HEMATOLOGY/ONCOLOGY – NPI #1255420220
Internal Medicine

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

HEMATOLOGY/ONCOLOGY is a provider located in HATTIESBURG, MS. NPPES has assigned the NPI number 1255420220 to HEMATOLOGY/ONCOLOGY on October 11, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “HEMATOLOGY/ONCOLOGY” is a dba name, the actual legal business name for this organization is HATTIESBURG CLINIC PA. The primary taxonomy selected by this provider is 207RH0003X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Hematology & Oncology

The NPI profile was previously updated about 6 years ago on Oct 07, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for HEMATOLOGY/ONCOLOGY below.

NPI Profile for
HATTIESBURG CLINIC PA

NPI Number
1255420220
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
HATTIESBURG CLINIC PA
Doing Business As (dba): HEMATOLOGY/ONCOLOGY
Primary location
301 S 28TH AVE
HATTIESBURG, MS 39401-7233
Phone: (601) 288-8282 Fax: (601) 288-8290
Mailing address
415 S 28TH AVE
HATTIESBURG, MS 39401-7246
Phone: (601) 579-5463 Fax: (601) 579-5240
Organization Subpart
No
Authorized Official
BRYAN BATSON
EXECUTIVE DIRECTOR
Phone: (601) 268-5601
Updated
Certification Date
Oct 07, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for HEMATOLOGY/ONCOLOGY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMS04903560
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RH0003X
- Internal Medicine / Hematology & Oncology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.