| Jeffery Joseph Stuart, CRNA | |
|
22 Doctors Drive, Suite C, Ocean Springs, MS 39566-0789 | |
| (228) 818-0563 | |
| (228) 818-0519 |
| Full Name | Jeffery Joseph Stuart |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 20 Years |
| Location | 22 Doctors Drive, Ocean Springs, Mississippi |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073725677 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207LP3000X | Anesthesiology - Pediatric Anesthesiology | R853260 (Mississippi) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | R853260 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Hospital At Gulfport | Gulfport, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Memorial Hospital At Gulfport | 2466524012 | 416 |
| Etas Pllc | 8123481934 | 39 |
| Entity Name | Hogan Surgical Center Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104829597 PECOS PAC ID: 4880791490 Enrollment ID: O20070618000014 |
| Entity Name | Memorial Hospital At Gulfport |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215546635 PECOS PAC ID: 2466524012 Enrollment ID: O20090515000396 |
| Entity Name | Gulf Anesthesia Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548696925 PECOS PAC ID: 8426286501 Enrollment ID: O20140117000585 |
| Entity Name | Youngs Professional Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922178599 PECOS PAC ID: 2163524992 Enrollment ID: O20141015000028 |
| Entity Name | Etas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679259360 PECOS PAC ID: 8123481934 Enrollment ID: O20230828000521 |
| Entity Name | Magnolia State Anesthesia Services Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962279711 PECOS PAC ID: 1951753888 Enrollment ID: O20240116004675 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffery Joseph Stuart, CRNA 22 Doctors Drive, Suite C, Ocean Springs, MS 39566-0789 Ph: (228) 818-0563 | Jeffery Joseph Stuart, CRNA 22 Doctors Drive, Suite C, Ocean Springs, MS 39566-0789 Ph: (228) 818-0563 |