PERIOPERATIVE SERVICES OF MISSISSIPPI, LLC (NPI# 1881123123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881123123 |
| Entity Type | Organization |
| Organization Name | PERIOPERATIVE SERVICES OF MISSISSIPPI, LLC |
| Practice Address |
1850 Chadwick Dr Jackson MS 39204-3404 |
| Mailing Address |
Po Box 235019 Montgomery AL 36123-5019 |
| Practice Telephone | 6013761000 |
| Practice Fax Number | 3343954115 |
| Mailing Telephone | 3342791450 |
| Mailing Fax Number | 3343954115 |
| Enumeration Date | 2017-06-09 |
| Last Update Date | 2017-06-09 |
| Authorized Official Name | AHMED BADR (MD) |
| Authorized Official Telephone | 3342791450 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians |
| Street Address |
1850 CHADWICK DR |
| City | JACKSON |
| State | MS |
| Zip Code | 39204-3404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518969724 | Steven E Zachow | Radiology | 1850 Chadwick Dr, Jackson, MS 39204-3404 | 2005-06-01 |
| 1346847274 | Devon Allred | Specialist/Technologist, Other | 1850 Chadwick Dr, Jackson, MS 39204-3404 | 2020-10-05 |
| 1194345991 | Jackson Hma LLC | Clinical Medical Laboratory | 1850 Chadwick Dr, Jackson, MS 39204-3404 | 2020-04-21 |
| 1174166383 | Amanda Brittany Busch | Nurse Practitioner | 1850 Chadwick Dr, Jackson, MS 39204-3404 | 2019-10-21 |
| 1184183725 | Mary Arnetta Sangster | Spec/Tech, Cardiovascular | 1850 Chadwick Dr, Jackson, MS 39204-3404 | 2019-03-13 |
| 1265904593 | Matthew Burkhalter | Physician Assistant | 1850 Chadwick Dr, Jackson, MS 39204-3404 | 2018-12-27 |
| 1023580693 | John Tyler Mclendon | Nurse Anesthetist, Certified Registered | 1850 Chadwick Dr, Jackson, MS 39204-3404 | 2018-12-20 |
| 1720562820 | Caleb Creel | Physical Therapist | 1850 Chadwick Dr, Jackson, MS 39204-3404 | 2018-09-24 |
| 1508346222 | Veronica Barton | Physical Therapist | 1850 Chadwick Dr, Jackson, MS 39204-3404 | 2018-08-21 |
| 1730687740 | App of Mississippi Ed, LLC | Emergency Medicine | 1850 Chadwick Dr, Jackson, MS 39204-3404 | 2018-01-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639797442 | Walk By Faith Not By Sight Homecare | Student in an Organized Health Care Education/Training Program | 2310 Us-80 West, Suite F 1154, Jackson, MS 39204 | 2020-07-08 |
| 1427593888 | Care First Home Care Agency, Inc | In Home Supportive Care | 931 Hwy 80 Suite 2 B-9, Jackson, MS 39204 | 2016-12-21 |
| 1134678808 | Yolonda Kinzie | Registered Nurse | 1134 Winter St., Jackson, MS 39204 | 2016-09-23 |
| 1578983938 | Seaneather Arline Mcgill | Nurse's Aide | 2024 Shady Lane Dr, Jackson, MS 39204 | 2014-04-23 |
| 1942591128 | Real Solutilons, LLC | Exclusive Provider Organization | 831 Hwy 80 W., Jackson, MS 39204 | 2011-04-22 |
| 1548405236 | Visions Physical Therapy | Specialist/Technologist | 4700 Robinson Rd, Jackson, MS 39204 | 2008-12-09 |
| 1588759393 | Donald H Butts | Specialist | 1920 Chadwick Drive, Suite 109, Jackson, MS 39204 | 2006-10-04 |
| 1003907460 | Patrick E Weldon | Psychiatry & Neurology | 1860 Chadwick Drive, Suite 258, Jackson, MS 39204 | 2006-09-28 |
| 1922117662 | Elgin Kenneth Walley | Dentist | 2174 Henry Hill Drive, Jackson, MS 39204 | 2006-08-29 |
| 1376555045 | Linda Nell Hunter | Nurse Practitioner | 1860 Chadwick Dr Ste 150a, Jackson, MS 39204 | 2006-08-12 |
| Find all providers in zip 39204 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417333527 | Felipe R Edghill | Anesthesiology | 131 Tucker St Ste 2, Jackson, TN 38301-4055 | 2015-07-31 |
| 1659779445 | Integrated Medical Staff of Jackson PC | Anesthesiology | 828 N Parkway, Jackson, TN 38305-3032 | 2014-12-11 |
| 1891134847 | Robert J. Hamernik | Anesthesiology | 14 Arlington Park, Jackson, MS 39211-2952 | 2013-06-21 |
| 1811231046 | Ruth Eleanor Dinkins | Anesthesiology | 388 Wellington Cv, Jackson, TN 38305-6609 | 2012-11-09 |
| 1679863633 | Michael Tyler Stout | Anesthesiology | 1151 N State St Ste 311, Jackson, MS 39202-2407 | 2011-04-12 |
| 1265763270 | William Daggett IIi | Anesthesiology | 2433 Massena Dr, Jackson, MS 39211-4923 | 2010-01-15 |
| 1457507055 | Jeremy Smitherman | Anesthesiology | 1190 N State St Ste 300, Jackson, MS 39202-2413 | 2008-08-14 |
| 1073724910 | Paul Frederic Dare | Anesthesiology | 1151 North State St., Suite 311, Jackson Anesthesia Associates, Jackson, MS 39202 | 2007-05-24 |
| 1902972235 | Myra A Wheaton | Anesthesiology | 1730 Bellewood Rd, Jackson, MS 39211-5701 | 2006-11-28 |
| 1922178318 | Vicki Lynn Chew | Anesthesiology | 223 Clinton Rd, Suite 204, Jackson, CA 95642-2680 | 2006-11-09 |
| Find all providers in JACKSON | ||||
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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.