HANCOCK MEDICAL CENTER (NPI# 1629380142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629380142 |
| Entity Type | Organization |
| Organization Name | HANCOCK MEDICAL CENTER |
| Other Organization Name | HANCOCK MEDICAL PASS CHRISTIAN |
| Practice Address |
517 C & D, W North Street Pass Christian MS 39571 |
| Mailing Address |
Po Box 2790 Bay St Louis MS 39521-2790 |
| Practice Telephone | 2284678700 |
| Practice Fax Number | 2284678799 |
| Mailing Telephone | 2284678700 |
| Mailing Fax Number | 2284678799 |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2010-07-13 |
| Authorized Official Name | MR. DONALD L WADE (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 2284678700 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
11217 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Hancock Medical Pass Christian | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356672166 | Hancock Medical Center | Family Medicine | 17000 Kapalama Dr, Pass Christian, MS 39571-9761 | 2010-01-18 |
| 1003007006 | Hancock Medical Center | Clinic/Center | 4540 Shepherd Square, Suite B, Diamondhead, MS 39525 | 2007-08-05 |
| 1134326259 | Hancock Medical Center | Clinic/Center | 16230 Highway 603, Kiln, MS 39566-6230 | 2007-07-02 |
| 1972827004 | Hancock Medical Center | Nurse Practitioner | 149 Drinkwater Blvd, Bay St Louis, MS 39520-1658 | 2010-03-18 |
| 1407182454 | Hancock Medical Center | Pathology | 149 Drinkwater Blvd, Bay St Louis, MS 39520-1658 | 2009-10-27 |
| 1730312182 | Hancock Medical Center | Hospitalist | 149 Drinkwater Blvd, Bay Saint Louis, MS 39520-1658 | 2009-09-02 |
| 1801023692 | Hancock Medical Center | Surgery | 952 Green Meadow Rd, Bay St Louis, MS 39520-1620 | 2009-06-18 |
| 1134305352 | Hancock Medical Center | Orthopaedic Surgery | 4540 Shepherd Square, Suite C, Diamondhead, MS 39525 | 2008-01-17 |
| 1982801072 | Hancock Medical Center | Anesthesiology | 149 Drinkwater Blvd, Bay Saint Louis, MS 39520-1658 | 2007-07-02 |
| 1326245432 | Hancock Medical Center | Anesthesiology | 149 Drinkwater Blvd, Bay Saint Louis, MS 39520-1658 | 2007-07-02 |
| Street Address |
517 C & D, W NORTH STREET |
| City | PASS CHRISTIAN |
| State | MS |
| Zip Code | 39571 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184652737 | Sports Medicine Ltd | Physical Therapist | 17000 Kapalama Rd., Suite B., Pass Christian, MS 39571 | 2006-06-30 |
| 1306877501 | Mark Schmidt | Physical Therapist | 17000 Kapalama Rd., Suite, Pass Christian, MS 39571 | 2006-07-05 |
| 1013945666 | Chad M Newell | Physical Therapist | 17000 Kapalama Rd., Suite B, Pass Christian, MS 39571 | 2006-06-30 |
| 1407308638 | Colorful Minds, LLC | Behavioral Analyst | 102 Kelley Cv, Pass Christian, MS 39571-2226 | 2016-11-04 |
| 1952534976 | Jeanne Hannah Oliver | Speech-Language Pathologist | 614 Royal Oak Dr, Pass Christian, MS 39571-2228 | 2009-08-25 |
| 1700195047 | Hancock Medical Health Services, Inc. | Nurse Practitioner | 517 W North St Ste C&d, Pass Christian, MS 39571-2605 | 2010-10-05 |
| 1326376286 | Ina Rene Duplessis | Community Health Worker | 1583 E Second St, Pass Christian, MS 39571-3125 | 2009-12-03 |
| 1821654807 | Kristi Mong | Psychologist | 24505 Mare Point Dr, Pass Christian, MS 39571-3302 | 2019-05-14 |
| 1629601927 | Mind Works Therapy Pllc | Psychologist | 24505 Mare Point Dr, Pass Christian, MS 39571-3302 | 2020-02-15 |
| 1427482447 | Miranda W Hebert | Dietitian, Registered | 24560 Mare Point Dr, Pass Christian, MS 39571-3352 | 2013-08-27 |
| Find all providers in zip 39571 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346559689 | Hancock Medical Health Services, Inc. | Nurse Practitioner | 17000 Kapalama Rd, Pass Christian, MS 39571-9761 | 2010-10-05 |
| 1700195047 | Hancock Medical Health Services, Inc. | Nurse Practitioner | 517 W North St Ste C&d, Pass Christian, MS 39571-2605 | 2010-10-05 |
| 1114057809 | Michael Joseph Papania | Nurse Practitioner | 257 Davis Ave Ste A, Pass Christian, MS 39571-4541 | 2007-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982205423 | Ronequa Evans | Nurse Practitioner | 811 Clubhouse Dr, Pearl, MS 39208-7023 | 2020-11-02 |
| 1659971380 | Lucy M Barnes | Nurse Practitioner | 2401 State Blvd, Meridian, MS 39307-5033 | 2020-10-30 |
| 1952901076 | Angela Holloway | Nurse Practitioner | 1316 County Road 94, New Albany, MS 38652-8556 | 2020-10-28 |
| 1073113304 | Tasha Rucker | Nurse Practitioner | 2372 Us49-e, Sumner, MS 38957 | 2020-10-27 |
| 1881293371 | Hanna Fernandez | Nurse Practitioner | 14225 Dedeaux Rd, Gulfport, MS 39503-3369 | 2020-10-26 |
| 1285233452 | Darlene Johnson | Nurse Practitioner | 2808 Allyson Gene Cv, Byhalia, MS 38611-7359 | 2020-10-20 |
| 1447857073 | Clarissa Nicole Yarborough | Nurse Practitioner | 113 Saint John Rd, Tylertown, MS 39667-7927 | 2020-10-06 |
| 1922615616 | Jack Chandler Papa | Nurse Practitioner | 3556 May Brook Cv, Southaven, MS 38672-1006 | 2020-09-26 |
| 1205443165 | Mallory Stockstill | Nurse Practitioner | 27 Tillery Pl, Ellisville, MS 39437-4784 | 2020-09-24 |
| 1184230898 | Evelyn Michelle Rainey | Nurse Practitioner | 271 Eskridge Road, Duck Hill, MS 38925 | 2020-09-17 |
| Find all providers with the same taxonomy | ||||
| City | PASS CHRISTIAN |
| Zip Code | 39571 |
Please comment or provide details below to improve the information on HANCOCK MEDICAL CENTER.
| 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.