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NPI 1053469700ActiveOrganization· Internal Medicine, Cardiovascular Disease· Hattiesburg, MS
Internal Medicine, Cardiovascular Disease in Hattiesburg, Mississippi, registered in NPPES in January 2007. The authorized official on file is Ben Hester, Cfo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1053469700 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 8, 2007 |
| Last updated in NPPES | Feb 13, 2025 |
| Certified by provider | Feb 13, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Cardiovascular Disease Primary | 207RC0000X | — | — |
| Family Medicine | 207Q00000X | — | — |
| Psychiatry & Neurology, Neurology | 2084N0400X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MS) |
|---|
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