MR. BURGESE KEKI TUREL (NPI# 1518159391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518159391 |
Entity Type | Individual |
Full Name | MR. BURGESE KEKI TUREL |
Credential | MD |
Practice Address |
117 South 11th Avenue Laurel MS 39440 |
Mailing Address |
P.o. Box 4361 Laurel MS 39441-4361 |
Practice Telephone | 6014253033 |
Practice Fax Number | 6014220431 |
Mailing Telephone | 6014253033 |
Mailing Fax Number | 6014220431 |
Enumeration Date | 2007-08-15 |
Last Update Date | 2016-09-19 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
19927 | MS | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | 04028766 | 05 |
Street Address |
117 SOUTH 11TH AVENUE |
City | LAUREL |
State | MS |
Zip Code | 39440 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275539017 | Bernard G. De Asis | Legal Medicine | 117 South 11th Avenue, Laurel, MS 39440 | 2005-06-27 |
1831447028 | Bonita Nicole Jaynes | Dietitian, Registered | 117 South 11th Avenue, Laurel, MS 39440-4312 | 2012-08-21 |
1891925616 | Coleman Henley Jr. | Internal Medicine | 117 South 11th Avenue, Laurel, MS 39440-2914 | 2009-07-15 |
1760488357 | Family Health Center, Inc | Clinic/Center | 117 South 11th Avenue, Laurel, MS 39441-4361 | 2005-06-28 |
1982600730 | Sudhir Narayan Pujari | Pediatrics | 117 South 11th Avenue, Laurel, MS 39440 | 2005-06-27 |
1831195593 | Ronald A. Henry | Pharmacist | 117 South 11th Avenue, Laurel, MS 39440-4312 | 2005-06-27 |
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 | 261QC1500X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Community Health |
Definition to come... |
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1801318290 | Mississippi Enjoy Breastfeeding Shalom Resource Center | Clinic/Center | 343 Smith Street, Canton, MS 39046 | 2017-07-07 |
1033455852 | Global Treatment Clinic of Jackson LLC | Clinic/Center | 2460 Terry Rd, Suite 800, Jackson, MS 39204-5767 | 2012-12-26 |
1568628980 | Mall Services, LLC | Clinic/Center | 2050 Martin Luther King Jr Dr, Jackson, MS 39203-1030 | 2008-08-05 |
1841456472 | Mall Services, LLC | Clinic/Center | 1066 Wiggins Road, Jackson, MS 39209 | 2008-08-04 |
1144407420 | Southwest Health Agency for Rural People, Inc | Clinic/Center | 501 Eagle Day Ave, Columbia, MS 39429-3605 | 2008-01-29 |
1740310549 | Julia Street Clinic, Inc. | Clinic/Center | 102 Julia Street, Isola, MS 38754 | 2007-03-07 |
1932219524 | Access Family Health Services, Inc. | Clinic/Center | 60024 Olive St, Smithville, MS 38870-9719 | 2006-08-30 |
1730299827 | Access Family Health Services, Inc. | Clinic/Center | 12725 Highway 23 North, Tremont, MS 38876 | 2006-08-30 |
1033107289 | Coastal Family Health Center Inc | Clinic/Center | 15024 Martin Luther King Jr Blvd, Gulfport, MS 39501-8306 | 2005-10-12 |
Find all providers with the same taxonomy |
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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.