GREG LAURITZ ICHTERTZ M.D. NPI 1598884454

NPI Information

NPI: 1598884454
Provider Name: GREG LAURITZ ICHTERTZ, M.D.
Classification: Hospitalist - 208M00000X
Entity Type: Individual
Address:
415 S 28TH AVE
HATTIESBURG, MS
ZIP 39401
Phone: (601) 288-4329
Get Directions

Greg Lauritz Ichtertz, M.D. is a hospitalist in Hattiesburg, MS. The provider is hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. Greg Lauritz Ichtertz, M.D. NPI is 1598884454. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

415 S 28TH AVE
HATTIESBURG, MS
ZIP 39401-246
Phone: (601) 288-4329
Fax: (601) 288-3191

The enumeration date for this NPI number is 3/29/2007 and was last updated on 1/30/2015.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208M00000X	Hospitalist		19698	MISSISSIPPI	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4045721	OTHER	MISSISSIPPI	AETNA
2	C43608	MEDICARE UPIN
3	P00420680	OTHER	MISSISSIPPI	RAILROAD MEDICARE
4	04936743	MEDICAID	MISSISSIPPI
5	290000933	MEDICARE PIN	MISSISSIPPI

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: 4/28/2024

NPI Synchronization or Removal

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