SINGING RIVER HEALTH SYSTEM NPI 1003005133

Thoracic Surgery (Cardiothoracic Vascular Surgery) in Gautier, MS

About SINGING RIVER HEALTH SYSTEM

Singing River Health System is a provider in Gautier, MS. The NPI number assigned to this provider is 1003005133. The practitioner's primary taxonomy code is Thoracic Surgery (Cardiothoracic Vascular Surgery) (208G00000X). The provider is registered as an organization and their NPI record was last updated 3 years ago. Singing River Health System operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as The Center For Cardiovascular Surgery.

NPI1003005133 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameSINGING RIVER HEALTH SYSTEM
Provider Location Address2101 HIGHWAY 90 GAUTIER, MS 39553 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address2101 HIGHWAY 90 GAUTIER, MS 39553 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?N/A
Is Organization Subpart?No Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Other Organization NameTHE CENTER FOR CARDIOVASCULAR SURGERY Additional informationCallout TooltipProvider other organization name
The alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. Codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Other Name TypeDoing Business As (3)
Enumeration Date10-15-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date09-26-2014 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

SINGING RIVER HEALTH SYSTEM
2101 HIGHWAY 90
GAUTIER, MS
ZIP 39553
Phone: (228) 497-7964
Get Directions

Mailing Address

SINGING RIVER HEALTH SYSTEM
2101 HIGHWAY 90
GAUTIER, MS
ZIP 39553
Phone:

Primary Taxonomy

Taxonomy Code208G00000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationThoracic Surgery (Cardiothoracic Vascular Surgery)
TypeAllopathic & Osteopathic Physicians
Taxonomy DescriptionA thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

Authorized Official

Authorized Official NameMR. KEVIN HOLLAND Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official TitleCEO
Authorized Official Phone(228) 497-7908

193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
512G700089MEDICARE PIN (08)MS
000019059OTHER (01)MS
09014182MEDICAID (05)MS

Map Location


SINGING RIVER HEALTH SYSTEM address is 2101 HIGHWAY 90 GAUTIER, MS 39553

Other Providers at the same location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1083893937SINGING RIVER HEALTH SYSTEM
Organization
Clinic/Center2101 HIGHWAY 90
GAUTIER, MS 39553
(228) 497-8874
1588803225 ALLYSON PEREZ CRNA
Individual
Nurse Anesthetist, Certified Registered2101 HIGHWAY 90
GAUTIER, MS 39553
(228) 497-7576
1609812833 CELESTE DURHAM RD
Individual
Dietitian, Registered2101 HIGHWAY 90
GAUTIER, MS 39553
(228) 497-8874
1639510142MR. JOSEPH CHANCE KEYS NP
Individual
Nurse Practitioner (Family)2101 HIGHWAY 90
GAUTIER, MS 39553
(228) 497-8874
1801059381DR. J. RYAN LOGAN M.D.
Individual
Internal Medicine2101 HIGHWAY 90
GAUTIER, MS 39553
(228) 809-5510
1871628180MR. GREGORY PAUL GREER CRNA, MHS
Individual
Nurse Anesthetist, Certified Registered2101 HIGHWAY 90
GAUTIER, MS 39553
(228) 809-5000