DR. CARL ALVIN FAULKS (NPI# 1699897066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699897066 |
| Entity Type | Individual |
| Full Name | DR. CARL ALVIN FAULKS |
| Credential | M.D. |
| Practice Address |
450 E Pass Rd Suite 3 Gulfport MS 39507-3212 |
| Practice Telephone | 2286040099 |
| Practice Fax Number | 2286042001 |
| Mailing Telephone | 2286040099 |
| Mailing Fax Number | 2286042001 |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
19646 | MS | Allopathic & Osteopathic Physicians |
| Street Address |
450 E PASS RD SUITE 3 |
| City | GULFPORT |
| State | MS |
| Zip Code | 39507-3212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508836537 | Bruce Wayne Sullivan | Counselor | 450 E Pass Rd, Ste. 3, Gulfport, MS 39507-3212 | 2006-01-24 |
| 1871927194 | Sunbelt Medical Solutions | Durable Medical Equipment & Medical Supplies | 450 E Pass Rd, Suite 107, Gulfport, MS 39507-3212 | 2013-08-22 |
| 1952424111 | Shirley Thurman | Counselor | 450 E Pass Rd, Suite 3, Gulfport, MS 39507-3212 | 2007-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609389105 | Karen R Burns | Speech-Language Pathologist | 3506 Washington Avenue, Ste E, Gulfport, MS 39507 | 2017-11-07 |
| 1538605027 | Andrea Broussard | Personal Emergency Response Attendant | 406 Pass Rd, Gulfport, MS 39507 | 2017-01-09 |
| 1366872491 | William Alexis Marcia | Pharmacist | 1444 East Pass Road, Gulfport, MS 39507 | 2013-11-27 |
| 1740599380 | Advanced Hearing Systems, Inc. | Hearing Instrument Specialist | 401 Security Square, Gulfport, MS 39507 | 2010-09-30 |
| 1497068118 | Stacey Ritter Carter | Dentist | 1635 East Pass Road, Gulfport, MS 39507 | 2010-07-22 |
| 1477789964 | Letonoff Orthopaedics & Sports | Orthopaedic Surgery | 452 Court House Road, Suite G, Gulfport, MS 39507 | 2009-06-10 |
| 1730385139 | Bernard Frederick Podlin | Dentist | 400 Pass Road, Gulfport, MS 39507 | 2007-06-22 |
| 1043422553 | Mark D Stringer | Dentist | 520-a Courthouse Road, Gulfport, MS 39507 | 2007-05-04 |
| 1154543528 | Pass Road Elementary | Registered Nurse | 37 Pass Road, Gulfport, MS 39507 | 2007-05-03 |
| 1417073768 | John Hough Hopkins | Dentist | 3303 A Ave, Gulfport, MS 39507 | 2007-03-21 |
| Find all providers in zip 39507 | ||||
| Taxonomy Code | 207RA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Addiction Medicine |
| An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164518874 | John Thomas Barringer | Internal Medicine | 1551 E County Line Rd, Jackson, MS 39211-1801 | 2006-10-04 |
| 1730289802 | Lloyd James Gordon IIi | Internal Medicine | 3949 Highway 43 N, Brandon, MS 39047-7240 | 2006-09-25 |
| 1306840871 | William R. Fellows, Md | Internal Medicine | 180 Debuys Rd, Ste 130, Biloxi, MS 39531-4402 | 2005-06-11 |
| 1104117688 | Gerald B Broussard Jr. | Internal Medicine | 6051 U S Highway 49, Hattiesburg, MS 39401-7200 | 2011-05-02 |
| 1396814794 | James J Kramer | Internal Medicine | 405 Fontaine Pl, Suite 101, Ridgeland, MS 39157-5228 | 2006-11-07 |
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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.