CROSSGATES HMA MEDICAL GROUP, LLC (NPI# 1467715854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467715854 |
| Entity Type | Organization |
| Organization Name | CROSSGATES HMA MEDICAL GROUP, LLC |
| Other Organization Name | CROSSGATES CRITICAL CARE |
| Practice Address |
350 Crossgates Blvd Brandon MS 39042-2601 |
| Mailing Address |
5811 Pelican Bay Blvd Suite 500 Naples FL 34108-2733 |
| Practice Telephone | 6018248465 |
| Practice Fax Number | 6018248485 |
| Mailing Telephone | 2395983131 |
| Mailing Fax Number | 2395920438 |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2012-11-27 |
| Authorized Official Name | MR. MICHAEL L GINGRAS (VICE PRESIDENT) |
| Authorized Official Telephone | 2395983131 |
| Is Organization Subpart | Y |
| Parent Organization Name | HEALTH MANAGEMENT ASSOCIATES, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians | ||
| Y | 207LP3000X |
Anesthesiology Specialization: Pediatric Anesthesiology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Crossgates Critical Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386942357 | Crossgates Hma Medical Group, LLC | Pediatrics | 1020 Spillway Cir, Suite 6, Brandon, MS 39047-6035 | 2011-03-01 |
| 1942490826 | Crossgates Hma Medical Group, LLC | Surgery | 346 Crossgates Boulevard, Suite 101, Brandon, MS 39042-2608 | 2007-07-27 |
| 1568652352 | Crossgates Hma Medical Group, LLC | Hospitalist | 350 Crossgates Boulevard, Brandon, MS 39042-2601 | 2007-07-27 |
| 1770682882 | Crossgates Hma Medical Group, LLC | Family Medicine | 6455 Highway 18, Puckett, MS 39151 | 2006-09-22 |
| 1184991440 | Crossgates Hma Medical Group, LLC | Surgery | 1030 River Oaks Dr, Flowood, MS 39232-9553 | 2011-11-30 |
| 1366726408 | Crossgates Hma Medical Group, LLC | Hospitalist | 1850 Chadwick Dr, Jackson, MS 39204-3404 | 2011-10-07 |
| 1730461658 | Crossgates Hma Medical Group, LLC | Pediatrics | 1201 Highway 49 S, Suite 1, Richland, MS 39218-9425 | 2011-09-16 |
| 1972885093 | Crossgates Hma Medical Group, LLC | Family Medicine | 1201 Highway 49 S, Suite 1, Richland, MS 39218-9425 | 2011-09-14 |
| 1720396864 | Crossgates Hma Medical Group, LLC | Pediatrics | 348 Crossgates Blvd, Suite 1500, Brandon, MS 39042-2700 | 2010-09-23 |
| 1164612750 | Crossgates Hma Medical Group, LLC | Orthopaedic Surgery | 346 Crossgates Boulevard, Suite 102, Brandon, MS 39042-2608 | 2007-07-30 |
| Street Address |
350 CROSSGATES BLVD |
| City | BRANDON |
| State | MS |
| Zip Code | 39042-2601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538118724 | Andrew Spencer Anfanger | Emergency Medicine | 350 Crossgates Blvd, Brandon, MS 39042-2601 | 2006-05-08 |
| 1588284087 | Brandon Hma LLC | Clinical Medical Laboratory | 350 Crossgates Blvd, Brandon, MS 39042-2601 | 2020-04-24 |
| 1073903894 | Erin Touchstone | Registered Nurse | 350 Crossgates Blvd, Brandon, MS 39042-2601 | 2015-02-01 |
| 1447593306 | Mississippi Emergency Physician Services, LLC | Nurse Practitioner | 350 Crossgates Blvd, Brandon, MS 39042-2601 | 2013-03-29 |
| 1710240916 | Karl John Hager Jr. | Nurse Practitioner | 350 Crossgates Blvd, Brandon, MS 39042-2601 | 2012-06-21 |
| 1477820736 | Mississippi Hma Hospitalists, LLC | Hospitalist | 350 Crossgates Blvd, Brandon, MS 39042-2601 | 2011-11-30 |
| 1154608883 | Mississippi Hma Hospitalists, LLC | Hospitalist | 350 Crossgates Blvd, Brandon, MS 39042-2601 | 2011-11-09 |
| 1700178753 | River Oaks Management Company, LLC | Hospitalist | 350 Crossgates Blvd, Brandon, MS 39042-2601 | 2011-05-10 |
| 1487944617 | Corey Nathaniel Brown | Internal Medicine | 350 Crossgates Blvd, Brandon, MS 39042-2601 | 2011-04-08 |
| 1639401524 | Crossgates Hma Medical Group LLC | Nurse Practitioner | 350 Crossgates Blvd, Brandon, MS 39042-2601 | 2010-02-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740821529 | Claudia Francis Jones | Technician | 1008 Greenfield Circle, Brandon, MS 39042 | 2019-10-03 |
| 1194294546 | Allen Keith Johnson Jr. | Counselor | 1700 West Government Street Building B. Suite O., Brandon, MS 39042 | 2018-11-15 |
| 1689167462 | Regional Home Care and Infusions, Inc. | Registered Nurse | 302 Town Square, Suite 110, Brandon, MS 39042 | 2018-06-07 |
| 1013419563 | Brandon Family Chiropractic LLC | Chiropractor | 1350 West Government Street Suite A1, Brandon, MS 39042 | 2018-03-01 |
| 1184146789 | Lakeland Home Program LLC | Clinic/Center | 209 Mar Lyn Dr, Brandon, MS 39042 | 2017-07-14 |
| 1104275510 | Matthew Logue | Community Health Worker | 2009 Mossy Cove, Brandon, MS 39042 | 2016-06-07 |
| 1932569704 | Haley Wilson | Chiropractor | 1350 W Government St Ste A1, Brandon, MS 39042 | 2016-03-07 |
| 1548698608 | St Dominic Medical Associates LLC | Family Medicine | 1297 West Government Street, Brandon, MS 39042 | 2013-10-28 |
| 1760825434 | Linda J. Bridges | Respiratory Therapist, Certified | 330 Rankin Road, Brandon, UNITED STATES 39042 | 2013-04-12 |
| 1861739922 | Georgia Christine Shirley | Nurse Practitioner | 2008 Brookstone Place, Brandon, MS 39042 | 2013-01-09 |
| Find all providers in zip 39042 | ||||
| Taxonomy Code | 207LP3000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pediatric Anesthesiology |
| An anesthesiologist who has had additional skill and experience in and is primarily concerned with the anesthesia, sedation, and pain management needs of infants and children. A pediatric anesthesiologist generally provides services including the evaluation of complex medical problems in infants and children when surgery is necessary, planning and care for children before and after surgery, pain control, anesthesia and sedation for any procedures out of the operating room such as MRI, CT scan, and radiation therapy. |
| Notes: Source: American Academy of Pediatrics, www.aap.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427498849 | Forrest Campbell Duncan | Anesthesiology | 2500 N State St, Department of Surgery, Jackson, MS 39216-4500 | 2013-06-29 |
| 1982762845 | Dessislava Dimotrova Iliev | Anesthesiology | 2500 North State Street, Department of Anesthesiology, Suite S108-a, Jackson, MS 39216 | 2006-12-04 |
| 1235244245 | Madhankumar Sathyamoorthy | Anesthesiology | 2500 N State St, Univ of Mississippi Medical Center, Jackson, MS 39216-4500 | 2006-08-20 |
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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.