DR. DOUGLAS CLINTON LEAVENGOOD (NPI# 1194900167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194900167 |
| Entity Type | Individual |
| Full Name | DR. DOUGLAS CLINTON LEAVENGOOD |
| Credential | M.D. |
| Practice Address |
2561 Pass Rd Suite D Biloxi MS 39531-2125 |
| Practice Telephone | 2283887743 |
| Mailing Telephone | 2283887743 |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2008-01-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | 11243 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00110476 | 05 |
| Street Address |
2561 PASS RD SUITE D |
| City | BILOXI |
| State | MS |
| Zip Code | 39531-2125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639212442 | Joanna Dupont | Pediatrics | 2561 Pass Rd, Biloxi, MS 39531 | 2007-02-14 |
| 1164030979 | Children's International, LLC | Clinic/Center | 2561 Pass Rd, Biloxi, MS 39531-2125 | 2020-07-17 |
| 1376929901 | Sw Mediacal Inc | Family Medicine | 2561 Pass Rd, Suite D, Biloxi, MS 39531-2125 | 2015-08-05 |
| 1750409835 | Calverts Drug Store LLC | Pharmacy | 2561 Pass Rd, Ste A, Biloxi, MS 39531-2125 | 2007-03-27 |
| 1932256492 | Stephen Wayne Mcauliffe | Neuromusculoskeletal Medicine & OMM | 2561 Pass Rd, Suite D, Biloxi, MS 39531-2125 | 2007-01-05 |
| 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 | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376642082 | Gulf Coast Asthma and Allergy Clinic | Allergy & Immunology | 1025 Division St, Suite D, Biloxi, MS 39530-2906 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780948216 | Blake Olmsted | Allergy & Immunology | 6414 U S Highway 98 Ste 80, Hattiesburg, MS 39402-7838 | 2012-06-29 |
| 1689803918 | Patricia Honea Stewart | Allergy & Immunology | 878 Lakeland Dr., Lb-building, Jackson, MS 39216-4500 | 2009-07-08 |
| 1801094016 | Mississippi Asthma and Allergy Clinic Pa | Allergy & Immunology | 680d Hwy 51 North, Ridgeland, MS 39157 | 2007-07-10 |
| 1154529709 | Chelle P Wilhelm | Allergy & Immunology | 1513 Lakeland Dr Ste 101, Jackson, MS 39216-4829 | 2007-07-05 |
| 1841491404 | Delta Asthma & Allergy | Allergy & Immunology | 2335 Highway 1 S, Greenville, MS 38701-8337 | 2007-05-30 |
| 1114134863 | Karen Ashmore Maltby | Allergy & Immunology | 811 Garfield St, Tupelo, MS 38801-5748 | 2007-05-16 |
| 1407955537 | Joshua F Phillips | Allergy & Immunology | 1513 Lakeland Dr., Suite 101, Jackson, MS 39216 | 2006-09-22 |
| 1720007040 | Charlene Bell Broome | Allergy & Immunology | 6414 U S Highway 98, Ste 80, Hattiesburg, MS 39402-7815 | 2006-07-18 |
| 1902882251 | Mississippi Asthma & Allergy Clinic Pa | Allergy & Immunology | 1513 Lakeland Dr, Ste 100, Jackson, MS 39216-4829 | 2005-12-19 |
| 1003892357 | Daniel L Venarske | Allergy & Immunology | 1513 Lakeland Dr., Suite 101, Jackson, MS 39216 | 2005-12-19 |
| Find all providers with the same taxonomy | ||||
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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.