Ethan B Worthington in Hattiesburg - Family Medicine
Ethan B Worthington - NPI 1558556621
Ethan B Worthington is a Family Medicine in Hattiesburg, Mississippi. Ethan B Worthington practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Ethan B Worthington is 1558556621. The last update date is 2016-08-23.
Ethan B Worthington's current location address is 415 S 28th Ave, Hattiesburg, Mississippi. You can contact this provider via phone number 6019284412 and fax number 6015795240. The mailing address for Ethan B Worthington is 415 S 28th Ave, Hattiesburg, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ethan B Worthington |
|---|---|
| Address | 415 S 28th Ave, Hattiesburg, Mississippi |
| Phone Number | 6019284412 |
| Fax Number | 6015795240 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1558556621 |
|---|---|
| Provider Enumeration Date | 2007-09-11 |
| Last Updated Date | 2016-08-23 |
Provider Mailing Address Detail
| Address | 415 S 28th Ave |
|---|---|
| City | Hattiesburg |
| State | Mississippi (MS) |
| Post Code | 394017246 |
| Phone Number | 6019284412 |
| Fax Number | 6015795240 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 21272 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6041733 | MS | HEALTHSPRING | |
| 9912622 | MS | AETNA | |
| P00896972 | MS | RAILROAD MEDICARE | |
| 6001526 | MS | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Ethan B Worthington by the Centers for Medicare & Medicaid Services (CMS)?
The Ethan B Worthington has been assigned the NPI (National Provider Identifier) 1558556621. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Ethan B Worthington is physically located?
The Ethan B Worthington is physically situated at the following address: 415 S 28Th Ave, Hattiesburg, MS, 394017246.
What is Ethan B Worthington's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Ethan B Worthington is Family Medicine, and the corresponding taxonomy classification code for this specialized field is 207Q00000X.
On what date did the Ethan B Worthington receive its 1558556621 assignment from the Centers for Medicare & Medicaid Services?
The Ethan B Worthington was assigned its 1558556621 by the Centers for Medicare & Medicaid Services on 2007-09-11.
As of what date were the Ethan B Worthington's details last updated?
The information pertaining to the Ethan B Worthington, including its address, specialty, and other details, was most recently updated on 2016-08-23.
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