MR. BURGESE KEKI TUREL


Address: 117 South 11th Avenue, Laurel, MS 39440
Phone: 6014253033

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QC1500X Clinic/Center
Specialization: Community Health
19927 MS Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MS 04028766 05

Office Location

Street Address 117 SOUTH 11TH AVENUE
City LAUREL
State MS
Zip Code 39440

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QC1500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Community Health

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1629606603 Tower Behavioral Services, LLC. Clinic/Center 8101 Sandy Spring Rd, Laurel, MD 20707-3596 2020-03-27

Providers in the same taxonomy and state

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1548720568 First Choice Family Healthcare Clinic Pllc Clinic/Center 119 S Oak Ste 2, Raymond, MS 39154-4205 2019-03-25
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
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Competitor

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City LAUREL
Zip Code 39440

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Dataset Information

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.

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