DAVID BUCKHEISTER


Address: 612 Liz Cir, Gulfport, MS 39503-3712
Phone: 2286170742

DAVID BUCKHEISTER (NPI# 1588212229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588212229
Entity Type Individual
Full Name DAVID BUCKHEISTER
Practice Address 612 Liz Cir
Gulfport
MS 39503-3712
Practice Telephone 2286170742
Mailing Telephone 2286170742
Enumeration Date 2019-08-27
Last Update Date 2019-08-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
903451 MS Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 612 LIZ CIR
City GULFPORT
State MS
Zip Code 39503-3712

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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710209184 Amy Alyssa Simpson-waid Nurse Practitioner 11334 Peyton Dr, Gulfport, MS 39503 2010-02-25
1457543183 Diane C. Jakins Nurse Practitioner 400 Security Sq, Gulfport, MS 39507-1932 2007-08-16
1306409040 Lissa Kelly Baber Nurse Practitioner 1340 Broad Ave, Gulfport, MS 39501-2404 2019-04-18
1891289955 Brittany L Stewart Nurse Practitioner 4500 13th St, Gulfport, MS 39501-2515 2018-06-21
1023469244 Michelle Wright Taylor Nurse Practitioner 15190 Community Rd, Ste 220, Gulfport, MS 39503-3485 2016-06-29
1295107357 Tammy Vincent Nurse Practitioner 14116 Customs Blvd, Gulfport, MS 39503-5164 2015-10-28
1023417938 Carla Ann Rushing Nurse Practitioner 4500 13th St, Gulfport, MS 39501-2515 2014-08-15
1972910230 Elizabeth Drummond Nurse Practitioner 1391 Broad Ave, Gulfport, MS 39501-2419 2014-07-18
1932527264 Brandi Saksa Nurse Practitioner 4500 13th St, Gulfport, MS 39501-2515 2014-04-03
1346684925 Darlene Ann Petersen Nurse Practitioner 4500 13th St, Gulfport, MS 39501-2515 2013-04-25
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Competitor

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City GULFPORT
Zip Code 39503

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Dataset Information

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.

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