Farren A Windham Certified Registered Nurse Anesthetist
2100 Hwy 61 N, Vicksburg, MS 39183-8211



Farren A Windham is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1477576171. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 2163585548. The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST. The organization is NORTHSTAR ANESTHESIA OF MISSISSIPPI LLC. The address is 2100 Hwy 61 N, Vicksburg, MS 39183-8211. The zip code is 39183.


Farren A Windham · 2100 Hwy 61 N, Vicksburg, MS 39183-8211

Nation Provider ID 1477576171
PAC ID by PECOS 2163585548
Professional Enrollment ID I20090112000234
Last Name WINDHAM
First Name FARREN
Middle Name A
Gender M
Medical School Name OTHER
Graduation Year 2004
Primary Specialty CERTIFIED REGISTERED NURSE ANESTHETIST
Primary Specialty NORTHSTAR ANESTHESIA OF MISSISSIPPI LLC
Group Practice PAC ID 1658682117
Number of Group Practice Members 47
Address 2100 HWY 61 N
VICKSBURG, MS 391838211
Claims Based Hospital Affiliation Claim Control Number (CCN): 250122
Legal Business Name:
Claims Based Hospital Affiliation Claim Control Number (CCN): 250084
Legal Business Name: NATCHEZ HOSPITAL COMPANY LLC
Professional accepts Medicare Assignment Y

Northstar Anesthesia of Mississippi LLC · Medicare Physician

Name Address Specialty
Karen Branam 2100 Hwy 61 N, Vicksburg, MS 39183 ANESTHESIOLOGY
Michael Mcreynolds 2100 Hwy 61 N, Vicksburg, MS 39183 CERTIFIED REGISTERED NURSE ANESTHETIST
Vidya Kamalapur 2100 Hwy 61 N, Vicksburg, MS 39183 ANESTHESIOLOGY
Bradley Coker 2100 Hwy 61 N, Vicksburg, MS 39183 CERTIFIED REGISTERED NURSE ANESTHETIST

Zip 39183 · Certified Registered Nurse Anesthetist · Medicare Physician

Name Address Specialty
Michael Mcreynolds 2100 Hwy 61 N, Vicksburg, MS 39183 CERTIFIED REGISTERED NURSE ANESTHETIST
Bradley Coker 2100 Hwy 61 N, Vicksburg, MS 39183 CERTIFIED REGISTERED NURSE ANESTHETIST
Channon Pruitt 2100 Hwy 61 N, Vicksburg, MS 39183 CERTIFIED REGISTERED NURSE ANESTHETIST

Zip 39183 · Medicare Physician

Name Address Specialty
Karen Branam 2100 Hwy 61 N, Vicksburg, MS 39183 ANESTHESIOLOGY
Michael Mcreynolds 2100 Hwy 61 N, Vicksburg, MS 39183 CERTIFIED REGISTERED NURSE ANESTHETIST
George Habeeb 2100 Hwy 61 N, Vicksburg, MS 39183 INTERNAL MEDICINE
Vidya Kamalapur 2100 Hwy 61 N, Vicksburg, MS 39183 ANESTHESIOLOGY
Craig Cole 2100 Hwy 61 N, Vicksburg, MS 39183 GENERAL SURGERY
James Phelan 104 Mcauley Dr, Vicksburg, MS 39183 PODIATRY
Chris Collins 1206 Mission, Vicksburg, MS 39183 OPTOMETRY
Christopher Novak 2100 Hwy 61 N, Vicksburg, MS 39183 INTERNAL MEDICINE
Joseph Keys 2100 Hwy 61 N, Vicksburg, MS 39183 NURSE PRACTITIONER
Alfred Windham 2200 Hwy 61 N 2400, Vicksburg, MS 39183 OTOLARYNGOLOGY
Bradley Coker 2100 Hwy 61 N, Vicksburg, MS 39183 CERTIFIED REGISTERED NURSE ANESTHETIST
Kurt Bruckmeier 2100 Hwy 61 N, Vicksburg, MS 39183 INTERNAL MEDICINE
John Fagan 2100 Hwy 61 N, Vicksburg, MS 39183 UROLOGY
Stanley Easterling 2100 Hwy 61 N, Vicksburg, MS 39183 FAMILY PRACTICE
Thomas Sligh 104 Mcauley Dr, Vicksburg, MS 39183 INTERNAL MEDICINE
Carlos Latorre 2200 Hwy 61 N 2100, Vicksburg, MS 39183 FAMILY PRACTICE
Dave Purcell 2100 Hwy 61 N, Vicksburg, MS 39183 ANESTHESIOLOGY
Miranda Mccaskill 104 Mcauley Dr, Vicksburg, MS 39183 AUDIOLOGIST
Dedri Ivory 2200 Hwy 61 N, Vicksburg, MS 39183 RHEUMATOLOGY
James Hall 104 Mcauley Dr, Vicksburg, MS 39183 EMERGENCY MEDICINE