St. Dominic Jackson Memorial
NPI 1235173691ActiveOrganization· Emergency Medicine· Jackson, MS
Emergency Medicine in Jackson, Mississippi, registered in NPPES in June 2006. The authorized official on file is Karl Hatten, M.D., Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1235173691 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 16, 2006 |
| Last updated in NPPES | Aug 11, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | — | MS |
| Anesthesiology | 207L00000X | — | MS |
| Surgery | 208600000X | — | MS |
| Nurse Anesthetist, Certified Registered | 367500000X | — | MS |
| Anesthesiologist Assistant | 367H00000X | — | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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