DR. ISAAC FRED DALE III (NPI# 1134130206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134130206 |
| Entity Type | Individual |
| Full Name | DR. ISAAC FRED DALE III |
| Credential | MD |
| Practice Address |
180 Debuys Rd Gulf Coast Medical Center Biloxi MS 39531 |
| Mailing Address |
Po Box 740550 New Orleans LA 70174-0550 |
| Practice Telephone | 2283880248 |
| Practice Fax Number | 2283880358 |
| Mailing Telephone | 5043667638 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 10577 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 0012890 | 05 |
| Street Address |
180 DEBUYS RD GULF COAST MEDICAL CENTER |
| City | BILOXI |
| State | MS |
| Zip Code | 39531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306840871 | William R. Fellows, Md | Internal Medicine | 180 Debuys Rd, Ste 130, Biloxi, MS 39531-4402 | 2005-06-11 |
| 1063989010 | Oceans Behavioral Hospital of Biloxi LLC | Psychiatric Hospital | 180 Debuys Rd, Biloxi, MS 39531-4402 | 2018-10-29 |
| 1245761360 | Christine Johns Wright | Nurse Practitioner | 180 Debuys Rd, Biloxi, MS 39531-4402 | 2017-03-21 |
| 1639616378 | Gina Gauthreaux | Social Worker | 180 Debuys Rd, Ste 203, Biloxi, MS 39531-4402 | 2017-01-19 |
| 1366988230 | Lauren Sullivan | Registered Nurse | 180 Debuys Rd, Biloxi, MS 39531-4402 | 2017-01-16 |
| 1568814978 | Angelia Ruth Bone | Social Worker | 180 Debuys Rd, Biloxi, MS 39531-4402 | 2016-07-09 |
| 1124466099 | Beverly A Echoles | Nurse Practitioner | 180 Debuys Rd, Biloxi, MS 39531-4402 | 2013-06-12 |
| 1275889255 | Biloxi Hma Physician Management, LLC | Social Worker | 180 Debuys Rd, Biloxi, MS 39531-4402 | 2012-07-27 |
| 1952690273 | Candace M Lockey | Social Worker | 180 Debuys Rd, Biloxi, MS 39531-4402 | 2011-04-07 |
| 1063715746 | Painstop Spine Clinic, LLC | Family Medicine | 180 Debuys Rd, Biloxi, MS 39531-4402 | 2010-12-17 |
| Find all providers in the same location | ||||
| 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 |
| 1093121196 | Gulf Coast Outpatient Surgery Center, LLC | Clinic/Center | 2781 Ct Senior Switzer Drive, Suite 101, Biloxi, MS 39531 | 2014-07-09 |
| 1215354402 | Memorial Hospital At Gulfport | Physical Therapy Assistant | 2781 C.t. Switzer, Suite 404, Biloxi, MS 39531 | 2014-03-25 |
| Find all providers in zip 39531 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578615001 | Andrew A. Ragula | Emergency Medicine | 13034b Shriners Blvd, Biloxi, MS 39532-8250 | 2007-01-17 |
| 1326081092 | Thomas Joseph Seglio | Emergency Medicine | 150 Reynoir Street, Biloxi, MS 39530-4199 | 2006-06-13 |
| 1295714160 | Lennis Joseph Derouen | Emergency Medicine | 979 Tommy Munro Dr, Biloxi, MS 39532-2133 | 2006-01-10 |
| 1437684057 | Taylor Roth | Emergency Medicine | Keesler Afb, 301 Fisher Street, Biloxi, MS 39534 | 2017-04-21 |
| 1528590346 | Anthony P Bertasi IIi | Emergency Medicine | 301 Fisher St, Biloxi, MS 39534-2508 | 2017-03-30 |
| 1194176883 | Catherine Coss | Emergency Medicine | 301 Fisher St, Biloxi, MS 39534-2508 | 2016-06-24 |
| 1134574429 | Adam L Whitaker | Emergency Medicine | 150 Reynoir St, Biloxi, MS 39530-4130 | 2016-04-25 |
| 1770977035 | Brian Ferguson | Emergency Medicine | Keesler Medical Center, 500 Fisher St, Biloxi, MS 39534 | 2015-03-25 |
| 1184044281 | Joshua Nathaniel Burkhardt | Emergency Medicine | 301 Fisher St, Biloxi, MS 39534-2508 | 2014-04-16 |
| 1508284613 | Kelley Stanko | Emergency Medicine | 301 Fisher St, Biloxi, MS 39534-2508 | 2014-04-04 |
| Find all providers in BILOXI | ||||
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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.