MEDICAL FOUNDATION OF SOUTH MS (NPI# 1265451231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265451231 |
| Entity Type | Organization |
| Organization Name | MEDICAL FOUNDATION OF SOUTH MS |
| Other Organization Name | CHILDREN'S CLINIC |
| Practice Address |
20091 Pineville Rd Long Beach MS 39560-3208 |
| Mailing Address |
1612 31st Ave Gulfport MS 39501-2750 |
| Practice Telephone | 2288683684 |
| Practice Fax Number | 2288683795 |
| Mailing Telephone | 2288651453 |
| Mailing Fax Number | 2288651451 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2008-05-23 |
| Authorized Official Name | MR. RANDY ROBINSON (ADMINISTRATOR) |
| Authorized Official Telephone | 2288651453 |
| 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 | 09014471 | 05 |
| Other Name | Type Code |
|---|---|
| Children's Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841220415 | Medical Foundation of South Ms | Pediatrics | 334 Courthouse Rd, Gulfport, MS 39507-1807 | 2006-07-03 |
| 1891731287 | Medical Foundation of South Ms | Internal Medicine | 5120 Beatline Rd, Suite A, Long Beach, MS 39560-3815 | 2006-06-22 |
| 1477599280 | Medical Foundation of South Ms | Family Medicine | 618 Blue Meadow Rd, Suite 20, Bay St Louis, MS 39520-2834 | 2006-06-21 |
| 1821233917 | Medical Foundation of South Ms | Family Medicine | 394 Courthouse Rd, Suite A, Gulfport, MS 39507-1865 | 2008-12-04 |
| 1356469423 | Medical Foundation of South Ms | Pediatrics | 1110 Broad Ave, Suite 700, Gulfport, MS 39501-8907 | 2007-03-27 |
| 1609951441 | Medical Foundation of South Ms | Clinic/Center | 2771 Pass Rd, Biloxi, MS 39531-2600 | 2006-10-26 |
| 1003915729 | Medical Foundation of South Ms | Internal Medicine | 2771 Pass Rd, Suite B, Biloxi, MS 39531-2600 | 2006-09-21 |
| 1174542146 | Medical Foundation of South Ms | Family Medicine | 5120 Beatline Rd, Suite B, Long Beach, MS 39560-3815 | 2006-07-19 |
| 1720014202 | Medical Foundation of South Ms | Internal Medicine | 2771 Pass Rd, Biloxi, MS 39531-2600 | 2006-06-25 |
| 1679509293 | Medical Foundation of South Ms | Allergy & Immunology | 12100 Highway 49, Gulfport, MS 39503-3063 | 2006-06-24 |
| Street Address |
20091 PINEVILLE RD |
| City | LONG BEACH |
| State | MS |
| Zip Code | 39560-3208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669745659 | Holly Boyd | Nurse Practitioner | 20091 Pineville Rd, Long Beach, MS 39560-3208 | 2012-02-22 |
| 1457683187 | Memorial Hospital At Gulfport | Pediatrics | 20091 Pineville Rd, Long Beach, MS 39560-3208 | 2010-02-05 |
| 1750543286 | Memorial Hospital At Gulfport | Pediatrics | 20091 Pineville Rd, Long Beach, MS 39560-3208 | 2008-06-26 |
| 1780790535 | Kris Allen | Nurse Practitioner | 20091 Pineville Rd, Long Beach, MS 39560-3208 | 2006-08-22 |
| 1376658443 | David Reeves | Pediatrics | 20091 Pineville Rd, Long Beach, MS 39560-3208 | 2006-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336660786 | Vitas Laboratory LLC | Clinical Medical Laboratory | 2048 Pineville Road, Suite B, Long Beach, MS 39560 | 2017-07-06 |
| 1760889554 | Laura Catherine Ranson | Physical Therapist | 2 Tower Plaz, Suite B, Community Rehab Center, Long Beach, MS 39560 | 2014-11-24 |
| 1073803714 | Kathleen Ann Williams | Pharmacist | Riteaid #7227 Pharmacy 200 West Railroad St, Suite B, Long Beach, MS 39560 | 2011-04-14 |
| 1609177179 | Robert William Wylie | Hearing Instrument Specialist | 100 Larosa Rd, Ste D, Long Beach, MS 39560 | 2010-11-15 |
| 1891026498 | James Paul Bertinato | Speech-Language Pathologist | 20337 Longview Rd, Long Beach, MS 39560 | 2010-01-21 |
| 1639317274 | Robert A Wiemer Jr. | Pain Medicine | 528-f Klondike Road, Long Beach, MS 39560 | 2009-02-03 |
| 1932362324 | Family Physical Therapy of South Ms LLC | Physical Therapist | 100-a La Rosa Rd, Long Beach, MS 39560 | 2008-07-07 |
| 1952589863 | Miller-whitmer Family Chiropractic | Chiropractor | 125 Jeff Davis Avenue, Long Beach, MS 39560 | 2008-02-01 |
| 1528267333 | Rachel S Conrad Md PC | Family Medicine | 100a Larosa, Long Beach, MS 39560 | 2007-07-12 |
| 1386720241 | Betty Diane Edrington | Registered Nurse | 2 Tower Plaza, Pineville Road, Long Beach, MS 39560 | 2006-10-31 |
| Find all providers in zip 39560 | ||||
| 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 |
|---|---|---|---|---|
| 1134635667 | Selem Care | Pediatrics | 2700 N Bellflower Blvd Ste 201, Long Beach, CA 90815-1144 | 2017-12-20 |
| 1194257170 | Sarah Mahmood | Pediatrics | The Children's Clinic, 2360 Pacific Ave, Long Beach, CA 90806 | 2017-03-29 |
| 1487997334 | Dominick Figueroa | Pediatrics | 500 W Willow St Ste 101, Long Beach, CA 90806-2831 | 2013-03-28 |
| 1871833228 | Paul Russell Thompson | Pediatrics | 3030 Marna Ave, Long Beach, CA 90808-4401 | 2013-02-21 |
| 1093068330 | Solomon Laktineh, M.d. A Medical Corporation | Pediatrics | 6624 Cherry Ave, Long Beach, CA 90805-1715 | 2012-10-24 |
| 1013274679 | Tara Sutherland | Pediatrics | 2650 Elm Ave Ste 301, Long Beach, CA 90806-1600 | 2012-04-19 |
| 1215208962 | Joseph M Molina Md Professional Corporation-southern California | Pediatrics | 540 E. Artesia Boulevard, Long Beach, CA 90805-1476 | 2012-01-25 |
| 1053681544 | Karing Pediatrics Medical Group | Pediatrics | 6628 Cherry Ave, Long Beach, CA 90805-1715 | 2011-12-30 |
| 1750612719 | Cindy Ugochi Njemanze | Pediatrics | 5191 Cherry Ave, Apt 1, Long Beach, CA 90805-6243 | 2010-01-14 |
| 1609004530 | Elaine Yang | Pediatrics | 455 E Columbia St Ste 201206, Long Beach, CA 90806-1620 | 2009-06-30 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 39560 |
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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.