MEMORIAL HOSPITAL AT GULFPORT (NPI# 1255663993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255663993 |
| Entity Type | Organization |
| Organization Name | MEMORIAL HOSPITAL AT GULFPORT |
| Other Organization Name | PHYSICIANS CLINIC AT MHG |
| Practice Address |
1756 Popps Ferry Rd Suite A Biloxi MS 39532-2118 |
| Mailing Address |
Po Box 555 Biloxi MS 39533-0555 |
| Practice Telephone | 2288653200 |
| Practice Fax Number | 2285751660 |
| Mailing Telephone | 2288640854 |
| Mailing Fax Number | 2288651457 |
| Enumeration Date | 2010-02-05 |
| Last Update Date | 2013-03-25 |
| Authorized Official Name | MR. JEFF T STEINER (VP OF FINANCE) |
| Authorized Official Telephone | 2288653106 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 07007871 | 05 |
| Other Name | Type Code |
|---|---|
| PHYSICIANS CLINIC AT MHG | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215354402 | Memorial Hospital At Gulfport | Physical Therapy Assistant | 2781 C.t. Switzer, Suite 404, Biloxi, MS 39531 | 2014-03-25 |
| 1609203173 | Memorial Hospital At Gulfport | Internal Medicine | 1756 Popps Ferry Rd Ste A, Biloxi, MS 39532-2118 | 2013-09-30 |
| 1285070672 | Memorial Hospital At Gulfport | Occupational Therapist | 2781 C. T. Switzer Dr., Suite 404, Biloxi, MS 39531-4535 | 2013-05-13 |
| 1205129137 | Memorial Hospital At Gulfport | Family Medicine | 20006 Hwy 53, 7 Sunshine Place, Gulfport, MS 39503-0000 | 2011-05-25 |
| 1275848889 | Memorial Hospital At Gulfport | Internal Medicine | 4405 E Aloha Dr, Suite 1, Diamondhead, MS 39525-3380 | 2010-08-09 |
| 1649585258 | Memorial Hospital At Gulfport | Internal Medicine | 784 Vieux Marche Mall, Biloxi, MS 39530-3822 | 2010-08-09 |
| 1730411463 | Memorial Hospital At Gulfport | Pediatrics | 12259 Highway 49, Suite C, Gulfport, MS 39503-3063 | 2010-02-05 |
| 1649404435 | Memorial Hospital At Gulfport | Internal Medicine | 970 Tommy Munro Dr, Biloxi, MS 39532-2130 | 2009-05-07 |
| 1295978435 | Memorial Hospital At Gulfport | Psychiatry & Neurology | 5407 Indian Hill Blvd, Diamondhead, MS 39525-3324 | 2009-04-17 |
| 1255524211 | Memorial Hospital At Gulfport | Clinic/Center | 1340 Broad Ave Ste 220, Gulfport, MS 39501-2404 | 2007-08-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MEMORIAL HOSPITAL AT GULFPORT | 4500 13th St, Gulfport, MS 39501-2515 |
| Street Address |
1756 POPPS FERRY RD SUITE A |
| City | BILOXI |
| State | MS |
| Zip Code | 39532-2118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427282060 | Christy Dawn Mckinney | Nurse Practitioner | 1756 Popps Ferry Rd, Biloxi, MS 39532-2118 | 2009-05-12 |
| 1881960136 | Lauren Alena Quave | Nurse Practitioner | 1756 Popps Ferry Rd, Biloxi, MS 39532-2118 | 2012-03-30 |
| 1942439542 | Rebecca Anne Rose | Family Medicine | 1756 Popps Ferry Rd, Biloxi, MS 39532-2118 | 2009-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427693613 | Bloom Mental Health LLC | Nurse Practitioner | 933 Tommy Munro Dr., Suite C, Biloxi, MS 39532 | 2019-11-12 |
| 1003397530 | The National Diabetes & Obesity Research Institute At Tradition, Missi | Dietitian, Registered | 19289 St. Joseph Street, Suite C, Biloxi, MS 39532 | 2018-08-23 |
| 1134588999 | Victoria Leonard Scott | Counselor | 6905 Gregory Dr, Biloxi, MS 39532 | 2016-02-22 |
| 1639552490 | Laura O'keefe | Nurse Practitioner | 1720a Medical Park Dr Ste 150, Biloxi, MS 39532 | 2015-06-29 |
| 1659767150 | D'iberville Home Program LLC | Clinic/Center | 14215 Cook Road, Biloxi, MS 39532 | 2015-04-10 |
| 1467842476 | Alicia Michelle Mcdaniel | Nurse Practitioner | 14209 Cook Rd Suite 200, Biloxi, MS 39532 | 2015-01-28 |
| 1437402393 | Lisa Q. Brown | Occupational Therapist | 680 Bay Cove Drive, Residents At Baycove, Biloxi, MS 39532 | 2012-10-17 |
| 1962759381 | Joshua Shumway | Physical Therapist | 220 Ploesti Dr, Keesler Afb, MS 39532 | 2012-08-06 |
| 1386912483 | Polk's Crossgates Discount Drugs Inc. | Pharmacy | 1845 Popps Ferry Road, Biloxi, MS 39532 | 2011-12-05 |
| 1346566957 | Kerri Lyn Manjarrez | Social Worker | 12304 Tiffany Lane, Biloxi, MS 39532 | 2010-04-08 |
| Find all providers in zip 39532 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720302508 | Gulf Coast Abc Pediatrics, Inc. | Pediatrics | 1024 Tommy Munro Dr Ste A, Biloxi, MS 39532-2157 | 2010-03-23 |
| 1922330372 | Richard Charles Schmidt | Pediatrics | 6207 Herbie Rd, Biloxi, MS 39532-8454 | 2010-02-10 |
| 1639212442 | Joanna Dupont | Pediatrics | 2561 Pass Rd, Biloxi, MS 39531 | 2007-02-14 |
| 1679679864 | Elisabeth Jones Haller | Pediatrics | 1721 Medical Park Dr Ste 200, Biloxi, MS 39532-2105 | 2006-09-15 |
| 1154431351 | Mitchell J Gruich | Pediatrics | 2356 Pass Rd, Suite 300, Biloxi, MS 39531-2236 | 2006-08-30 |
| 1346357498 | Jennifer Leticia Grayson | Pediatrics | 147 Reynoir St Ste 202, Biloxi, MS 39530-4109 | 2006-08-24 |
| 1710092077 | Walter Kastler Grant IIi | Pediatrics | 920 Tommy Munro Dr, Biloxi, MS 39532-2150 | 2006-08-20 |
| 1801888250 | Michael Frederick Hensley | Pediatrics | 761 Esters Blvd, Biloxi, MS 39530-3134 | 2005-08-19 |
| 1295187987 | Diana Rice | Pediatrics | 81 Mdg Keesler Medical Center, 301 Fisher Street, Biloxi, MS 39534-2582 | 2016-07-06 |
| 1003203159 | Daniel Victor-calvin Hammond | Pediatrics | 301 Fisher St, Biloxi, MS 39534 | 2015-04-15 |
| Find all providers in BILOXI | ||||
Please comment or provide details below to improve the information on MEMORIAL HOSPITAL AT GULFPORT.
| 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.