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CRESCENTWORLD ENTERPRISES PLLC NPI 1124436977


NPI Information

NPI: 1124436977
Provider Name: CRESCENTWORLD ENTERPRISES, PLLC

Doing Business As: HEART PLUS CENTER

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

CLIA Number: 25D2139816

Address:
670 HIGHWAY 51 STE B
RIDGELAND, MS
ZIP 39157
Phone: (601) 201-1426
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CRESCENTWORLD ENTERPRISES, PLLC is a cardiovascular disease internal medicine in Ridgeland, MS. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. CRESCENTWORLD ENTERPRISES, PLLC NPI is 1124436977. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Heart Plus Center.

The provider's business location address is:

670 HIGHWAY 51 STE B
RIDGELAND, MS
ZIP 39157-138
Phone: (601) 201-1426

The provider's authorized official is Berthrone Mock-muhammad .
The authorized official title is Physician Owner and has the following contact phone number (601) 201-1426.

The CLIA number assigned to this NPI record is 25D2139816 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/24/2014 and was last updated on 12/23/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular Disease20402MISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
103925069MEDICAIDMISSISSIPPI
21285781153OTHERMISSISSIPPINPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.