | North Mississippi Ambulatory Surgery Center LLC | Clinic/Center | 589 Garfield St, Tupelo, MS 38801-6301 | 2006-08-31 |
| 1881603538 | Noel K Hunt | Internal Medicine | 589 Garfield St, Suite 201, Tupelo, MS 38801-6301 | 2006-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194339275 | Friendship, LLC | Pharmacy | 4123 W Main St, Tupelo, MS 38801 | 2020-09-04 |
| 1003443458 | Nicole Sherice Taylor | Nurse Practitioner | 845 South Gloster Street, Tupelo, MS 38801 | 2020-03-25 |
| 1821556838 | Wilco Healthcare of North Mississippi, Pllc | Point of Service | 1514 Co Rd 41, Tupelo, MS 38801 | 2019-03-08 |
| 1821565235 | Stephanie K Cagle | Nurse Practitioner | 218 S Thomas St Ste 120-121, Tupelo, MS 38801 | 2018-10-24 |
| 1073092326 | Lauren Parrish | Nurse Practitioner | 1573 Medical Park Circle, Tupelo, MS 38801 | 2018-08-08 |
| 1467948687 | North Mississippi Medcial Center, Inc. | Nurse Practitioner | 990 S Madison St Ste 2, Tupelo, MS 38801 | 2018-07-11 |
| 1043700933 | Hooks Diabetes & Medicine Clinic | Non-Pharmacy Dispensing Site | 2610 Traceland Drive, Ste A, Tupelo, MS 38801 | 2018-05-16 |
| 1073035903 | Annette C Riddle | Counselor | 1004 Eisenhower Drive, Tupelo, MS 38801 | 2017-07-12 |
| 1548709678 | Jaime Summers | Nurse Practitioner | 2780 West Jackson St, Tupelo, MS 38801 | 2017-02-22 |
| 1073975611 | Heath Bryan Coleman, Dds of Mississippi II, Pllc | Dentist | 1168 Cross Creek Drive, Tupelo, MS 38801 | 2016-03-23 |
| Find all providers in zip 38801 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851786628 | Chester Warren Masterson IIi | Anesthesiology | 830 S Gloster St Dept Of, Tupelo, MS 38801-4934 | 2015-03-30 |
| 1982638110 | Bradley Gerald Womack | Anesthesiology | 830 South Gloster Street, Tupelo, MS 38801 | 2006-07-11 |
| 1558390443 | Tupelo Anesthesia Group Pa | Anesthesiology | 830 South Gloster, Tupelo, MS 38801 | 2006-07-02 |
| 1235738022 | Mississippi Anesthesia Consultants, LLC | Anesthesiology | 1211 S Gloster St Ste B, Tupelo, MS 38801-6548 | 2020-10-22 |
| 1144660135 | Peggy L Boles | Anesthesiology | 830 S Gloster St, Tupelo, MS 38801-4934 | 2013-07-05 |
| 1396009783 | David Monaghan | Anesthesiology | 830 S Gloster St, Tupelo, MS 38801-4934 | 2012-06-29 |
| 1952588998 | Richard Allen Mccluney | Anesthesiology | 830 S Gloster St, Tupelo, MS 38801-4934 | 2008-01-22 |
| 1124217567 | Molli Floyd | Anesthesiology | 830 S Gloster St, Tupelo, MS 38801-4934 | 2007-10-22 |
| 1386847465 | Clayton West Cordell IIi | Anesthesiology | 830 S Gloster St, Tupelo, MS 38801-4934 | 2007-06-07 |
| 1275749228 | Nurse Anesthesia Providers, Inc | Anesthesiology | 3353 N Gloster St, Tupelo, MS 38804-9735 | 2007-05-15 |
| Find all providers in TUPELO | ||||
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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.