MEMORIAL HOSPITAL AT GULFPORT (NPI# 1457683187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457683187 |
| Entity Type | Organization |
| Organization Name | MEMORIAL HOSPITAL AT GULFPORT |
| Other Organization Name | PHYSICIANS CLINIC AT MHG |
| Practice Address |
20091 Pineville Rd Long Beach MS 39560-3208 |
| Mailing Address |
Po Box 555 Biloxi MS 39533-0555 |
| Practice Telephone | 2288683684 |
| Practice Fax Number | 2288683795 |
| Mailing Telephone | 2288640854 |
| Mailing Fax Number | 2288651457 |
| Enumeration Date | 2010-02-05 |
| Last Update Date | 2011-01-03 |
| 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 | 09014471 | 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 |
20091 PINEVILLE RD |
| City | LONG BEACH |
| State | MS |
| Zip Code | 39560-3208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265451231 | Medical Foundation of South Ms | Pediatrics | 20091 Pineville Rd, Long Beach, MS 39560-3208 | 2006-07-19 |
| 1669745659 | Holly Boyd | Nurse Practitioner | 20091 Pineville Rd, Long Beach, MS 39560-3208 | 2012-02-22 |
| 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.