SOUTH MISSISSIPPI INTRAOPERATIVE MONITORING, LLC (NPI# 1619068723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619068723 |
| Entity Type | Organization |
| Organization Name | SOUTH MISSISSIPPI INTRAOPERATIVE MONITORING, LLC |
| Practice Address |
101 Asbury Cir Hattiesburg MS 39402-1302 |
| Practice Telephone | 6014508000 |
| Practice Fax Number | 6014508009 |
| Mailing Telephone | 6014508000 |
| Mailing Fax Number | 6014508009 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KURT F BRUCHMEIER (DOCTOR) |
| Authorized Official Telephone | 6012685200 |
| Authorized Official Credential | M D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 173000000X | Legal Medicine | 09945 | MS | Other Service Providers |
| Street Address |
101 ASBURY CIR |
| City | HATTIESBURG |
| State | MS |
| Zip Code | 39402-1302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083610117 | Kurt F. Bruckmeier | Internal Medicine | 101 Asbury Cir, Hattiesburg, MS 39402-1302 | 2005-06-23 |
| 1124069521 | Sivarama Kotikalapudi | Internal Medicine | 101 Asbury Cir, Hattiesburg, MS 39402-1302 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518572965 | Resilient Therapy and Solutions, Pllc | Clinic/Center | 5266 Old Hwy 11 Ste 50, #308, Hattiesburg, MS 39402 | 2020-09-12 |
| 1932710225 | Jones County Medical Supplies, Inc | Durable Medical Equipment & Medical Supplies | 6424 Hwy 98 West, Suite 20, Hattiesburg, MS 39402 | 2020-08-11 |
| 1467086736 | Elizabeth A. Perry | Technician | 1220 Marrie St, Hattiesburg, MS 39402 | 2020-02-26 |
| 1225678063 | Connor Gregory Galloway | Physical Therapist | 3688 Veteran Memorial Drive, Hattiesburg, MS 39402 | 2020-01-09 |
| 1487291456 | Megan Marie Smith | Social Worker | 11 Woodstone Plaza, Hattiesburg, MS 39402 | 2019-12-09 |
| 1821656612 | Julie Covington Mcmahan | Dentist | 100 Madison Plaza, Hattiesburg, MS 39402 | 2019-06-05 |
| 1295392074 | Hattiesburg Clinic, Pa | Preventive Medicine | 6414 Highway 98, Suite 120, Hattiesburg, MS 39402 | 2019-05-28 |
| 1760945356 | Rachandeep Chahal | Student in an Organized Health Care Education/Training Program | 5001 Hardy Street Merit Health Wesley, Hattiesburg, MS 39402 | 2019-04-10 |
| 1386101137 | Courtney L Smith | Behavior Technician | 32 Millbanch Road, Suite 40, Hattiesburg, MS 39402 | 2019-02-28 |
| 1891269940 | Amanda Laine Mcarthur-macisaac | Registered Nurse | 5909 Highway 49 South, Suite 30, Hattiesburg, MS 39402 | 2019-01-11 |
| Find all providers in zip 39402 | ||||
| Taxonomy Code | 173000000X |
| Grouping | Other Service Providers |
| Classification | Legal Medicine |
| The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285915686 | William Edward Bowlus | Legal Medicine | 24 Wimbledon Dr, Jackson, MS 39211-2443 | 2011-08-30 |
| 1215193933 | The Clinic At Elm Lake, P.a. | Legal Medicine | 3700 N Frontage Rd, Columbus, MS 39701 | 2008-08-01 |
| 1548315203 | Guardian Angel Healthcare II, Inc. | Legal Medicine | 347 Magnolia Dr, Raleigh, MS 39153-6011 | 2007-01-24 |
| 1659466563 | Mid Delta Family Practice Clinic | Legal Medicine | 403 S Davis Ave, Cleveland, MS 38732-3411 | 2006-10-04 |
| 1952497422 | Charles H Williams | Legal Medicine | 1000 Lakeland Square Ext., Suite 800, Flowood, MS 39232-7649 | 2006-10-04 |
| 1770596918 | Jessie R Taylor | Legal Medicine | 1423 Palmetto Road, Verona, MS 38879 | 2006-08-15 |
| 1538170683 | Shanti Pandey | Legal Medicine | 821 Main St, Fayette, MS 39069-0008 | 2006-08-11 |
| 1437184017 | William H. Wallace | Legal Medicine | 1421 N State St # St.1, Ste. 504, Jackson, MS 39202-1658 | 2006-07-11 |
| 1184656068 | Robert Allen Smith | Legal Medicine | 1424 N. State St., Ste. 504, Jackson, MS 39202-1658 | 2006-07-07 |
| 1568459089 | River Bend Medical Clinic, Inc | Legal Medicine | 2659 Lakeland Dr, Flowood, MS 39232-9516 | 2005-09-29 |
| Find all providers with the same taxonomy | ||||
| City | HATTIESBURG |
| Zip Code | 39402 |
Please comment or provide details below to improve the information on SOUTH MISSISSIPPI INTRAOPERATIVE MONITORING, 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.