OCHSNER MISSISSIPPI, LLC (NPI# 1487253407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487253407 |
| Entity Type | Organization |
| Organization Name | OCHSNER MISSISSIPPI, LLC |
| Practice Address |
906 Sixth Ave Picayune MS 39466-3802 |
| Mailing Address |
149 Drinkwater Rd Bay Saint Louis MS 39520-1658 |
| Practice Telephone | 6017987529 |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2020-10-21 |
| Authorized Official Name | EDUARDO BENITEZ (DIRECTOR) |
| Authorized Official Telephone | 5044300025 |
| Is Organization Subpart | Y |
| Parent Organization Name | OCHSNER MISSISSIPPI, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | MEDICAID | 09627255 | 01 |
| Other Name | Type Code |
|---|---|
| Ochsner Health Center - West Picayune | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013533637 | Ochsner Mississippi, LLC | Internal Medicine | 111 N Cleveland Ave, Long Beach, MS 39560-4713 | 2020-06-19 |
| 1003313180 | Ochsner Mississippi, LLC | Internal Medicine | 4550 Shepherd Sq, Diamondhead, MS 39525-3325 | 2018-04-06 |
| 1619477577 | Ochsner Mississippi, LLC | Internal Medicine | 202 Drinkwater Rd, Bay St Louis, MS 39520-1638 | 2018-02-17 |
| 1821609009 | Ochsner Mississippi, LLC | Internal Medicine | 2274 Highway 43 S, Picayune, MS 39466-8141 | 2020-08-12 |
| 1265050942 | Ochsner Mississippi, LLC | Internal Medicine | 1839 Cooper Rd Ste 100, Picayune, MS 39466-2836 | 2020-07-09 |
| 1295353878 | Ochsner Mississippi, LLC | Internal Medicine | 4507 15th St, Gulfport, MS 39501-2500 | 2020-07-09 |
| 1568026425 | Ochsner Mississippi, LLC | Internal Medicine | 421 S 28th Ave Ste 110, Hattiesburg, MS 39401-7208 | 2019-04-26 |
| 1356836118 | Ochsner Mississippi, LLC | Internal Medicine | 401 Baptist Dr Ste 301, Madison, MS 39110-2012 | 2018-06-25 |
| 1972009363 | Ochsner Mississippi, LLC | Internal Medicine | 303 Marion Ave, Mccomb, MS 39648-2707 | 2018-04-04 |
| 1457857062 | Ochsner Mississippi, LLC | Internal Medicine | 309 Llewellyn Ave, Mccomb, MS 39648-2703 | 2018-04-03 |
| Street Address |
906 SIXTH AVE |
| City | PICAYUNE |
| State | MS |
| Zip Code | 39466-3802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316960867 | Roberto H Lopez-santini | Internal Medicine | 906 Sixth Ave, Picayune, MS 39466-3802 | 2006-07-25 |
| 1215439690 | Dawn Malcom | Nurse Practitioner | 906 Sixth Ave, Picayune, MS 39466-3802 | 2018-03-01 |
| 1124279922 | Forest General Dba Highland Community Hospital | Nurse Practitioner | 906 Sixth Ave, Picayune, MS 39466-3802 | 2008-10-10 |
| 1285642330 | Dewitt L Bolton | Family Medicine | 906 Sixth Ave, Picayune, MS 39466-3802 | 2006-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295270684 | Ashley Royerre Talley | Speech-Language Pathologist | 621 W Canal St, Picayune, MS 39466 | 2016-12-21 |
| 1306396213 | Kathy English | Counselor | 102 Roy St, Picayune, MS 39466 | 2016-10-04 |
| 1124379631 | Hancock Medical Health Services, Inc. | Nurse Practitioner | 23350 Highway 43, Picayune, MS 39466 | 2012-09-24 |
| 1578876280 | Joy A. Weidemann | Social Worker | 120 Street A Ste C, Picayune, MS 39466 | 2010-07-22 |
| 1407188477 | Picayune School District | Local Education Agency (LEA) | 706 Goodyear Blvd., Picayune, MS 39466 | 2010-02-02 |
| 1164751079 | Picayune School District Early Head Start | Early Intervention Provider Agency | 1620 Rosa St, Picayune, MS 39466 | 2009-12-24 |
| 1124352505 | Stephanie Deanne Farrell | Speech-Language Pathologist | 201 E. Second Street, Picayune, MS 39466 | 2009-10-01 |
| 1902084007 | Ludwick L Lohnes Dc LLC | Chiropractor | 214 Norwood Street, Picayune, MS 39466 | 2008-01-31 |
| 1932395878 | Prohealth Solutions, Inc | Occupational Therapist | 722 West Canal Street, Picayune, MS 39466 | 2007-09-24 |
| 1669677431 | Terri L Bordelon | Social Worker | 214 N Curran, Suite A, Picayune, MS 39466 | 2007-06-20 |
| Find all providers in zip 39466 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922347699 | Ivonne Fernandez | Internal Medicine | 146 Highland Pkwy Ste C, Picayune, MS 39466-5576 | 2013-01-31 |
| 1275887499 | Forrest County General Hospital | Internal Medicine | 146 Highland Parkway, Picayune, MS 39466-5574 | 2012-11-09 |
| 1780855700 | Highland Health Md, Pllc | Internal Medicine | 967 Memorial Blvd, Picayune, MS 39466-4635 | 2008-03-18 |
| 1316960867 | Roberto H Lopez-santini | Internal Medicine | 906 Sixth Ave, Picayune, MS 39466-3802 | 2006-07-25 |
| 1821609009 | Ochsner Mississippi, LLC | Internal Medicine | 2274 Highway 43 S, Picayune, MS 39466-8141 | 2020-08-12 |
| 1144384173 | Jose A Carlo | Internal Medicine | 1911 Read Rd, Picayune, MS 39466-2730 | 2006-12-21 |
| 1700983913 | Picayune Rural Health Clinic | Internal Medicine | 317 N Main St, Picayune, MS 39466-3313 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275148264 | Ludmila Nahar | Internal Medicine | 18 Windwood Cv, Flowood, MS 39232-7921 | 2020-09-15 |
| 1013533637 | Ochsner Mississippi, LLC | Internal Medicine | 111 N Cleveland Ave, Long Beach, MS 39560-4713 | 2020-06-19 |
| 1215556048 | Hannah Roberts Badon | Internal Medicine | 2450 Wild Valley Dr, Jackson, MS 39211-6224 | 2020-04-12 |
| 1649809476 | Rachel Horn Mullins | Internal Medicine | 5379 Fairway St, Jackson, MS 39211-4251 | 2020-04-03 |
| 1497391288 | Ahmad Abdali Haidar Md Pa | Internal Medicine | 200 Golf Course Dr, Carriere, MS 39426-9037 | 2019-11-27 |
| 1437711991 | Amanda L Wiltshire | Internal Medicine | 1300 Sunset Dr Ste A, Grenada, MS 38901-4081 | 2019-07-05 |
| 1447812540 | Waqaar Ahmed Arshad | Internal Medicine | 3226 Kendrick Rd Apt 14, Corinth, MS 38834-9207 | 2019-06-28 |
| 1023675048 | Fitvisits LLC | Internal Medicine | 731 S Pear Orchard Rd Ste 16, Ridgeland, MS 39157-4800 | 2019-05-24 |
| 1629542832 | Internal Medicine Primary Care Pa | Internal Medicine | 140 Daughdrill Sta, Flowood, MS 39232-8406 | 2019-01-22 |
| 1003313180 | Ochsner Mississippi, LLC | Internal Medicine | 4550 Shepherd Sq, Diamondhead, MS 39525-3325 | 2018-04-06 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on OCHSNER MISSISSIPPI, 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.