DR. ANGELA BOOTH WINGFIELD


Address: 11295 E Taylor Rd, Gulfport, MS 39503-4197
Phone: 2288643300

DR. ANGELA BOOTH WINGFIELD (NPI# 1962494294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962494294
Entity Type Individual
Full Name DR. ANGELA BOOTH WINGFIELD
Credential MD
Practice Address 11295 E Taylor Rd
Gulfport
MS 39503-4197
Practice Telephone 2288643300
Mailing Telephone 2288643300
Enumeration Date 2005-08-23
Last Update Date 2020-05-06
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207NS0135X Dermatology
Specialization: Procedural Dermatology
024878 LA Allopathic & Osteopathic Physicians
Y 207NS0135X Dermatology
Specialization: Procedural Dermatology
1731 MS Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CLIA 25D1013637 01
MS 00874879 05

Other Providers ANGELA WINGFIELD

NPI Name Taxonomy Address Enumeration
1598826232 Angela Wingfield Case Manager/Care Coordinator 2110 Fairburn Rd Ste B, Douglasville, GA 30135-1090 2006-12-13

Office Location

Street Address 11295 E TAYLOR RD
City GULFPORT
State MS
Zip Code 39503-4197

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740533280 Barbra Ellen Jablanski Physician Assistant 11295 E Taylor Rd, Gulfport, MS 39503 2012-10-22
1508143546 Emily Anne Burger Physician Assistant 11295 E Taylor Rd, Gulfport, MS 39503-4197 2011-11-04
1245567775 Kassie Stafford Physician Assistant 11295 E Taylor Rd, Gulfport, MS 39503-4197 2009-11-04

Providers in the same zip code

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 Information

Taxonomy Code 207NS0135X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology
Specialization Procedural Dermatology

Taxonomy Definition

Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).
Notes: Source: American Board of Dermatology, 2007, www.abderm.org [1/1/2008: definition added, source added, title changed] Additional Resources: Some ABMS board certified dermatologists have completed a one-year ACGME approved fellowship in Procedural Dermatology, which has been offered since 2003. At this time the ABD does not offer subspecialty certification in Procedural Dermatology.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1487843199 The Cutaneous Laser Center Dermatology 501 Marshall St Ste 606, Jackson, MS 39202-1650 2007-10-18
1104980416 Larry E Millikan Dermatology 2321 13th St, Meridian, MS 39301-3940 2006-12-21
1932176641 Sabra Sullivan Dermatology 501 Marshall St, Suite 606, Jackson, MS 39202-1651 2006-03-01

Competitor

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City GULFPORT
Zip Code 39503

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Dataset Information

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.

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