BURNETT HANSON (NPI# 1730292798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730292798 |
| Entity Type | Individual |
| Full Name | BURNETT HANSON |
| Credential | MD |
| Practice Address |
1501 Aston Ave Mccomb MS 39648-2734 |
| Mailing Address |
Dept 1871 Po Box 2153 Birmingham AL 35287-1871 |
| Practice Telephone | 6012495510 |
| Practice Fax Number | 6012495530 |
| Mailing Telephone | 7704291411 |
| Mailing Fax Number | 7704291951 |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2012-10-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
18348 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AETNA | 5574657 | 01 | |
| MS | 02984324 | 05 | |
| MS | RAILROAD MEDICARE | P00086160 | 01 |
| Street Address |
1501 ASTON AVE |
| City | MCCOMB |
| State | MS |
| Zip Code | 39648-2734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1609074889 | Burnett Hanson Md Pllc | Specialist | 1501 Aston Ave, Mccomb, MS 39648-2734 | 2007-07-10 |
| 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 | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700152212 | Eplus Oncologics Mississippi, LLC | Radiology | 127 South 13th Street, Laurel, MS 39440-4111 | 2012-03-29 |
| 1528330214 | Robert H Jones Md PC | Radiology | 65 Hickory Dr, West Point, MS 39773-3948 | 2012-01-27 |
| 1215269881 | John Wycoff Godsey | Radiology | 502 Martin Ave., Ocean Springs, MS 39564 | 2010-02-08 |
| 1174613830 | Vicksburg Oncology Associates LLC | Radiology | 970 Lakeland Dr Ste 34, Jackson, MS 39216-4640 | 2006-10-13 |
| 1881791812 | Russell Scott Anderson Md Pa | Radiology | 1704 23rd Avenue, Meridian, MS 39301 | 2006-09-20 |
| 1457364556 | L. Cameron Pimperl | Radiology | 127 S 13th Ave, Laurel, MS 39440-4111 | 2006-08-13 |
| 1720020795 | Elbert Alan Duncan | Radiology | 990 South Madison Street, Tupelo, MS 38801-6308 | 2006-06-12 |
| 1922060722 | William D. Burleson | Radiology | 1732 Medical Park Dr, Biloxi, MS 39532-2131 | 2006-04-05 |
| 1184607210 | Srinivasan Vijayakumar | Radiology | 350 W Woodrow Wilson Ave, Suite 16, Jackson, MS 39213-7681 | 2005-11-22 |
| 1952303182 | David A Wahl | Radiology | 2368 Grove St, Vicksburg, MS 39183-2857 | 2005-06-01 |
| 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.