MISSISSIPPI SURGICAL SPECIALTIES CENTER PA (NPI# 1346211976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346211976 |
| Entity Type | Organization |
| Organization Name | MISSISSIPPI SURGICAL SPECIALTIES CENTER PA |
| Practice Address |
1401 River Road Greenwood MS 38930-1410 |
| Mailing Address |
Po Box 10117 Greenwood MS 38930-0117 |
| Practice Telephone | 6624539305 |
| Practice Fax Number | 6624515157 |
| Mailing Telephone | 6624539305 |
| Mailing Fax Number | 6624515157 |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2010-07-09 |
| Authorized Official Name | ANNIE SMITH (SUPERVISOR) |
| Authorized Official Telephone | 6624539305 |
| Authorized Official Credential | CCS-P, CCA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 03952 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00018589 | 05 |
| Street Address |
1401 RIVER ROAD |
| City | GREENWOOD |
| State | MS |
| Zip Code | 38930-1410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265452486 | Marsha G Lucas | Pathology | 1401 River Road, Greenwood, MS 38930 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447871579 | Stewart Health Care Training Academy | Home Health Aide | 522 West Park Avenue Suite S, Greenwood, MS 38930 | 2020-04-29 |
| 1801386487 | Sunflower-humphreys Counties Progress, Inc. | Case Management | 414 Martin Luther King Dr, Indianola, MS 38930 | 2018-05-18 |
| 1053826610 | Sarah Malone | Counselor | 2504 Browing Road, Greenwood, MS 38930 | 2017-12-05 |
| 1780109850 | Jasmine Turner Edwards | Pharmacist | 2202 Us 82 W Frontage Rd, Greenwood, MS 38930 | 2017-08-09 |
| 1861916199 | Maurice Wright | Social Worker | 522 West Park Avenue, Suite Q-r, Greenwood, MS 38930 | 2017-07-28 |
| 1215464607 | Catherine Johnson | Counselor | 522 West Park Avenue, Greenwood, MS 38930 | 2017-05-16 |
| 1598205262 | Vignesh Kannan | Internal Medicine | Greenwood Leflore Hospital, 1401 River Rd, Greenwood, MS 38930 | 2017-03-01 |
| 1952847691 | Mischa Mccray | Counselor | 804 E Park Ave, Greenwood, MS 38930 | 2017-01-18 |
| 1760933147 | Ginger Caldero | Social Worker | 522 West Park Ave, Greenwood, MS 38930 | 2016-10-20 |
| 1942750617 | Greenwood Leflore Hospital | Psychiatry & Neurology | 1401 River Rd Rm 534, Greenwood, MS 38930 | 2016-10-06 |
| Find all providers in zip 38930 | ||||
| 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 |
|---|---|---|---|---|
| 1568912228 | Capel Surgical Clinic, LLC | Surgery | 406 E. Washington St., Greenwood, MS 38930 | 2016-10-06 |
| 1891189171 | Werner Heinrich Henning | Surgery | 1230 Colinbrook Cir, Greenwood, IN 46143-3608 | 2015-03-24 |
| 1457685570 | Self Medical Group | Surgery | 160 Academy Avenue, Greenwood, SC 29646-3808 | 2009-09-22 |
| 1982836847 | Self Medical Group | Surgery | 1325 Spring Street, Greenwood, SC 29646-3860 | 2009-08-11 |
| 1114161817 | Community Hospitals of Indiana Inc | Surgery | 533 E County Line Road, Suite 101, Greenwood, IN 46143-1074 | 2009-04-24 |
| 1558380477 | Douglas Edward Bowden | Surgery | 501 W Washington St, Greenwood, MS 38930-4237 | 2006-07-19 |
| 1629009956 | Stephen J O'neil | Surgery | 701 East County Line Road, Suite 201, Greenwood, IN 46143-1071 | 2006-07-05 |
| 1598794364 | Edward Joseph Rapp II | Surgery | 105 Vinecrest Ct, Ste 500, Greenwood, SC 29646-8031 | 2006-07-02 |
| 1114956919 | Premier Surgical Services, Pa | Surgery | 105 Vine Crest Ct, Ste 500, Greenwood, SC 29646-8031 | 2006-07-02 |
| 1578522934 | Raymond Girnys | Surgery | 302 8th St, Greenwood, MS 38930-4014 | 2006-03-22 |
| Find all providers in GREENWOOD | ||||
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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.