WILLIAM TRAVIS AVARA III (NPI# 1326062969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326062969 |
| Entity Type | Individual |
| Full Name | WILLIAM TRAVIS AVARA III |
| Credential | MD |
| Practice Address |
2525 Telephone Rd Pascagoula MS 39567 |
| Practice Telephone | 2287624483 |
| Practice Fax Number | 2287690406 |
| Mailing Telephone | 2287624483 |
| Mailing Fax Number | 2287690406 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2015-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 09935 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00115538 | 05 | |
| MS | RAILROAD MEDICARE | D20018482 | 01 |
| Street Address |
2525 TELEPHONE RD |
| City | PASCAGOULA |
| State | MS |
| Zip Code | 39567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174583496 | David Milton Jenkins | Surgery | 2525 Telephone Rd, Pascagoula, MS 39567-3202 | 2006-03-23 |
| 1649871682 | Katherine Rae Herndon | Physician Assistant | 2525 Telephone Rd, Pascagoula, MS 39567-3202 | 2020-11-05 |
| 1295382828 | Lashaunda Whitley | Nurse Practitioner | 2525 Telephone Rd, Pascagoula, MS 39567-3202 | 2019-08-19 |
| 1083124143 | Alejandra Diaz | Physician Assistant | 2525 Telephone Rd, Pascagoula, MS 39567-3202 | 2017-10-03 |
| 1366989253 | Anna Kahlmus | Nurse Practitioner | 2525 Telephone Rd, Pascagoula, MS 39567-3202 | 2017-01-30 |
| 1942747266 | Maggie Emerson Duke | Nurse Practitioner | 2525 Telephone Rd, Pascagoula, MS 39567-3202 | 2017-01-24 |
| 1629514286 | Tracie George | Nurse Practitioner | 2525 Telephone Rd, Pascagoula, MS 39567-3202 | 2017-01-06 |
| 1235473950 | South Mississippi Urology Pllc | Urology | 2525 Telephone Rd, Pascagoula, MS 39567-3202 | 2012-11-19 |
| 1477723252 | Jason Payne | Surgery | 2525 Telephone Rd, Pascagoula, MS 39567-3202 | 2008-03-07 |
| 1528249554 | Jeremy J Simpler | Surgery | 2525 Telephone Rd, Pascagoula, MS 39567-3202 | 2007-11-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316439615 | Quad/med, LLC | Clinic/Center | 1000 Jere St. Pe' Hwy, C/o Ingalls Main Substation, 1st Floor, Pascagoula, MS 39567 | 2018-06-01 |
| 1477948107 | Market Place Pharmacy, LLC | Pharmacy | 1965 Market Street, Pascagoula, MS 39567 | 2015-03-31 |
| 1518382266 | Randy S Kirksey | Social Worker | 1017 Farnworth Ave, Pascagoula, MS 39567 | 2014-03-04 |
| 1063710747 | Hinman Chiropractic Care, Pa | Chiropractor | 3215 Market Street, Pascagoula, MS 39567 | 2011-03-04 |
| 1215232830 | Jessica E Shores | Military Health Care Provider | 1000 Access Rd Bldg 2026, Pascagoula, MS 39567 | 2011-01-12 |
| 1912214438 | Walker Chiropractic Center, Pllc | Chiropractor | 1408 Ingalls Ave, Pascagoula, MS 39567 | 2010-09-03 |
| 1386979961 | South Mississippi Ear, Nose and Throat | Otolaryngology | 2525 Telephone Road, Pascagoula, MS 39567 | 2009-10-15 |
| 1720299415 | James H Halbrook | Dentist | 2202 Old Mobile Hwy, Pascagoula, MS 39567 | 2007-05-24 |
| 1871624627 | Thayne Christopher Griener | Otolaryngology | 2812 Andrews Avenue, Pascagoula, MS 39567 | 2007-03-07 |
| 1447318159 | Ada Ruth Bosarge | Physical Therapist | 2838 Andrew St, Pascagoula, MS 39567 | 2006-12-05 |
| Find all providers in zip 39567 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750725875 | Dewey H Lane Jr. | Surgery | 611 Lakeview Dr, Pascagoula, MS 39567-7226 | 2013-04-19 |
| 1174583496 | David Milton Jenkins | Surgery | 2525 Telephone Rd, Pascagoula, MS 39567-3202 | 2006-03-23 |
| 1477723252 | Jason Payne | Surgery | 2525 Telephone Rd, Pascagoula, MS 39567-3202 | 2008-03-07 |
| 1528249554 | Jeremy J Simpler | Surgery | 2525 Telephone Rd, Pascagoula, MS 39567-3202 | 2007-11-19 |
| 1114126042 | Nicholas John Fayard | Surgery | 2525 Telephone Rd, Pascagoula, MS 39567-3202 | 2007-07-11 |
| 1427063791 | John Doyle Bailey | Surgery | 2525 Telephone Rd, Pascagoula, MS 39567 | 2006-07-29 |
| 1902820525 | Edward I Dvorak | Surgery | 2525 Telephone Rd, Pascagoula, MS 39567 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528669041 | North Mississippi Medical Center Inc | Surgery | 499 S Gloster St Ste E, Tupelo, MS 38801-5539 | 2020-11-02 |
| 1285234104 | North Mississippi Medical Center, Inc. | Surgery | 499 Gloster Creek Vlg Ste S-3, Tupelo, MS 38801-4600 | 2020-10-29 |
| 1700344066 | Southwest Mississippi Regional Medical Center | Surgery | 1065 E Broad St., Monticello, MS 39654 | 2019-03-06 |
| 1740798503 | Cld Medical Enterprises Pllc | Surgery | 212 Draperton Ct Ste A, Ridgeland, MS 39157-3905 | 2018-01-15 |
| 1568912228 | Capel Surgical Clinic, LLC | Surgery | 406 E. Washington St., Greenwood, MS 38930 | 2016-10-06 |
| 1245610872 | Zachary Austin Masters | Surgery | 301 Fisher Street, Rm 5a127, Keesler Air Force Base, MS 39534 | 2015-06-09 |
| 1629477526 | Berry Enterprises LLC | Surgery | 756 Luckney Rd, Brandon, MS 39042-8703 | 2014-08-15 |
| 1649687906 | Almaz Kurbanov | Surgery | 1127 Earl Frye Blvd Ste B, Amory, MS 38821-5516 | 2014-07-18 |
| 1184036279 | Hope Burkett | Surgery | 147 Reynoir Street 201, Biloxi, MS 39530-9020 | 2014-05-23 |
| 1235568916 | Thomas Keener Billups Sr. | Surgery | 1929 Allyson Dr, Tupelo, MS 38804-1045 | 2013-11-04 |
| Find all providers with the same taxonomy | ||||
| City | PASCAGOULA |
| Zip Code | 39567 |
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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.