MARI ELIZABETH LEWIS (NPI# 1841630266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841630266 |
| Entity Type | Individual |
| Full Name | MARI ELIZABETH LEWIS |
| Other Name | MARI ELIZABETH EILAND |
| Credential | MD |
| Practice Address |
5502 Marvin Shields Blvd Gulfport MS 39501 |
| Practice Telephone | 2288714033 |
| Practice Fax Number | 2288713675 |
| Mailing Telephone | 2288714033 |
| Mailing Fax Number | 2288713675 |
| Enumeration Date | 2013-06-29 |
| Last Update Date | 2020-03-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 26695 | MS | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | T-2666 | MS | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2415 W Vine St Ste 100, Lodi, CA 952423731 | 2093333135 | 2093674749 |
| Street Address |
5502 MARVIN SHIELDS BLVD |
| City | GULFPORT |
| State | MS |
| Zip Code | 39501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598173841 | Valarie Anne Chapmon | Social Worker | 5502 Marvin Shields Blvd, Gulfport, MS 39501 | 2014-07-31 |
| 1558773192 | Branch Medical Clinic Gulfport | Military/U.S. Coast Guard Pharmacy | 5502 Marvin Shields Blvd, Gulfport, MS 39501 | 2014-06-02 |
| 1275733644 | Branch Medical Clinic Gulfport | Clinic/Center | 5502 Marvin Shields Blvd, Gulfport, MS 39501 | 2007-07-23 |
| 1043361785 | Pamela Ann Edwards | Nurse Practitioner | 5502 Marvin Shields Blvd, Gulfport, MS 39501 | 2007-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598301632 | Daniel Edward Bloom | Physician Assistant | Naval Branch Health Clinic Gulfport, 5502 Marvin Shields Blvd, Gulfport, MS 39501 | 2019-11-25 |
| 1730721374 | Affinity Healthcare LLC | Non-emergency Medical Transport (VAN) | 1822 15th St, Suite 8, Gulfport, MS 39501 | 2019-10-15 |
| 1093361156 | Gulf Coast Companion Care, LLC | Home Health | 1314 Pass Road, Ste B, Gulfport, MS 39501 | 2019-08-14 |
| 1609420991 | Greg Meekin Ent | Otolaryngology | 1201 31st Avenue, Gulfport, MS 39501 | 2019-07-25 |
| 1225681216 | Murphy Chiropractic Gulfport, LLC | Clinic/Center | 2700 25th Ave., Gulfport, MS 39501 | 2019-07-19 |
| 1477022838 | Patriot Healthcare of Mississippi, LLC | Family Medicine | 1110 Broad Street, Suite 300, Gulfport, MS 39501 | 2018-11-15 |
| 1477003028 | Mindful Matters | Nurse Practitioner | 1613 23rd Avenue, Gulfport, MS 39501 | 2016-10-06 |
| 1902294093 | Tangular Barnes | Nurse Practitioner | Gulf Coast Mental Health Center, 1600 Broad Ave, Gulfport, MS 39501 | 2014-12-25 |
| 1487065355 | Huong Nguyen | Pharmacist | 2433 25th Avenue, Gulfport, MS 39501 | 2014-05-14 |
| 1770907412 | Matthew Coleman | Military Health Care Provider | Nbhc Naval Construction Battalion Center Gulfport, 5501 Marvin Shields Blvd, Gulfport, MS 39501 | 2014-02-18 |
| Find all providers in zip 39501 | ||||
| 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 |
| 1841220415 | Medical Foundation of South Ms | Pediatrics | 334 Courthouse Rd, Gulfport, MS 39507-1807 | 2006-07-03 |
| 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 |
| 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.