| Och Cardiology | |
|
400 Hospital Road Starkville MS 39759-2163 | |
| (662) 323-4320 | |
| (662) 615-2554 |
| Full Name | Och Cardiology |
|---|---|
| Speciality | Clinic/Center |
| Location | 400 Hospital Road, Starkville, Mississippi |
| Authorized Official Name and Position | Susan H. Russell (CFO) |
| Authorized Official Contact | 6626152550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Och Cardiology Po Box 1326 Starkville MS 39760-1326 Ph: (662) 615-2830 | Och Cardiology 400 Hospital Road Starkville MS 39759-2163 Ph: (662) 323-4320 |
| NPI Number | 1376165027 |
|---|---|
| Provider Enumeration Date | 05/15/2020 |
| Last Update Date | 10/03/2022 |
| Medicare PECOS PAC ID | 7416371752 |
|---|---|
| Medicare Enrollment ID | O20200721000453 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376165027 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Elizabeth E Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013941970 PECOS PAC ID: 8921047457 Enrollment ID: I20060313000216 |
| Provider Name | Bryan Barksdale |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083663876 PECOS PAC ID: 3274636998 Enrollment ID: I20070316000226 |
| Provider Name | Michael Ray Mcmullan |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1104857036 PECOS PAC ID: 5193818367 Enrollment ID: I20070904000394 |
| Provider Name | Michael E Hall |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1235340225 PECOS PAC ID: 6204966724 Enrollment ID: I20100610000169 |
| Provider Name | James D Pollard |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174786651 PECOS PAC ID: 3375850381 Enrollment ID: I20150923000938 |
| Provider Name | Donald Clark |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1821315011 PECOS PAC ID: 0244476935 Enrollment ID: I20170915002527 |
| Provider Name | Hailey M Hammond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548806540 PECOS PAC ID: 2365820651 Enrollment ID: I20220526002431 |
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