GULFSHORE MEDICAL CONSULTANTS, PA (NPI# 1710049200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710049200 |
| Entity Type | Organization |
| Organization Name | GULFSHORE MEDICAL CONSULTANTS, PA |
| Practice Address |
22a Doctors Dr Ocean Springs MS 39564-5721 |
| Practice Telephone | 2288721951 |
| Practice Fax Number | 2288759998 |
| Mailing Telephone | 2288721951 |
| Mailing Fax Number | 2288759998 |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2008-01-22 |
| Authorized Official Name | GARY M RODBERG (PRESIDENT) |
| Authorized Official Telephone | 2288721951 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
18516 | MS | Allopathic & Osteopathic Physicians |
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
17943 | MS | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
14252 | MS | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
18516 | MS | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
17943 | MS | Allopathic & Osteopathic Physicians |
| N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
15014 | MS | Allopathic & Osteopathic Physicians |
| N | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
14252 | MS | Allopathic & Osteopathic Physicians |
| N | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
17943 | MS | Allopathic & Osteopathic Physicians |
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
14252 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 07521804 | 05 | |
| MS | 00114969 | 05 | |
| MS | 00126926 | 05 | |
| MS | 09015817 | 05 | |
| MS | 00117171 | 05 |
| Street Address |
22A DOCTORS DR |
| City | OCEAN SPRINGS |
| State | MS |
| Zip Code | 39564-5721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659757870 | James Michael Jackson | Nurse Practitioner | 22a Doctors Dr, Ocean Springs, MS 39564-5721 | 2015-08-11 |
| 1518342963 | Nicholas L Pendleton | Nurse Practitioner | 22a Doctors Dr, Ocean Springs, MS 39564-5721 | 2015-07-28 |
| 1881801132 | Iva Nell Vaughan | Nurse Practitioner | 22a Doctors Dr, Ocean Springs, MS 39564-5721 | 2007-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750996401 | Shelby Bourgeois | Speech-Language Pathologist | 108 Heron Park Pl, Ocean Springs, MS 39564 | 2020-09-10 |
| 1467010520 | Rachel Stephenie Knox | Student in an Organized Health Care Education/Training Program | 81mdss/gme 301 Fisher St., Rm 1g123, Keesler Afb, MS 39564 | 2019-06-04 |
| 1457839292 | Polly Anne Lampon | Registered Nurse | 2301 Rue Beaux Chenes, Ocean Springs, MS 39564 | 2018-08-03 |
| 1578062725 | Gulf Coast Sleep Medicine LLC | Clinic/Center | 2112 Bienville Blvd., Suite P, Ocean Springs, MS 39564 | 2018-02-02 |
| 1598212623 | Edward Victor Brown Jr. | Dentist | 15465 Oak Lane, Gulfport, MS 39564 | 2016-09-07 |
| 1386016749 | L. Randy Buntyn, D.m.d., Pllc | Dentist | 1203 Government St., Ocean Springs, MS 39564 | 2015-10-26 |
| 1467835629 | Msmobileyes Inc. | Optometrist | 2510 Bileville Blvd, Ocean Springs, MS 39564 | 2015-07-07 |
| 1659760999 | Clark Jamison Levi | Pharmacist | 1019 Government Street Suite F & D, Ocean Springs, MS 39564 | 2015-01-09 |
| 1932545480 | Therese Anne Hanna | Nurse Practitioner | 6900 Washington Avenue, Ocean Springs, MS 39564 | 2013-05-10 |
| 1346589421 | Jennah Claine Ladner | Nurse Practitioner | 1137 Ocean Springs Road, Ocean Springs, MS 39564 | 2013-02-08 |
| Find all providers in zip 39564 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821194713 | Sardar Ijlal Babar | Internal Medicine | 3635 Bienville Blvd, Ocean Springs, MS 39564-5711 | 2006-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730507096 | William Russell Cullinane Jr. | Internal Medicine | 15190 Community Rd Ste 110, Gulfport, MS 39503-3484 | 2014-04-03 |
| 1841570645 | Delta Critical Care & Lung Consultants P.C. | Internal Medicine | 537 Anne Stokes Rd, Greenville, MS 38701-6904 | 2011-08-24 |
| 1093819799 | Joyce Deanette Wade-hamme | Internal Medicine | 2506 Lakeland Dr Ste 300, Flowood, MS 39232-7640 | 2006-09-12 |
| 1336243047 | William D Frazier | Internal Medicine | 161 River Oaks Dr Ste Rt1188, Canton, MS 39046-5375 | 2006-09-12 |
| 1952338659 | David M Halinski | Internal Medicine | 114 Monument Pl, Suite B, Vicksburg, MS 39180-5169 | 2006-06-27 |
| 1902861156 | Tinofa O Muskwe | Internal Medicine | 951 Howard Ave, Biloxi, MS 39530-3762 | 2006-04-19 |
| 1578569935 | Sanjay Ratnakant | Internal Medicine | 401 Southcrest Cir, Ste 212, Southaven, MS 38671-6721 | 2005-06-21 |
| 1275993792 | Hattiesburg Clinic, Pa | Internal Medicine | 415 S 28th Ave, Hattiesburg, MS 39401-7246 | 2016-02-25 |
| 1023435609 | Praneet Sivaramakrishnan Iyer | Internal Medicine | 401 Southcrest Cir Ste 212, Southaven, MS 38671-6721 | 2014-03-21 |
| 1124469374 | Health Protect, PC | Internal Medicine | 7895 U S Highway 11, Lumberton, MS 39455-2406 | 2013-07-16 |
| Find all providers with the same taxonomy | ||||
| City | OCEAN SPRINGS |
| Zip Code | 39564 |
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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.