SCOTT S PALADICHUK (NPI# 1962649657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962649657 |
| Entity Type | Individual |
| Full Name | SCOTT S PALADICHUK |
| Credential | O.D. |
| Practice Address |
100 Hospital Dr W Hattiesburg MS 39402-1334 |
| Practice Telephone | 6012685910 |
| Practice Fax Number | 6012640659 |
| Mailing Telephone | 6012685910 |
| Mailing Fax Number | 6012640659 |
| Enumeration Date | 2009-01-16 |
| Last Update Date | 2015-01-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 829 | MS | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | 2895 | TN | Eye and Vision Services Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | AETNA | 9036592 | 01 |
| MS | HEALTHSPRING | 6041813 | 01 |
| MS | 00154827 | 05 | |
| MS | CIGNA | 1160823 | 01 |
| Street Address |
100 HOSPITAL DR W |
| City | HATTIESBURG |
| State | MS |
| Zip Code | 39402-1334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568570117 | Charles David Richardson | Ophthalmology | 100 Hospital Dr W, Hattiesburg, MS 39402-1334 | 2006-08-25 |
| 1366853020 | Benjamin Robert Pace | Ophthalmology | 100 Hospital Dr W, Hattiesburg, MS 39402 | 2014-05-15 |
| 1306281852 | Adam Ellington Quinn | Ophthalmology | 100 Hospital Dr W, Hattiesburg, MS 39402 | 2013-05-09 |
| 1407102288 | Joshua Patrick | Optometrist | 100 Hospital Dr W, Hattiesburg, MS 39402-1334 | 2012-07-30 |
| 1922110949 | Hattiesburg Eye Clinic, P.a. | Ophthalmology | 100 Hospital Dr W, Hattiesburg, MS 39402-1334 | 2006-08-31 |
| 1487762001 | Stoney Williamson | Ophthalmology | 100 Hospital Dr W, Hattiesburg, MS 39402-1334 | 2006-08-25 |
| 1881702447 | Todd David Williamson | Ophthalmology | 100 Hospital Dr W, Hattiesburg, MS 39402-1334 | 2006-08-25 |
| 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 | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649525015 | Karah Hill Hiatt | Optometrist | 102 N 38th Ave Ste I, Hattiesburg, MS 39401-6700 | 2012-07-20 |
| 1447511571 | Lagniappe Eye Care Inc. | Optometrist | 6152 U S Highway 98, Suite 30, Hattiesburg, MS 39402-4200 | 2012-06-05 |
| 1033396379 | George Alex Marchbanks | Optometrist | 1000 Turtle Creek Drive, Suite #450, Hattiesburg, MS 39402 | 2008-01-29 |
| 1700086162 | Hattiesburg Eye Clinic, P.a. | Optometrist | 5901 Hwy 49 South, Hattiesburg, MS 39402 | 2007-07-23 |
| 1861540163 | Barry W. Tewis | Optometrist | 102 N 38th Ave, Hattiesburg, MS 39401-6700 | 2007-01-05 |
| 1841363629 | Ronald C Mozingo | Optometrist | 6096 Us Hwy 98, Suite 1a, Hattiesburg, MS 39402 | 2006-11-17 |
| 1972675577 | Optometric Clinic, Pa | Optometrist | 600 W Pine St, Hattiesburg, MS 39401-3834 | 2006-11-15 |
| 1801802913 | Megan Sumrall Lott | Optometrist | 7117 Hwy 98, Suite 30, Hattiesburg, MS 39402 | 2006-07-31 |
| 1154365542 | Deborah J Marcev | Optometrist | 3901 Hardy St, Ste. 130, Hattiesburg, MS 39402-1636 | 2006-06-15 |
| 1750333555 | John Randolph Marcev | Optometrist | 6117 U S Highway 98, Suite 20, Hattiesburg, MS 39402-8654 | 2006-05-17 |
| Find all providers in HATTIESBURG | ||||
| City | HATTIESBURG |
| Zip Code | 39402 |
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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.