SOUTHERN EYE SURGERY CENTER LLC (NPI# 1417112277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417112277 |
| Entity Type | Organization |
| Organization Name | SOUTHERN EYE SURGERY CENTER LLC |
| Other Organization Name | ANESTHESIA |
| Practice Address |
1420 S 28th Ave Hattiesburg MS 39402-3107 |
| Practice Telephone | 6012643937 |
| Mailing Telephone | 6012643937 |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2008-08-25 |
| Authorized Official Name | LYNN B MCMAHAN (MANAGING MEMBER/PRESIDENT) |
| Authorized Official Telephone | 6017050078 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
010 | MS | Ambulatory Health Care Facilities |
| Y | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | MEDICARE PTAN | 512G700151 | 01 |
| Other Name | Type Code |
|---|---|
| Anesthesia | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073791158 | Southern Eye Surgery Center LLC | Clinic/Center | 1420 S 28th Ave, Hattiesburg, MS 39402-3107 | 2008-01-31 |
| Street Address |
1420 S 28TH AVE |
| City | HATTIESBURG |
| State | MS |
| Zip Code | 39402-3107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669475695 | Lynn Bryce Mcmahan | Ophthalmology | 1420 S 28th Ave, Hattiesburg, MS 39402-3107 | 2005-05-23 |
| 1124494109 | Amy Grubbs, Np-c, Pllc | Nurse Practitioner | 1420 S 28th Ave, Hattiesburg, MS 39402-3107 | 2015-08-13 |
| 1811144348 | Southern Eye Center P.a. II | Clinic/Center | 1420 S 28th Ave, Hattiesburg, MS 39402-3107 | 2008-08-27 |
| 1073791158 | Southern Eye Surgery Center LLC | Clinic/Center | 1420 S 28th Ave, Hattiesburg, MS 39402-3107 | 2008-01-31 |
| 1235316266 | Southern Eye Physicians Center, LLC | Ophthalmology | 1420 S 28th Ave, Hattiesburg, MS 39402-3107 | 2008-01-22 |
| 1376725259 | Southern Eye Center P.a. II | Ophthalmology | 1420 S 28th Ave, Hattiesburg, MS 39402-3107 | 2007-12-03 |
| 1518097815 | Cameron S Griffith | Ophthalmology | 1420 S 28th Ave, Hattiesburg, MS 39402-3107 | 2007-03-06 |
| 1265435010 | Southern Eye Center P.a. II | Clinic/Center | 1420 S 28th Ave, Hattiesburg, MS 39402-3107 | 2005-05-24 |
| 1548263312 | Kiper Cecil Nelson | Ophthalmology | 1420 S 28th Ave, Hattiesburg, MS 39402-3107 | 2005-05-24 |
| 1932102951 | Jaime Jimenez Agosto | Ophthalmology | 1420 S 28th Ave, Hattiesburg, MS 39402-3107 | 2005-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518572965 | Resilient Therapy and Solutions, Pllc | Clinic/Center | 5266 Old Hwy 11 Ste 50, #308, Hattiesburg, MS 39402 | 2020-09-12 |
| 1932710225 | Jones County Medical Supplies, Inc | Durable Medical Equipment & Medical Supplies | 6424 Hwy 98 West, Suite 20, Hattiesburg, MS 39402 | 2020-08-11 |
| 1467086736 | Elizabeth A. Perry | Technician | 1220 Marrie St, Hattiesburg, MS 39402 | 2020-02-26 |
| 1225678063 | Connor Gregory Galloway | Physical Therapist | 3688 Veteran Memorial Drive, Hattiesburg, MS 39402 | 2020-01-09 |
| 1487291456 | Megan Marie Smith | Social Worker | 11 Woodstone Plaza, Hattiesburg, MS 39402 | 2019-12-09 |
| 1821656612 | Julie Covington Mcmahan | Dentist | 100 Madison Plaza, Hattiesburg, MS 39402 | 2019-06-05 |
| 1295392074 | Hattiesburg Clinic, Pa | Preventive Medicine | 6414 Highway 98, Suite 120, Hattiesburg, MS 39402 | 2019-05-28 |
| 1760945356 | Rachandeep Chahal | Student in an Organized Health Care Education/Training Program | 5001 Hardy Street Merit Health Wesley, Hattiesburg, MS 39402 | 2019-04-10 |
| 1386101137 | Courtney L Smith | Behavior Technician | 32 Millbanch Road, Suite 40, Hattiesburg, MS 39402 | 2019-02-28 |
| 1891269940 | Amanda Laine Mcarthur-macisaac | Registered Nurse | 5909 Highway 49 South, Suite 30, Hattiesburg, MS 39402 | 2019-01-11 |
| Find all providers in zip 39402 | ||||
| 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 |
|---|---|---|---|---|
| 1700296050 | James House Jr. | Anesthesiology | 810 Monterrey Ln, Hattiesburg, MS 39402-2437 | 2014-05-07 |
| 1760774095 | Magnolia Fireflies, LLC | Anesthesiology | 15 Saint Augustine Ave, Hattiesburg, MS 39402-6609 | 2011-05-04 |
| 1154431963 | Charles Hardy Henderson | Anesthesiology | 111 Candlewick Rd, Hattiesburg, MS 39402-3010 | 2006-08-30 |
| 1518990266 | Robin H Schwartz | Anesthesiology | 139 Fairfield Dr, Hattiesburg, MS 39402-1303 | 2006-07-08 |
| 1023420478 | Kristen Sicard Spruill | Anesthesiology | 415 S 28th Ave, Hattiesburg, MS 39401 | 2014-05-20 |
| 1932543816 | Timothy Andrew Torres | Anesthesiology | 415 S 28th Ave, Hattiesburg, MS 39401-7246 | 2013-04-23 |
| 1174887319 | David Motanya | Anesthesiology | 415 S 28th Ave, Hattiesburg, MS 39401-7246 | 2012-07-03 |
| 1285923144 | Robin H. Schwartz, M.d., P.a. | Anesthesiology | 139 Fairfield Dr, Hattiesburg, MS 39402-1303 | 2011-03-31 |
| 1497960264 | Christopher Painter | Anesthesiology | 415 S 28th Ave, Hattiesburg, MS 39401-7246 | 2007-05-14 |
| 1265564041 | Hattiesburg Anesthesia Associates, LLC | Anesthesiology | 5001 Hardy St, Hattiesburg, MS 39402-1308 | 2007-03-09 |
| Find all providers in HATTIESBURG | ||||
| City | HATTIESBURG |
| Zip Code | 39402 |
Please comment or provide details below to improve the information on SOUTHERN EYE SURGERY CENTER LLC.
| 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.