GULF COAST OUTPATIENT SURGERY CENTER, LLC (NPI# 1093121196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093121196 |
Entity Type | Organization |
Organization Name | GULF COAST OUTPATIENT SURGERY CENTER, LLC |
Practice Address |
2781 Ct Senior Switzer Drive Suite 101 Biloxi MS 39531 |
Practice Telephone | 2285942900 |
Mailing Telephone | 2285942900 |
Enumeration Date | 2014-07-09 |
Last Update Date | 2014-07-09 |
Authorized Official Name | MS. LEAH ETHRIDGE (ADMINISTRATOR) |
Authorized Official Telephone | 2282970517 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
022 | MS | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | 01079220 | 05 | |
MS | MEDICARE PTAN | 490000042 | 01 |
Street Address |
2781 CT SENIOR SWITZER DRIVE SUITE 101 |
City | BILOXI |
State | MS |
Zip Code | 39531 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306460431 | Southern Home Care Services, Inc. | In Home Supportive Care | 1901 Pass Rd, Ste C, Biloxi, MS 39531 | 2020-06-04 |
1285287698 | Veronica Lynn Walker | Nurse Practitioner | 180-b Debuys Road, Biloxi, MS 39531 | 2019-07-24 |
1982264875 | Brittany Paitsel | Dietitian, Registered | 19289 Saint Joseph Street, Suite C, Biloxi, MS 39531 | 2019-06-13 |
1144792425 | Traditions Hospice of Biloxi, LLC | Hospice Care, Community Based | 243 Beauvoir Road, Suite B, Biloxi, MS 39531 | 2018-12-26 |
1790275956 | Gulf Coast Wellness Center Inc | Physical Medicine & Rehabilitation | 2318 Pass Rd Ste 7c, Biloxi, MS 39531 | 2018-05-14 |
1861929655 | John Marc Bailey | Physician Assistant | 2781 Ct Switzer Dr Ste 402, Biloxi, MS 39531 | 2017-05-11 |
1134574270 | Shondra Davis | Social Worker | 400 Veteran Ave, Biloxi, MS 39531 | 2016-04-26 |
1063872349 | Stephanie Nix Lentz | Physician Assistant | 180b Debuys Rd Ste 203, Biloxi, MS 39531 | 2016-03-01 |
1215354402 | Memorial Hospital At Gulfport | Physical Therapy Assistant | 2781 C.t. Switzer, Suite 404, Biloxi, MS 39531 | 2014-03-25 |
1790109080 | Richard Dymond Jr. | Physical Therapist | 2781 Ct Switzer Rd., Biloxi, MS 39531 | 2014-02-07 |
Find all providers in zip 39531 |
Taxonomy Code | 261QA1903X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Ambulatory Surgical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295820249 | New Cedar Lake Surgery Center, LLC | Clinic/Center | 1720 Medical Park Dr # B, Biloxi, MS 39532-2131 | 2006-10-04 |
1740385632 | Gulf Coast Outpatient Surgery Center LLC | Clinic/Center | 2781 C.t. Switzer Sr Dirve, Suite 101, Biloxi, MS 39531-4535 | 2006-09-14 |
1902858004 | South Mississippi Maxillofacial Surgery Center | Clinic/Center | 1760 Medical Park Dr, Suite B, Biloxi, MS 39532-2131 | 2006-05-17 |
1568722353 | Larry Hammonds | Clinic/Center | 1720b Medical Park Dr, Biloxi, MS 39532-2131 | 2012-05-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497391619 | Madison Spine Surgery Center, LLC | Clinic/Center | 160 Fountains Blvd Ste C, Madison, MS 39110-6380 | 2019-11-22 |
1588224802 | Flowood Surgery Center LLC | Clinic/Center | 120 Stone Creek Blvd Ste 400, Flowood, MS 39232-8210 | 2019-06-18 |
1912480070 | Sog Surgery Center LLC | Clinic/Center | 1211 S Gloster St Ste B, Tupelo, MS 38801-6535 | 2018-09-13 |
1942793823 | Starkville Surgery Center LLC | Clinic/Center | 110 Walker Way, Starkville, MS 39759-6607 | 2018-06-14 |
1194214510 | Specialty Surgery & Laser Center | Clinic/Center | 306 Bradley Rd Ste A, Corinth, MS 38834-7047 | 2018-05-02 |
1154867562 | Urologic Ambulatory Surgery Center, LLC | Clinic/Center | 3353 N Gloster Street, Suite 300, Tupelo, MS 38804 | 2017-01-09 |
1205218690 | Nurse Practitioner Professionals, Pllc | Clinic/Center | 427 Highway 51 Se, Kings Daughters Medical Center-wound Healing Center, Brookhaven, MS 39601 | 2015-06-23 |
1487094058 | Comprehensive Pain Center for Surgery | Clinic/Center | 129 Fountains Blvd., Madison, MS 39110 | 2013-06-27 |
1821336371 | Eyecare Surgery Center, LLC | Clinic/Center | 1501 Lakeland Dr Ste 101, Jackson, MS 39216-4839 | 2013-01-17 |
1518246081 | The Surgery Center LLC | Clinic/Center | 2466 Flowood Dr Ste A, Flowood, MS 39232 | 2011-08-15 |
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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.