BURNETT HANSON MD PLLC (NPI# 1609074889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609074889 |
| Entity Type | Organization |
| Organization Name | BURNETT HANSON MD PLLC |
| Practice Address |
1501 Aston Ave Mccomb MS 39648-2734 |
| Mailing Address |
P Box 95305 Grapevine TX 76099-9734 |
| Practice Telephone | 7704291411 |
| Practice Fax Number | 7704291951 |
| Mailing Telephone | 7704291411 |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2014-03-19 |
| Authorized Official Name | DR. BURNETT HANSON (PRESIDENT) |
| Authorized Official Telephone | 7704291411 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 18348 | MS | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | RAILROAD MEDICARE | DB0903 | 01 |
| Street Address |
1501 ASTON AVE |
| City | MCCOMB |
| State | MS |
| Zip Code | 39648-2734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730292798 | Burnett Hanson | Radiology | 1501 Aston Ave, Mccomb, MS 39648-2734 | 2006-08-16 |
| 1750756367 | Mary Christina Boyte | Nurse Practitioner | 1501 Aston Ave, Mccomb, MS 39648-2734 | 2015-12-08 |
| 1467700666 | Southwest Mississippi Regional Medical Center | General Acute Care Hospital | 1501 Aston Ave, Mccomb, MS 39648-2734 | 2012-08-17 |
| 1689850620 | Ronald Dwayne Delrie Jr. | Internal Medicine | 1501 Aston Ave, Mccomb, MS 39648-2734 | 2008-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952910366 | Ct Stamps Inc | Pharmacy | 206 Marion Avenue, Mccomb, MS 39648 | 2020-07-31 |
| 1952910457 | Fresenius Medical Care East Mccomb Dialysis, LLC | Clinic/Center | 103 Business Center Drive, Mccomb, MS 39648 | 2020-07-30 |
| 1902423312 | Joseph Edward Mingo II | Counselor | 513 Lee St, Mccomb, MS 39648 | 2020-07-01 |
| 1427608769 | Benda Truvillion | Technician | 2128 Park Dr. Ext., Mccomb, MS 39648 | 2019-09-18 |
| 1295228187 | Edna Ruth Winston | Counselor | Sw Ms Mental Health Complex, 1701 White St, Mccomb, MS 39648 | 2018-06-14 |
| 1386153450 | Sholitha Nunnery | Counselor | 502 North Cherry Street, Mccomb, MS 39648 | 2017-09-21 |
| 1548600612 | Jordan Harrington | Nurse Practitioner | 303 Marion Ave., Mccomb, MS 39648 | 2013-07-03 |
| 1891096236 | Zwound Care | Family Medicine | 1126 Country Club Road, Mccomb, MS 39648 | 2010-11-16 |
| 1588891717 | Kelly Edmondson | Physical Therapy Assistant | 1301a Harrison Ave, Mccomb, MS 39648 | 2009-06-15 |
| 1962647651 | Gwendolyn Michelle Brown | Home Health Aide | 1114 1/2 Venable St., Mccomb, MS 39648 | 2008-12-09 |
| Find all providers in zip 39648 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073600409 | Mccomb Urology Clinic, P.a. | Specialist | 300 Rawls Dr Ste 1000, Mccomb, MS 39648-2861 | 2006-10-06 |
| 1891805347 | David B Remley | Specialist | 205 Marion Ave, Mccomb, MS 39648-2705 | 2006-08-30 |
| 1780676098 | William L Duncan Jr. | Specialist | 1015 Delaware Ave, Suite B, Mccomb, MS 39648-3827 | 2005-08-22 |
| 1578955837 | Pamela Dixon | Specialist | 1701 White St, Mccomb, MS 39648-2711 | 2015-02-24 |
| 1578719225 | Orthopaedic Clinics of Sw Mississippi Pa | Specialist | 300 Rawls Dr, Medical Arts Building Suite 400, Mccomb, MS 39648-2877 | 2008-08-13 |
| 1730367574 | Benjamin Simo | Specialist | 300 Rawls Dr, Suite 1000, Mccomb, MS 39648-2877 | 2008-02-04 |
| 1912017468 | Dawn M Sumrall | Specialist | 205 Marion Ave, Mccomb, MS 39648-2705 | 2006-08-30 |
| 1952411217 | Mccomb Og-gyn Associated | Specialist | 205 Marion Ave, Mccomb, MS 39648-2705 | 2006-08-30 |
| 1245340587 | James A Nobles | Specialist | 1015 Delaware Ave Ste B, Mccomb, MS 39648-3827 | 2006-08-30 |
| 1346298049 | Milton D Concannon | Specialist | 303 Marion Ave, Mccomb, MS 39648-2707 | 2006-05-04 |
| Find all providers in MCCOMB | ||||
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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.