Mohammad Ik Anindo (NPI# 1003299876, PAC ID# 4981910692) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HOSPITALIST.
| Nation Provider ID (NPI) | 1003299876 |
| PAC ID by PECOS | 4981910692 |
| Professional Enrollment ID | I20181109001066 |
| Full Name | Mohammad Ik Anindo |
| Organization Legal Name | HATTIESBURG CLINIC PA |
| Address |
415 S 28th Ave Hattiesburg MS 39401-7246 |
| Phone Number | 6012646000 |
| Gender | M |
| Graduation Year | 2014 |
| Primary Specialty | HOSPITALIST |
| Group Practice PAC ID | 5193706794 |
| Number of Group Practice Members | 463 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250078 | FORREST GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 415 S 28th Ave, Hattiesburg, MS 39401-7246 | 6012646000 | HATTIESBURG CLINIC PA |
| Organization Legal Name | HATTIESBURG CLINIC PA |
| Physicians | 430 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brandie Delane Bennett | Physical Therapy | Hattiesburg Clinic Pa | 1238 Hwy 42, Sumrall, MS 39482-9519 |
| Kabeer Burman | Hospitalist | Hattiesburg Clinic Pa | 415 S 28th Ave, Hattiesburg Clinic Department of Neurosurgery, Hattiesburg, MS 39401-7246 |
| James G Powell | Endocrinology | Hattiesburg Clinic Pa | 421 S 28th Ave, Hattiesburg, MS 39401-7206 |
| Darvin L Sibley | Certified Registered Nurse Anesthetist (crna) | Hattiesburg Clinic Pa | 6051 U S Hwy 49, Forrest General Hospital, Hattiesburg, MS 39401-7200 |
| Rebecca W Lauderdale | Internal Medicine | Hattiesburg Clinic Pa | 7 Medical Blvd, Hattiesburg, MS 39401-7231 |
| Philip B Mellen | Internal Medicine | Hattiesburg Clinic Pa | 10 Medical Blvd, Hattiesburg, MS 39401-7230 |
| Ralph C Kahler | Internal Medicine | Hattiesburg Clinic Pa | 415 S 28th Ave Fl, Hattiesburg, MS 39401-7246 |
| Gregory Owens | Gastroenterology | Hattiesburg Clinic Pa | 511 W Laurel Ave, Downtown Medical Associates, Hattiesburg, MS 39401-3504 |
| Victor Polito | Certified Registered Nurse Anesthetist (crna) | Hattiesburg Clinic Pa | 6051 U S Hwy 49, Forrest General Hospital, Hattiesburg, MS 39401-7200 |
| Laurie Douglas | Hematology/oncology | Hattiesburg Clinic Pa | 415 S 28th Ave, Hattiesburg, MS 39401-7246 |
| Street Address |
415 S 28TH AVE |
| City | HATTIESBURG |
| State | MS |
| Zip | 39401-7246 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kabeer Burman | Hospitalist | Hattiesburg Clinic Pa | 415 S 28th Ave, Hattiesburg Clinic Department of Neurosurgery, Hattiesburg, MS 39401-7246 |
| Laurie Douglas | Hematology/oncology | Hattiesburg Clinic Pa | 415 S 28th Ave, Hattiesburg, MS 39401-7246 |
| Katherine Royals | Family Medicine | Hattiesburg Clinic Pa | 415 S 28th Ave, Hattiesburg Clinic Department of Neurosurgery, Hattiesburg, MS 39401-7246 |
| Ralph E Abraham | General Surgery | Hattiesburg Clinic Pa | 415 S 28th Ave, Hattiesburg, MS 39401-7246 |
| Angela C Jones | Family Medicine | Hattiesburg Clinic Pa | 415 S 28th Ave, Hattiesburg, MS 39401-7246 |
| Kristen Sicard Spruill | Anesthesiology | Hattiesburg Clinic Pa | 415 S 28th Ave, Hattiesburg Clinic Department of Anesthesiology, Hattiesburg, MS 39401-7246 |
| Terrance A Johnson | Family Medicine | Hattiesburg Clinic Pa | 415 S 28th Ave, Hattiesburg, MS 39401-7246 |
| Paul Drambarean | Hospitalist | Hattiesburg Clinic Pa | 415 S 28th Ave, Hattiesburg Clinic Department of Neurosurgery, Hattiesburg, MS 39401-7246 |
| April Vancleve Frierson | Nurse Practitioner | Hattiesburg Clinic Pa | 415 S 28th Ave, Hattiesburg Clinic Department of Nephrology, Hattiesburg, MS 39401-7246 |
| Jonathan Hs Rayburn | Pain Management | Hattiesburg Clinic Pa | 415 S 28th Ave, Hattiesburg, MS 39401-7246 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Akwasi A Amponsah | Internal Medicine | 2503 Glendale Ave, Hattiesburg, MS 39401-1073 | |
| Brad H Massey | Nurse Practitioner | Pioneer Health Care, LLC | 300 Cahal St, Hattiesburg, MS 39401-2922 |
| Judy Skaggs | Nurse Practitioner | Pioneer Health Care, LLC | 300 Cahal St, Hattiesburg, MS 39401-2922 |
| Gregory Owens | Gastroenterology | Hattiesburg Clinic Pa | 511 W Laurel Ave, Downtown Medical Associates, Hattiesburg, MS 39401-3504 |
| Sandra G Russell | Nurse Practitioner | Hattiesburg Clinic Pa | 511 W Laurel Ave, Downtown Medical Associates, Hattiesburg, MS 39401-3504 |
| Ann A Williams | Optometry | Optometric Clinic, Pa | 600 W Pine St, Hattiesburg, MS 39401-3834 |
| Lisa E Herrington Forsyth | Optometry | Optometric Clinic, Pa | 600 W Pine St, Hattiesburg, MS 39401-3834 |
| Gary Lynn Lett | Chiropractic | 1509 Hardy St, Hattiesburg, MS 39401-4906 | |
| Julie D Paterson | Clinical Social Worker | 1003 W Pine St, Hattiesburg, MS 39401-5049 | |
| Kelechi N Emereonye | Psychiatry | Region 12 Commission On Mental Health and Retardation Pine Belt Men | 103 S 19th Ave, Hattiesburg, MS 39401-6171 |
| Find all physicians in zip 39401 | |||
| City | HATTIESBURG |
| Zip Code | 39401 |
| Specialty | HOSPITALIST |
| City + Specialty | HATTIESBURG + HOSPITALIST |
Please comment or provide details below to improve the information on Mohammad Ik Anindo.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.