DR. BERNARD G. DE ASIS


Address: 117 South 11th Avenue, Laurel, MS 39440
Phone: 6014253033

DR. BERNARD G. DE ASIS (NPI# 1275539017) 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) 1275539017
Entity Type Individual
Full Name DR. BERNARD G. DE ASIS
Credential M.D.
Practice Address 117 South 11th Avenue
Laurel
MS 39440
Mailing Address P.o. Box 4361
Laurel
MS 39441-4361
Practice Telephone 6014253033
Practice Fax Number 6014220431
Mailing Telephone 6014253033
Mailing Fax Number 6014220431
Enumeration Date 2005-06-27
Last Update Date 2016-01-06
NPI Deactivation Date 07/17/2007
NPI Reactivation Date 2008-01-18
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 173000000X Legal Medicine 017249 MS Other Service Providers
Y 208000000X Pediatrics 17249 MS Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MS 00124990 05

Office Location

Street Address 117 SOUTH 11TH AVENUE
City LAUREL
State MS
Zip Code 39440

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831447028 Bonita Nicole Jaynes Dietitian, Registered 117 South 11th Avenue, Laurel, MS 39440-4312 2012-08-21
1891925616 Coleman Henley Jr. Internal Medicine 117 South 11th Avenue, Laurel, MS 39440-2914 2009-07-15
1518159391 Burgese Keki Turel Clinic/Center 117 South 11th Avenue, Laurel, MS 39440 2007-08-15
1760488357 Family Health Center, Inc Clinic/Center 117 South 11th Avenue, Laurel, MS 39441-4361 2005-06-28
1982600730 Sudhir Narayan Pujari Pediatrics 117 South 11th Avenue, Laurel, MS 39440 2005-06-27
1831195593 Ronald A. Henry Pharmacist 117 South 11th Avenue, Laurel, MS 39440-4312 2005-06-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306323159 Tender Loving Care Homecare LLC Homemaker 509 Central Ave Ste 224, Laurel, MS 39440 2018-07-24
1669837910 Laurel Dental Properties Dentist 1925 Pine Belt Drive, Laurel, MS 39440 2015-12-30
1215282991 South Central Regional Medical Center Clinic/Center 525 Wayne Drive, Laurel, MS 39440 2012-07-18
1568721215 Terry Ratcliff Perkins Counselor 5192 Hwy 11 North, Laurel, MS 39440 2012-05-15
1437453057 Alexander Milne Home for Women Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 616 East 19th Street, Laurel, MS 39440 2010-12-23
1710135629 Jeffrey R. Moffett Nurse Practitioner 3115 Audubon Dr, Laurel, MS 39440 2008-09-04
1003096785 Family Health Center, Inc Obstetrics & Gynecology 103 S. 12th Avenue, Laurel, MS 39440 2007-11-09
1669672143 Laurel Urology Clinic Pa Urology 304 S 10th Ave, Laurel, MS 39440 2007-07-23
1093912370 Tanweer Hussain Majid Surgery 1007 Jefferson Street, Laurel, MS 39440 2007-06-29
1780889923 Hattiesburg Eye Clinic, Pa Ophthalmology 1431 North 10th St, Suite 1, Laurel, MS 39440 2007-06-18
Find all providers in zip 39440

Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992276430 Sujata Qasba, Md Pediatrics 3450 Fort Meade Rd Ste 107, Laurel, MD 20724-2040 2018-12-10
1750632477 Park Place Primary Care LLC Pediatrics 601 7th St, Suite 204, Laurel, MD 20707-4003 2012-09-20
1720244890 Suman Sharma Duvedi Pediatrics 11200 Scaggsville Rd Ste 120, Laurel, MD 20723-2024 2008-07-29
1992800379 Elliot Stephen Gersh Pediatrics 13922 Baltimore Ave, 4a Childrens National Medical Center, Laurel, MD 20707 2006-09-13
1871501882 Jhansi Rani Ganesan Pediatrics 8355 Cherry Lane, Laurel, MD 20707 2006-08-04
1326056730 Hiro T Huang Pediatrics 8357 Cherry Ln, Laurel, MD 20707-4829 2006-08-03
1497775324 Umesh C Mullick Pediatrics 7350 Van Dusen Road, # 390, Laurel, MD 20707-5264 2006-07-21
1609816768 Stacy Denise Scott-mckinney Pediatrics 13900 Laurel Lakes Avenue, Suite 240, Laurel, MD 20707-5046 2006-06-07
1003862475 Nitin Mohan Chopde Pediatrics 13976 Baltimore Ave, Laurel, MD 20707 2006-05-26
1649267352 Gabriel O. Obiadi Pediatrics 601 7th St Ste 204, Laurel, MD 20707-4011 2005-09-29
Find all providers in LAUREL

Competitor

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City LAUREL
Zip Code 39440

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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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