# MCCOMB ANESTHESIA ASSOCIATES, LLP

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619916533
- **Authorized official:** ASHRAF E. RIAD M.D. (PARTNER)
- **Authorized official phone:** (601) 936-0682

## Contact information

- **Practice address:** 215 MARION AVE, MCCOMB, MS 39648-2705
- **Practice address phone:** (601) 936-0682
- **Mailing address:** PO BOX 4507, JACKSON, MS 39296-4507
- **Mailing address phone:** (601) 936-0682
- **Mailing address fax:** (601) 936-0686

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |
| 367500000X | Certified Registered Nurse Anesthetist | — | NULL | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | — | — |

## Other

- **Enumeration date:** 06/06/2006
- **Last updated:** 02/17/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 09014655 | — | MS |
| 01 | — | CN3408 | RAILROAD MEDICARE | — |