Unknown Individual – Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, NPI 1114036290
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Meridian Post Office, 10th Street, Meridian, Lauderdale County, Mississippi, 39307, United States
MERIDIAN, MS 393022839
Phone: (601) 703-3480
Fax: (601) 703-0124
Type: Mailing
1400, 20th Avenue, Meridian, Lauderdale County, Mississippi, 39301, United States
SUITE F
MERIDIAN, MS 393014111
Phone: (601) 553-2135
Fax: (601) 553-2049
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 39302)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CARDIAC SURGERY | MS | 33533 | Heart artery bypass to repair one artery | 42 | 42 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | GA | |
| Nephrology, Internal Medicine | LA | |
| Nurse Practitioner | MS | |
| Family Practice | MS | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MS | |
| Internal Medicine, Sleep Medicine, Internal Medicine | MS | |
| Internal Medicine | MO | |
| General Practice | MS | |
| Family Practice | MS | |
| Nurse Practitioner | GA |
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