Kenneth Smith (NPI# 1770652851, PAC ID# 9931092756) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST.
Nation Provider ID (NPI) | 1770652851 |
PAC ID by PECOS | 9931092756 |
Professional Enrollment ID | I20040205000566 |
Full Name | Kenneth Smith |
Organization Legal Name | HANCOCK MEDICAL CENTER |
Address |
149 Drinkwater Blvd Bay Saint Louis MS 39521-2790 |
Phone Number | 2284678700 |
Gender | M |
Credential | CNA |
Graduation Year | 1977 |
Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST |
Group Practice PAC ID | 5092708024 |
Number of Group Practice Members | 10 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
149 Drinkwater Blvd, Bay Saint Louis, MS 39521-2790 | 2284678700 | HANCOCK MEDICAL CENTER |
149 Drinkwater Rd, Bay Saint Louis, MS 39520-1658 | 2284678688 | HANCOCK MEDICAL CENTER |
149 Drinkwater Blvd, Bay St Louis, MS 39520-1658 | 2284678736 | HANCOCK MEDICAL CENTER |
149 Drinkwater Blvd, Bay St Louis, MS 39520 | 6014679081 | HANCOCK MEDICAL CENTER |
Organization Legal Name | HANCOCK MEDICAL CENTER |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Myron Tassin | Certified Registered Nurse Anesthetist | Hancock Medical Center | 149 Drinkwater Blvd, Bay St Louis, MS 39520 |
Street Address |
149 DRINKWATER BLVD |
City | BAY SAINT LOUIS |
State | MS |
Zip | 39521-2790 |
Name | Specialty | Organization | Address |
---|---|---|---|
Joseph R Lee | General Surgery | Hancock Medical Health Services Inc | 149 Drinkwater Blvd, Fl 2, Bay St Louis, MS 39521-1658 |
Myron Tassin | Certified Registered Nurse Anesthetist | Hancock Medical Center | 149 Drinkwater Blvd, Bay St Louis, MS 39520 |
City | BAY SAINT LOUIS |
Zip Code | 39521 |
Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST |
City + Specialty | BAY SAINT LOUIS + CERTIFIED REGISTERED NURSE ANESTHETIST |
Please comment or provide details below to improve the information on Kenneth Smith.
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.