BILOXI OB GYN CLINIC (NPI# 1568585016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568585016 |
| Entity Type | Organization |
| Organization Name | BILOXI OB GYN CLINIC |
| Practice Address |
1720a Medical Park Dr Sutie 300 Biloxi MS 39532-2129 |
| Mailing Address |
1720a Medical Park Dr Suite 300 Biloxi MS 39532-2129 |
| Practice Telephone | 2287021500 |
| Practice Fax Number | 2287021505 |
| Mailing Telephone | 2287021500 |
| Mailing Fax Number | 2287021505 |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2008-04-07 |
| Authorized Official Name | LATISHA MARIE WISNIEWSKI (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 2287021500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255454708 | Biloxi Ob Gyn Clinic | Obstetrics & Gynecology | 147 Reynoir St, Suite 105, Biloxi, MS 39530-4109 | 2007-04-09 |
| Street Address |
1720A MEDICAL PARK DR SUTIE 300 |
| City | BILOXI |
| State | MS |
| Zip Code | 39532-2129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689678674 | Jack W Brand Jr. | Internal Medicine | 1720a Medical Park Dr, Suite 340, Biloxi, MS 39532-2129 | 2005-06-08 |
| 1407304801 | Rachael Hines | Physical Therapist | 1720a Medical Park Dr, Suite 210, Biloxi, MS 39532-2129 | 2016-09-14 |
| 1144776386 | Alisha Farrish | Physical Therapist | 1720a Medical Park Dr, Suite 210, Biloxi, MS 39532-2129 | 2016-08-28 |
| 1942691415 | Gai Truong | Pharmacist | 1720a Medical Park Dr, Suite 160, Biloxi, MS 39532-2129 | 2015-02-05 |
| 1679961270 | Duc Vinh Nguyen | Nurse Practitioner | 1720a Medical Park Dr, Suite 220, Biloxi, MS 39532-2129 | 2015-01-05 |
| 1891119715 | Deborah Thompson-spencer | Nurse Practitioner | 1720a Medical Park Dr, Biloxi, MS 39532-2129 | 2014-02-12 |
| 1275893273 | Ashley Mcshurley | Nurse Practitioner | 1720a Medical Park Dr, Suite 340, Biloxi, MS 39532-2129 | 2012-05-23 |
| 1215225636 | Aesthetic Surgery Center Ltd | Plastic Surgery | 1720a Medical Park Dr, Suite 140, Biloxi, MS 39532-2129 | 2011-07-19 |
| 1598067340 | Jan Van Truong | Chiropractor | 1720a Medical Park Dr, 160b, Biloxi, MS 39532-2129 | 2010-11-30 |
| 1558693192 | Hebe Diaz M.d. Pllc | Clinic/Center | 1720a Medical Park Dr, Suite 130c, Biloxi, MS 39532-2129 | 2010-02-08 |
| Find all providers in the same location | ||||
| 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 | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295915320 | Dr Mike Dorcik, Pa | Obstetrics & Gynecology | 12511 Mccully Dr, Biloxi, MS 39532-9091 | 2007-11-06 |
| 1780095885 | Gulf Coast Gynecology Clinic, Pllc | Obstetrics & Gynecology | 962 Tommy Munro Dr, Suite A., Biloxi, MS 39532-2138 | 2014-05-13 |
| 1255454708 | Biloxi Ob Gyn Clinic | Obstetrics & Gynecology | 147 Reynoir St, Suite 105, Biloxi, MS 39530-4109 | 2007-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982961728 | Laura Rebecca Daily | Obstetrics & Gynecology | 501 Marshall St Ste G07, Jackson, MS 39202-1651 | 2012-04-18 |
| 1093027385 | Lindsey Miller Turner | Obstetrics & Gynecology | 1020 River Oaks Dr Ste 320, Flowood, MS 39232-9512 | 2010-07-02 |
| 1891945440 | R C & P R Purohit Pa | Obstetrics & Gynecology | 135 Keating Road, Batesville, MS 38606 | 2008-09-19 |
| 1902010986 | Wadie Hill Abraham II | Obstetrics & Gynecology | 2373 Highway 11 and 80, Toomsuba, MS 39364-9441 | 2007-05-09 |
| 1730213596 | Southcrest Women Healthcare | Obstetrics & Gynecology | 401south Crest Circle, Suite 101, Southaven, MS 38671 | 2007-03-15 |
| 1093815474 | Cecil Douglas Odom | Obstetrics & Gynecology | 1020 River Oaks Drive, Ste 310, Jackson, MS 39232 | 2006-09-25 |
| 1366551079 | E J Price Jr. | Obstetrics & Gynecology | 300 Rawls Drive, Suite 900, Mccomb, MS 39648 | 2006-08-29 |
| 1457375446 | Tommy Alexander | Obstetrics & Gynecology | 2010 E Shiloh Rd, Corinth, MS 38834-3724 | 2006-07-26 |
| 1104869148 | Natasha N Hardeman | Obstetrics & Gynecology | 2506 Lakeland Dr Ste 600, Flowood, MS 39232-7640 | 2006-06-14 |
| 1568421246 | Charles David Miles | Obstetrics & Gynecology | 425 Hospital Dr Ste 4, Columbus, MS 39705-1938 | 2006-03-21 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on BILOXI OB GYN CLINIC.
| 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.