MEDICAL FOUNDATION OF SOUTH MS (NPI# 1841220415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841220415 |
| Entity Type | Organization |
| Organization Name | MEDICAL FOUNDATION OF SOUTH MS |
| Other Organization Name | COURTHOUSE RD PEDIATRICS |
| Practice Address |
334 Courthouse Rd Gulfport MS 39507-1807 |
| Mailing Address |
1612 31st Ave Gulfport MS 39501-2750 |
| Practice Telephone | 2288966441 |
| Practice Fax Number | 2288966576 |
| Mailing Telephone | 2288651453 |
| Mailing Fax Number | 2288651451 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2008-05-23 |
| Authorized Official Name | MR. RANDY ROBINSON (ADMINISTRATOR) |
| Authorized Official Telephone | 2288651453 |
| 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 | 02874208 | 05 |
| Other Name | Type Code |
|---|---|
| Courthouse Rd Pediatrics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265451231 | Medical Foundation of South Ms | Pediatrics | 20091 Pineville Rd, Long Beach, MS 39560-3208 | 2006-07-19 |
| 1891731287 | Medical Foundation of South Ms | Internal Medicine | 5120 Beatline Rd, Suite A, Long Beach, MS 39560-3815 | 2006-06-22 |
| 1477599280 | Medical Foundation of South Ms | Family Medicine | 618 Blue Meadow Rd, Suite 20, Bay St Louis, MS 39520-2834 | 2006-06-21 |
| 1821233917 | Medical Foundation of South Ms | Family Medicine | 394 Courthouse Rd, Suite A, Gulfport, MS 39507-1865 | 2008-12-04 |
| 1356469423 | Medical Foundation of South Ms | Pediatrics | 1110 Broad Ave, Suite 700, Gulfport, MS 39501-8907 | 2007-03-27 |
| 1609951441 | Medical Foundation of South Ms | Clinic/Center | 2771 Pass Rd, Biloxi, MS 39531-2600 | 2006-10-26 |
| 1003915729 | Medical Foundation of South Ms | Internal Medicine | 2771 Pass Rd, Suite B, Biloxi, MS 39531-2600 | 2006-09-21 |
| 1174542146 | Medical Foundation of South Ms | Family Medicine | 5120 Beatline Rd, Suite B, Long Beach, MS 39560-3815 | 2006-07-19 |
| 1720014202 | Medical Foundation of South Ms | Internal Medicine | 2771 Pass Rd, Biloxi, MS 39531-2600 | 2006-06-25 |
| 1679509293 | Medical Foundation of South Ms | Allergy & Immunology | 12100 Highway 49, Gulfport, MS 39503-3063 | 2006-06-24 |
| Street Address |
334 COURTHOUSE RD |
| City | GULFPORT |
| State | MS |
| Zip Code | 39507-1807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396162962 | Rebecca Melissa Suydam | Physical Therapist | 334 Courthouse Rd, Gulfport, MS 39507-1807 | 2014-03-21 |
| 1265567226 | Encore Rehabilitation Inc | Clinic/Center | 334 Courthouse Rd, Gulfport, MS 39507-1807 | 2007-02-22 |
| 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 | 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 |
|---|---|---|---|---|
| 1730411463 | Memorial Hospital At Gulfport | Pediatrics | 12259 Highway 49, Suite C, Gulfport, MS 39503-3063 | 2010-02-05 |
| 1255446027 | Amy Schepens | Pediatrics | 1285 Spring St, Suite A, Gulfport, MS 39507-3423 | 2006-08-20 |
| 1770698078 | Maureen Holland | Pediatrics | 8950 Lorraine Rd Ste A, Gulfport, MS 39503-4183 | 2006-08-20 |
| 1265547301 | Richard Mccrary | Pediatrics | 1285 Springbridge Street. Suite A, Gulfport, MS 39507-3423 | 2006-08-20 |
| 1285660688 | Garden Park Physician Group Inc | Pediatrics | 416 E Pass Rd, Gulfport, MS 39507-3236 | 2006-06-25 |
| 1326093915 | Erica Frank | Pediatrics | 15190 Community Drive, Suite 330, Gulfport, MS 39503 | 2006-05-23 |
| 1134178262 | Christie Devlin-schroll | Pediatrics | 8950 Lorraine Rd, Gulfport, MS 39503-4177 | 2006-05-08 |
| 1841630266 | Mari Elizabeth Lewis | Pediatrics | 5502 Marvin Shields Blvd, Gulfport, MS 39501 | 2013-06-29 |
| 1578826558 | Erin Fox | Pediatrics | 15024 Martin Luther King Jr Blvd, Gulfport, MS 39501-8306 | 2012-06-24 |
| 1609132232 | Angela Belinda Pressley-wallace | Pediatrics | 401 Cowan Rd Ste B, Gulfport, MS 39507-2022 | 2012-04-09 |
| Find all providers in GULFPORT | ||||
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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.