Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Catherine Petzinger Deshazo, DO

Individual provider Surgery Physician · NPI 1962822692

Catherine Petzinger Deshazo, DO is a General Surgery in Olive Branch, Mississippi. Graduated from Midwestern University, Chicago College of Osteopathic Med in 2014, 12 years ago. Practices with Spg II LLC, a 5-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Michigan and Mississippi.

Years since qualifying
12
Trained at
Midwestern University, Chicago College of Osteopathic Med
Licensed in
MI, MS
In the registry since
2014
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

5480 Goodman Rd
Olive Branch, MS 38654-7902
Phone: (662) 893-9815
Fax: (662) 893-9888
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 28050 Grand River Ave, Farmington Hills, MI 48336-5919 — (947) 521-8000
  • 901 E Sunflower Rd, Cleveland, MS 38732-2833 — (312) 213-9732

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 26737 (MS)
Surgery Physician Taxonomy 208600000X · Licence 5101020893 (MI)

Record details

NPI number1962822692
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedApril 21, 2014
Last updated in NPPESNovember 30, 2023
Certification dateNovember 30, 2023
Mailing address1211 Union Ave Ste 330, Memphis, TN 38104-6655

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolMIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduated 2014 (12 years in practice)
Group practice Spg Ii Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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