| Shiar Thomas Rahaim Iii, CRNA | |
|
1225 N State St, Jackson, MS 39202-2064 | |
| (601) 968-1000 | |
| Not Available |
| Full Name | Shiar Thomas Rahaim Iii |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 1225 N State St, Jackson, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548031339 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 901887 (Mississippi) | Primary |
| Entity Name | Physicians Anesthesia Group, P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407890783 PECOS PAC ID: 6103806864 Enrollment ID: O20040722001098 |
| Entity Name | State Of Mississippi-university Of Mississippi Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154317527 PECOS PAC ID: 1850293036 Enrollment ID: O20090414000575 |
| Entity Name | Perioperative Services Of Mississippi, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881123123 PECOS PAC ID: 8921365255 Enrollment ID: O20171122000010 |
| Mailing Address | Practice Location Address |
|---|---|
| Shiar Thomas Rahaim Iii, CRNA 505 Carlyle Ct, Madison, MS 39110-7446 Ph: (601) 927-1580 | Shiar Thomas Rahaim Iii, CRNA 1225 N State St, Jackson, MS 39202-2064 Ph: (601) 968-1000 |
Stephen Commiskey, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5900 Fax: 601-984-5939 | |
Jessica Safley, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5900 Fax: 601-984-5939 | |
Dr. Larkin H Mitchell, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5900 | |
Dr. Daniel Castillo, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Dept Of Anesthesiology, Jackson, MS 39216 Phone: 601-984-5900 Fax: 601-984-5939 | |
Edwin P Sudduth, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 971 Lakeland Dr, Suite 202, Jackson, MS 39216 Phone: 601-362-1990 Fax: 601-362-1988 | |
Dr. Melissa Johnson Pippin, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 901-270-4898 | |
Dr. Martha Elizabeth Fernandez, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5900 |