KEESLER MEDICAL CENTER (NPI# 1023043619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023043619 |
| Entity Type | Organization |
| Organization Name | KEESLER MEDICAL CENTER |
| Practice Address |
301 Fisher St Biloxi MS 39534-2508 |
| Practice Telephone | 2283763406 |
| Mailing Telephone | 2283763406 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2007-10-09 |
| Authorized Official Name | DR. PAMELA J. TULI (HEMATOLOGIST-ONCOLOGIST/STAFF) |
| Authorized Official Telephone | 2283763406 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 286500000X | Military Hospital | MD072247L | PA | Hospitals |
| Street Address |
301 FISHER ST |
| City | BILOXI |
| State | MS |
| Zip Code | 39534-2508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861099913 | Enrique I Padron | Military Health Care Provider | 301 Fisher St, Biloxi, MS 39534-2508 | 2020-10-01 |
| 1891307096 | Allison Kathleen Rita Hauge | Student in an Organized Health Care Education/Training Program | 301 Fisher St, Biloxi, MS 39534-2508 | 2020-08-19 |
| 1417569625 | Ryan Woolfe | Student in an Organized Health Care Education/Training Program | 301 Fisher St, Biloxi, MS 39534-2508 | 2020-08-19 |
| 1457963027 | Crystal Lee Cowan | Student in an Organized Health Care Education/Training Program | 301 Fisher St, Biloxi, MS 39534-2508 | 2020-08-17 |
| 1811505910 | Michael Andes | Dentist | 301 Fisher St, Biloxi, MS 39534-2508 | 2020-07-15 |
| 1275155301 | Emily Kathryn Doe | Student in an Organized Health Care Education/Training Program | 301 Fisher St, Biloxi, MS 39534-2508 | 2020-05-12 |
| 1578185955 | Sean Lan | Student in an Organized Health Care Education/Training Program | 301 Fisher St, Biloxi, MS 39534-2508 | 2020-05-08 |
| 1427679109 | Nicholas William D'amico | Student in an Organized Health Care Education/Training Program | 301 Fisher St, Biloxi, MS 39534-2508 | 2020-05-04 |
| 1487283701 | Jeremy Alan Meldrum | Student in an Organized Health Care Education/Training Program | 301 Fisher St, Biloxi, MS 39534-2508 | 2020-04-07 |
| 1881229623 | Jesse Recarte | Military Health Care Provider | 301 Fisher St, Biloxi, MS 39534-2508 | 2020-03-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316568918 | Hanna Chang | Student in an Organized Health Care Education/Training Program | 81 Msgs/gme (keesler Afb), 301 Fisher St, Rm 5a127, Biloxi, MS 39534 | 2020-05-05 |
| 1720617079 | Briana Polk | Student in an Organized Health Care Education/Training Program | Keesler Air Force Base, 301 Fisher Street, Biloxi, MS 39534 | 2020-04-07 |
| 1437718756 | Marquise Westbrook | Student in an Organized Health Care Education/Training Program | 301 Fisher St, Rm 1g123, Keesler Afb, MS 39534 | 2019-06-11 |
| 1124682729 | Joseph Paul Cervone | Student in an Organized Health Care Education/Training Program | 81 Mdss/gme 301 Fisher St, Rm 1g123, Keesler Afb, MS 39534 | 2019-04-29 |
| 1083120851 | Kaitlin May Gruenberg | Student in an Organized Health Care Education/Training Program | 81 Msgs/gme, 301 Fisher St, Rm 5a127, Keesler Afb, MS 39534 | 2017-12-15 |
| 1760912513 | Michael Zipper | Military Health Care Provider | 301 Fisher St, Rm 5a127, 81msgs/sgcq, Keesler Afb, MS 39534 | 2017-06-14 |
| 1184073181 | 81msgs/sgcq | General Acute Care Hospital | 81msgs/sgcq, 301 Fisher St, Rm 5a127, Keesler Afb, MS 39534 | 2016-06-09 |
| 1174972772 | Usaf 81st Medical Group | Military Hospital | 81msgs/sgcq 301 Fisher St, Rm 5a127, Keesler Afb, MS 39534 | 2016-06-06 |
| 1548644677 | Jim Li | Dentist | 81st Medical Group, Keesler Afb, Apo, AA 39534 | 2015-07-18 |
| 1245610872 | Zachary Austin Masters | Surgery | 301 Fisher Street, Rm 5a127, Keesler Air Force Base, MS 39534 | 2015-06-09 |
| Find all providers in zip 39534 | ||||
| Taxonomy Code | 286500000X |
| Grouping | Hospitals |
| Classification | Military Hospital |
| A health care facility operated by the Department of Defense. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831495415 | U.S. Department of Veterans Affairs | Military Hospital | 400 Veterans Ave, T100 (social Work), Biloxi, MS 39531-2410 | 2011-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174972772 | Usaf 81st Medical Group | Military Hospital | 81msgs/sgcq 301 Fisher St, Rm 5a127, Keesler Afb, MS 39534 | 2016-06-06 |
| 1609268267 | Veterans Health Adminstration | Military Hospital | 947 Clubhouse Dr, Pearl, MS 39208-9528 | 2015-02-19 |
| 1407290703 | G.v. Sonny Montgomery Medical Center | Military Hospital | 425 Beasley Rd Apt K5, Jackson, MS 39206-2929 | 2013-04-18 |
| 1932360815 | Samuel Leroy Graham | Military Hospital | 14115 Fred and Al Key Rd, Kiln, MS 39556-8060 | 2008-06-23 |
| 1497930184 | Department of Veterans Affair G.v. (sonny) Montgomery Va Medical Cente | Military Hospital | 5942 Westmore Dr, Jackson, MS 39206-2209 | 2008-01-01 |
| 1023302957 | 81st Medical Group | Military Hospital | 301 Fisher St, 81 Mdos Sgof, Keesler Afb, MS 39534-2508 | 2011-06-08 |
| 1265508287 | Va Jackson | Military Hospital | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2006-11-28 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.