DR. SCOTT ERIC HENRY M.D. NPI 1003020561
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Hattiesburg, MS
About SCOTT HENRY
Scott Henry is a provider established in Hattiesburg, Mississippi and his medical specialization is thoracic surgery (cardiothoracic vascular surgery) with more than 24 years of experience. The NPI number of Scott Henry is 1003020561 and was assigned on May 2007. The practitioner's primary taxonomy code is 208G00000X with license number 40239 (KY). The provider is registered as an individual and his NPI record was last updated one year ago.
Scott Henry is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices
Scott Henry is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Merit Health Wesley.
| NPI | 1003020561 |
| Provider Name | DR. SCOTT ERIC HENRY M.D. |
| Provider Location Address | 5003 HARDY ST STE 200 HATTIESBURG, MS 39402 |
| Provider Mailing Address | 5003 HARDY ST STE 200 HATTIESBURG, MS 39402 |
| Gender | Male |
| NPI Entity Type | Individual |
| Medical School Name | OTHER |
| Graduation Year | 1998 |
| Is Sole Proprietor? | Yes |
| Is Organization Subpart? | N/A |
| Enumeration Date | 05-10-2007 |
| Last Update Date | 08-27-2020 |
Primary Taxonomy
| Taxonomy Code | 208G00000X |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Type | Allopathic & Osteopathic Physicians |
| License No. | 40239 |
| License State | KY |
| Taxonomy Description | A 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. |
Business Address
DR. SCOTT ERIC HENRY M.D.
5003 HARDY ST STE 200
HATTIESBURG, MS
ZIP 39402
Phone: (601) 261-5700
Fax: (601) 261-5777
Mailing Address
DR. SCOTT ERIC HENRY M.D.
5003 HARDY ST STE 200
HATTIESBURG, MS
ZIP 39402
Phone: (601) 261-5700
Fax: (601) 261-5777
Medicare Participation
Hospital Affiliations
Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Scott Henry is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | CMS Certification Number (CCN) | Overall Rating |
|---|---|---|---|---|---|
| MERIT HEALTH WESLEY | 5001 W HARDY ST HATTIESBURG, MS 39402 | (601) 268-8000 | Acute Care Hospitals | 250094 |
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 |
|---|---|---|
| 40239 | OTHER (01) | KY |
| FH0471499 | OTHER (01) | MI |
Other Providers at the same location
The following 10 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1699921197 | THE PEDIATRIC NEUROLOGY CLINIC OF HATTIESBURG Organization | Neuromusculoskeletal Medicine & OMM | 5003 HARDY ST STE 200 HATTIESBURG, MS 39402 (601) 296-3050 |
| 1295931145 | DR. VIRAL LATHIA MD Individual | Internal Medicine (Cardiovascular Disease) | 5003 HARDY ST STE 200 HATTIESBURG, MS 39402 (601) 261-5700 |
| 1629341649 | MS. AMY L. GRUBBS NP-C Individual | Nurse Practitioner | 5003 HARDY ST STE 200 HATTIESBURG, MS 39402 (601) 261-5700 |
| 1184665580 | DR. FISHER ALAN COVIN M.D. Individual | Internal Medicine (Cardiovascular Disease) | 5003 HARDY ST STE 200 HATTIESBURG, MS 39402 (601) 261-5700 |
| 1265465017 | KARL A DUNCAN M.D. Individual | Internal Medicine (Interventional Cardiology) | 5003 HARDY ST STE 200 HATTIESBURG, MS 39402 (601) 261-5700 |
| 1851540736 | KURT A DUNCAN MD Individual | Nuclear Medicine (Nuclear Cardiology) | 5003 HARDY ST STE 200 HATTIESBURG, MS 39402 (601) 261-5700 |
| 1134608243 | LEIGH ANN COCHRAN FNP-C Individual | Nurse Practitioner (Family) | 5003 HARDY ST STE 200 HATTIESBURG, MS 39402 (601) 251-5700 |
| 1871145714 | ALICIA PACE Individual | Nurse Practitioner | 5003 HARDY ST STE 200 HATTIESBURG, MS 39402 (601) 261-5700 |
| 1366977068 | TIMOTHY CONN JR. Individual | Nurse Practitioner (Family) | 5003 HARDY ST STE 200 HATTIESBURG, MS 39402 (601) 261-5700 |
| 1326620220 | GARRETT COLE BOND AG-ACNP Individual | Nurse Practitioner (Acute Care) | 5003 HARDY ST STE 200 HATTIESBURG, MS 39402 (601) 261-5700 |
NPI Footnotes
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider 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 Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type 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)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart 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.
Provider Other Organization Name
The other organization name is 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. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
Primary 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.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.