FRANK EUGENE DEMENT III (NPI# 1366686354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366686354 |
| Entity Type | Individual |
| Full Name | FRANK EUGENE DEMENT III |
| Credential | MD |
| Practice Address |
2313 Highway 15 N Laurel MS 39440-1805 |
| Practice Telephone | 6016492775 |
| Practice Fax Number | 6016492686 |
| Mailing Telephone | 6016492775 |
| Mailing Fax Number | 6016492686 |
| Enumeration Date | 2009-04-22 |
| Last Update Date | 2009-09-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 05102 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | AETNA | 5405398 | 01 |
| MS | HEALTHSPRING | 6026209 | 01 |
| MS | 06438003 | 05 | |
| MS | CIGNA | 6635899 | 01 |
| Street Address |
2313 HIGHWAY 15 N |
| City | LAUREL |
| State | MS |
| Zip Code | 39440-1805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427095579 | Chrystal A Sumrall | Family Medicine | 2313 Highway 15 N, Laurel, MS 39440-1805 | 2006-05-31 |
| 1992058556 | Dylan Paul Wagner | Physician Assistant | 2313 Highway 15 N, Laurel, MS 39440-1805 | 2012-10-19 |
| 1477864585 | Charles Erickson Probst | Family Medicine | 2313 Highway 15 N, Laurel, MS 39440-1805 | 2010-06-24 |
| 1659508612 | Deborah Darlene Stonefield | Nurse Practitioner | 2313 Highway 15 N, Laurel, MS 39440-1805 | 2009-06-17 |
| 1316047657 | Hattiesburg Clinic Pa | Family Medicine | 2313 Highway 15 N, Laurel, MS 39440-1805 | 2006-09-25 |
| 1952414583 | Larry T Holifield | Family Medicine | 2313 Highway 15 N, Laurel, MS 39440-1805 | 2006-08-17 |
| 1861417065 | Roger T Lott | Family Medicine | 2313 Highway 15 N, Laurel, MS 39440-1805 | 2006-07-12 |
| 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 Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| 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. |
| 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 | ||||
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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.