GARDEN PARK PHYSICIAN SERVICES CORP. (NPI# 1942392386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942392386 |
| Entity Type | Organization |
| Organization Name | GARDEN PARK PHYSICIAN SERVICES CORP. |
| Other Organization Name | FAMILY HEALTH CARE CENTER |
| Practice Address |
15190 Community Rd Suite 330 Gulfport MS 39503-3485 |
| Practice Telephone | 2288323075 |
| Practice Fax Number | 2288329095 |
| Mailing Telephone | 2288323075 |
| Mailing Fax Number | 2288329095 |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | ROBERT LEGESSE (VICE PRESIDENT) |
| Authorized Official Telephone | 6153737630 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 176B00000X | Midwife | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 08838517 | 05 |
| Other Name | Type Code |
|---|---|
| Family Health Care Center | Doing Business As Name - Organization |
| Street Address |
15190 COMMUNITY RD SUITE 330 |
| City | GULFPORT |
| State | MS |
| Zip Code | 39503-3485 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255337770 | Ronald David Evans | Surgery | 15190 Community Rd, Suite 250, Gulfport, MS 39503-3485 | 2005-06-21 |
| 1861010159 | Singing River Gulfport | Clinic/Center | 15190 Community Rd, Gulfport, MS 39503-3485 | 2020-07-13 |
| 1427594480 | Christina Barnes | Nurse Practitioner | 15190 Community Rd, Suite 110, Gulfport, MS 39503-3485 | 2017-01-16 |
| 1417400896 | David N Johnston Jr. | Nurse Anesthetist, Certified Registered | 15190 Community Rd, Gulfport, MS 39503-3485 | 2016-08-02 |
| 1023469244 | Michelle Wright Taylor | Nurse Practitioner | 15190 Community Rd, Ste 220, Gulfport, MS 39503-3485 | 2016-06-29 |
| 1396107330 | D Balder Md, Pllc | Specialist | 15190 Community Rd, Gulfport, MS 39503-3485 | 2016-03-28 |
| 1154725562 | Matthew James Ladner | Physical Therapy Assistant | 15190 Community Rd, Gulfport, MS 39503-3485 | 2014-10-14 |
| 1255770558 | Amy Lynn Scheller | Surgery | 15190 Community Rd, Gulfport, MS 39503-3485 | 2013-06-19 |
| 1003254525 | Philip D Myers | Orthopaedic Surgery | 15190 Community Rd, Gulfport, MS 39503 | 2013-06-06 |
| 1508202268 | Jeremy W Owens, Md, PC | Psychiatry & Neurology | 15190 Community Rd, Suite 260, Gulfport, MS 39503-3485 | 2013-05-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013515451 | Gulf Coast Neurospa, LLC | Psychiatry & Neurology | 8845 Lorraine Road, Gulfport, MS 39503 | 2020-10-16 |
| 1447865985 | Nicholas Wyrosdick | Physical Therapist | 12261 Us 49 #1, Gulfport, MS 39503 | 2020-09-11 |
| 1750935169 | Ladner Roy Drugs, LLC. | Pharmacy | 12261 Us 49 Suite 16, Gulfport, MS 39503 | 2019-07-25 |
| 1528559440 | Alexander Therapy Services, LLC | Clinic/Center | 15465 Oak Ln Ste 100c, Gulfport, MS 39503 | 2018-05-25 |
| 1750879003 | Heather Lynn Theisen | Nurse Practitioner | 15190 Community Rd Ste 330, Gulfport, MS 39503 | 2018-04-23 |
| 1083101216 | Gulf Coast Mental Health Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 15094 County Barn Road, Gulfport, MS 39503 | 2018-04-13 |
| 1306343173 | Dr. Raymond Monsour Scurfield, LLC | Community/Behavioral Health | 15465 Oak Lane Ste 100-g, Gulfport, MS 39503 | 2018-04-09 |
| 1952817157 | Mary Beth Welch | Behavioral Analyst | 9230 Old Lorraine Rd, Gulfport, MS 39503 | 2017-12-26 |
| 1831603257 | Beach View Family Dental, Pllc | Dentist | 9072 Lorraine Road, Gulfport, MS 39503 | 2017-11-21 |
| 1437677721 | Mary Stephens Ruffin | Social Worker | 11262 Creek Dr, Gulfport, MS 39503 | 2017-09-07 |
| Find all providers in zip 39503 | ||||
| Taxonomy Code | 176B00000X |
| Grouping | Other Service Providers |
| Classification | Midwife |
| A Midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy birth, offering expert individualized care, education, counseling, and support to a woman and her newborn throughout the childbearing cycle. A Midwife is a skilled and independent practitioner who has undergone formalized training. Midwives are not required to be nurses and may be trained via multiple routes of education (apprenticeship, workshop, formal classes, or programs, etc., usually a combination). The educational background requirements and licensing requirements vary by state. The Midwife may or may not be certified by a state or national organization. |
| Notes: Source: The National Uniform Claim Committee [7/1/2007: title changed, definition changed, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336309921 | Nancy G. Bladsacker | Midwife | 4502 Old Pass Rd, Gulfport, MS 39501-2585 | 2008-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861014276 | Divine Breakthrough Ministries Worldwide (the Breakthrough Center) | Midwife | 9143 Hwy 178, Olive Branch, MS 38654-3865 | 2020-05-08 |
| 1598308488 | Aurielle Lanai Fields | Midwife | 4762 W Commerce St, Hernando, MS 38632-8436 | 2019-10-23 |
| 1184076762 | Full Circle Midwifery, LLC | Midwife | 4716 Highway 304, Hernando, MS 38632-8436 | 2016-07-07 |
| 1891185203 | Kristina Harper | Midwife | 9086 Pigeon Roost Rd Ste C, Olive Branch, MS 38654 | 2015-01-23 |
| 1700285350 | Tera Smith | Midwife | 22250 Derrick Rd, Pass Christian, MS 39571-5301 | 2014-08-20 |
| 1003166117 | Scott Regional Medical Center, Inc. | Midwife | 321 Hwy 13 South, Morton, MS 39117 | 2012-09-17 |
| 1164758652 | Renata Holland Hillman | Midwife | 7248 Brushy Creek Rd, Lucedale, MS 39452-8820 | 2009-10-19 |
| 1194323170 | Laird Hospital, Inc. | Midwife | 252 Northside Dr, Newton, MS 39345-9756 | 2020-10-13 |
| 1598262834 | Sherene Lynnell Broome | Midwife | 905c S Frontage Rd, Meridian, MS 39301-6113 | 2018-04-12 |
| 1790207702 | Shelley Courtney | Midwife | 905c S Frontage Rd, Meridian, MS 39301 | 2017-07-11 |
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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.