National Provider Identifier (NPI)
GULFPORT


Jurisdiction: Medicare & Medicaid
Source: Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)

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.

GULFPORT · 1340 BROAD AVE · Search Result

NPI Name Taxonomy Address Enumeration
1912904590 Jesse Pullen Penico Internal Medicine 1340 Broad Ave, Suite 300, Gulfport, MS 39501-2404 2005-06-28
1306409040 Lissa Kelly Baber Nurse Practitioner 1340 Broad Ave, Gulfport, MS 39501-2404 2019-04-18
1780191577 Tbd Acquisition II LLC Social Worker 1340 Broad Ave, Gulfport, MS 39501-2404 2018-01-03
1629517115 Delana Mooney Nurse Practitioner 1340 Broad Ave, Suite 450, Gulfport, MS 39501-2404 2017-02-16
1396299590 Charles Strange Nurse Practitioner 1340 Broad Ave, Suite 450, Gulfport, MS 39501-2404 2016-08-05
1942699988 Beth Ann Gruzinskas Nurse Practitioner 1340 Broad Ave, Suite 270, Gulfport, MS 39501-2404 2015-01-14
1720477714 Lacey Grimes Lichtenstein Nurse Practitioner 1340 Broad Ave, Gulfport, MS 39501-2404 2015-01-14
1669872974 Jamie B Varnado Social Worker 1340 Broad Ave, Ste 410, Gulfport, MS 39501-2404 2014-08-25
1700121209 Danielle Ronquille Lipski Occupational Therapist 1340 Broad Ave, Suite 270, Gulfport, MS 39501-2404 2012-12-10
1164767778 Shannon Ann Church Social Worker 1340 Broad Ave, Ste 410, Gulfport, MS 39501-2404 2012-12-07
1649552563 Taylor E. Covington Physician Assistant 1340 Broad Ave, Suite 210, Gulfport, MS 39501-2404 2011-09-16
1053699488 Gulf Coast Spinal & Neurosurgical Specialists Clinic/Center 1340 Broad Ave, Suite 440, Gulfport, MS 39501-2404 2011-08-03
1124311055 Memorial Hospital At Gulfport Internal Medicine 1340 Broad Ave, Suite 300, Gulfport, MS 39501-2404 2011-05-25
1639461502 Memorial Hospital At Gulfport Internal Medicine 1340 Broad Ave, Suite 300, Gulfport, MS 39501-2404 2011-05-10
1982906251 Olivia Cox Estrade Social Worker 1340 Broad Ave, Ste 410, Gulfport, MS 39501-2404 2010-11-18
1386951267 Ashley Walton Lemaire Psychologist 1340 Broad Ave, Suite 450, Gulfport, MS 39501-2404 2010-09-13
1780900605 Memorial Hospital At Gulfport Neurological Surgery 1340 Broad Ave, Suite 440, Gulfport, MS 39501-2404 2010-04-16
1184956815 Memorial Hospital At Gulfport Thoracic Surgery (Cardiothoracic Vascular Surgery) 1340 Broad Ave, Suite 420, Gulfport, MS 39501-2404 2010-02-05
1952633695 Memorial Hospital At Gulfport Psychiatry & Neurology 1340 Broad Ave, Ste 440 N, Gulfport, MS 39501-2404 2010-02-05
1639401318 Memorial Hospital At Gulfport Surgery 1340 Broad Ave, Suite 400, Gulfport, MS 39501-2404 2010-02-05
1982936621 Memorial Hospital At Gulfport Internal Medicine 1340 Broad Ave, Suite 310, Gulfport, MS 39501-2404 2010-02-05
1356673081 Memorial Hospital At Gulfport Surgery 1340 Broad Ave, Suite 240 S, Gulfport, MS 39501-2404 2010-02-05
1386978153 James P Junkins Physician Assistant 1340 Broad Ave, Suite 440, Gulfport, MS 39501-2404 2009-09-28
1922237452 Onellis Stanford Nurse Practitioner 1340 Broad Ave, Suite 310, Gulfport, MS 39501-2404 2009-07-06
1669619912 Memorial Hospital of Gulfport Urology 1340 Broad Ave, Ste 210, Gulfport, MS 39501-2404 2009-01-08
1093968042 Christy M Couevas Nurse Anesthetist, Certified Registered 1340 Broad Ave, Gulfport, MS 39501-2404 2008-11-03
1063663490 Memorial Hospital At Gulfport Radiology 1340 Broad Ave, Suite 140, Gulfport, MS 39501-2404 2008-10-03
1255597241 Memorial Hospital At Gulfport Internal Medicine 1340 Broad Ave, Suite 270, Gulfport, MS 39501-2404 2008-07-30
1770747081 Scott Blackburn Surgery 1340 Broad Ave, Suite 240, Gulfport, MS 39501-2404 2008-07-16
1275795148 Dimitrios Virvilis Surgery 1340 Broad Ave, Suite 220, Gulfport, MS 39501-2404 2008-07-01
1568624096 Memorial Hospital At Gulfport Internal Medicine 1340 Broad Ave, Suite 310, Gulfport, MS 39501-2404 2008-06-26
1750558375 Memorial Hospital At Gulfport Orthopaedic Surgery 1340 Broad Ave, Suite 450 O, Gulfport, MS 39501-2404 2008-05-13
1922275742 Memorial Hospital At Gulfport Pain Medicine 1340 Broad Ave, Ste 450, Gulfport, MS 39501-2404 2008-05-12
1619142718 Ramakrishna Rao Settipalli Physical Medicine & Rehabilitation 1340 Broad Ave, Suite 450, Gulfport, MS 39501-2404 2008-04-29
1275705949 Samir Tomajian Anesthesiology 1340 Broad Ave, Suite 450, Gulfport, MS 39501-2404 2008-04-02
1962684555 Pamela Tuli Internal Medicine 1340 Broad Ave, Suite 270, Gulfport, MS 39501-2404 2007-12-05
1811185192 Memorial Hospital At Gulfport Internal Medicine 1340 Broad Ave, Suite 440, Gulfport, MS 39501-2404 2007-10-11
1700074085 Memorial Hospital At Gulfport Thoracic Surgery (Cardiothoracic Vascular Surgery) 1340 Broad Ave, Suite 420, Gulfport, MS 39501-2404 2007-10-11
1043408339 Memorial Hospital At Gulfport Orthopaedic Surgery 1340 Broad Ave, Suite 450, Gulfport, MS 39501-2404 2007-10-11
1053509331 Memorial Hospital At Gulfport Psychiatry & Neurology 1340 Broad Ave, Suite 440, Gulfport, MS 39501-2404 2007-10-11
1962690255 Memorial Hospital At Gulfport Urology 1340 Broad Ave, Suite 210, Gulfport, MS 39501-2404 2007-10-11
1154519437 Memorial Hospital At Gulfport Surgery 1340 Broad Ave, Suite 240, Gulfport, MS 39501-2404 2007-10-11
1194925537 Diane B Vaughn Nurse Practitioner 1340 Broad Ave, Suite 450, Gulfport, MS 39501-2404 2007-07-24
1346446671 Allison Paulk Wall Internal Medicine 1340 Broad Ave, Suite 270, Gulfport, MS 39501-2404 2007-06-24
1184756157 Jhinho None Kim Neurological Surgery 1340 Broad Ave, Suite 440, Gulfport, MS 39501-2404 2007-03-12
1558491589 Alton Henry Dauterive Surgery 1340 Broad Ave, Suite 220, Gulfport, MS 39501-2404 2007-03-07
1588725519 Inez M Kelleher Orthopaedic Surgery 1340 Broad Ave, Ste 450, Gulfport, MS 39503 2006-12-13
1346311404 John H Agnone Specialist 1340 Broad Ave, Suite 420, Gulfport, MS 39501 2006-11-12
1033208889 Randall W Chang Physician Assistant 1340 Broad Ave, Suite 420, Gulfport, MS 39501-2404 2006-10-12
1558456491 Daniel Joseph Vujnovich Psychologist 1340 Broad Ave, Suite 450, Gulfport, MS 39501-2404 2006-10-04
1194825216 Paige C White Urology 1340 Broad Ave, Suite 210, Gulfport, MS 39501-2404 2006-09-25
1780783761 Dorothy Dickson-rishel Psychologist 1340 Broad Ave, Suite 450, Gulfport, MS 39501-2404 2006-09-22
1679684872 Basil Shah Specialist 1340 Broad Ave, Suite 450, Gulfport, MS 39501-2404 2006-08-31
1699886176 Stephen Charles James Psychiatry & Neurology 1340 Broad Ave, Suite 410, Gulfport, MS 39501-2404 2006-08-31
1881709053 Stephen Johns Family Medicine 1340 Broad Ave, Ste 450, Gulfport, MS 39501-2404 2006-08-20
1497860670 David Larosa Jr. Internal Medicine 1340 Broad Ave, Suite 310, Gulfport, MS 39501-2404 2006-08-20
1780799981 Mousa Maalouf Internal Medicine 1340 Broad Ave, Suite 310, Gulfport, MS 39501-2404 2006-08-20
1528171469 Pedro Antonion Munera-cordoba Psychiatry & Neurology 1340 Broad Ave, Ste 410, Gulfport, MS 39501 2006-08-16
1396768982 Kristine Marie Carter Surgery 1340 Broad Ave, Suite 240, Gulfport, MS 39501-2404 2006-07-25
1134142821 Walter Jospeh Surowiec Jr. Thoracic Surgery (Cardiothoracic Vascular Surgery) 1340 Broad Ave, Ste 420, Gulfport, MS 39501-2404 2006-07-25
1053331421 James K. Campbell Internal Medicine 1340 Broad Ave, Suite 300, Gulfport, MS 39501-2404 2006-07-20
1548285968 David Champ Weeks Urology 1340 Broad Ave, Suite 210, Gulfport, MS 39501-2404 2006-07-13
1922034073 Medical Foundation of South Ms Internal Medicine 1340 Broad Ave, Suite 310, Gulfport, MS 39501-2418 2006-06-23
1669417705 Lee Voulters Psychiatry & Neurology 1340 Broad Ave, Suite 440, Gulfport, MS 39501-2404 2006-06-20
1033159140 Nabil Azar Internal Medicine 1340 Broad Ave, Suite 310, Gulfport, MS 39501-2418 2006-06-07
1073569018 Stephanie Fussell Internal Medicine 1340 Broad Ave, Suite 270, Gulfport, MS 39501-2404 2006-05-25
1053374041 Paul Derek Ware Specialist 1340 Broad Ave, Suite 240, Gulfport, MS 39501-2404 2006-04-10
1740240951 Remi Nader Neurological Surgery 1340 Broad Ave, Ste. 440, Gulfport, MS 39501-2404 2006-03-23
1962474601 Joseph Anthony Lanni Physical Medicine & Rehabilitation 1340 Broad Ave, Suite 440, Gulfport, MS 39501-2418 2006-02-06
1831175280 Edwin M Davidson Internal Medicine 1340 Broad Ave, Suite 270, Gulfport, MS 39501-2404 2005-12-19
1639155088 The Medical Oncology Group Specialist 1340 Broad Ave, Suite 270, Gulfport, MS 39501-2404 2005-12-19
1619953072 Purushottam V Pande Internal Medicine 1340 Broad Ave, Suite 270, Gulfport, MS 39501-2404 2005-12-19
1760465058 Joseph Richard Bosarge Internal Medicine 1340 Broad Ave, Suite 320, Gulfport, MS 39501-2404 2005-11-21
1649278573 Thaddeus Cox Carter Specialist 1340 Broad Ave, Suite 210, Gulfport, MS 39501-2418 2005-07-13
1124026034 Craig A Dawkins Specialist 1340 Broad Ave, Suite 210, Gulfport, MS 39501-2418 2005-07-13
1629060041 Rod G Krentel Specialist 1340 Broad Ave Ste 140, Gulfport, MS 39501 2005-08-22
1407969207 Memorial Hospital At Gulfport Urology 1340 Broad Ave Ste 210, Gulfport, MS 39501-2465 2006-08-16
1033710140 Ashley Nicole Stiger Nurse Practitioner 1340 Broad Ave Ste 210, Gulfport, MS 39501-2465 2020-11-04
1093142598 Memorial Hospital At Gulfport Anesthesiology 1340 Broad Ave Ste 210, Gulfport, MS 39501-2465 2013-09-30
1871737064 Jacob N Jorns Urology 1340 Broad Ave Ste 210, Gulfport, MS 39501-2465 2009-05-01
1255524211 Memorial Hospital At Gulfport Clinic/Center 1340 Broad Ave Ste 220, Gulfport, MS 39501-2404 2007-08-23
1528228541 Olivia B Hightower Internal Medicine 1340 Broad Ave Ste 270, Gulfport, MS 39501-2404 2008-06-12
1518348978 Sidra Khalid Internal Medicine 1340 Broad Ave Ste 270, Gulfport, MS 39501-2404 2015-06-11
1376659193 Navin V Barot Internal Medicine 1340 Broad Ave Ste 300, Gulfport, MS 39501-2404 2006-08-22
1487207924 Ambere Lynn Riggs Nurse Practitioner 1340 Broad Ave Ste 300, Gulfport, MS 39501-2404 2019-07-23
1629634506 Matt K Gatlin Nurse Practitioner 1340 Broad Ave Ste 300, Gulfport, MS 39501-2404 2019-05-15
1952866295 Jennifer Gayle Eaglebarger Nurse Practitioner 1340 Broad Ave Ste 300, Gulfport, MS 39501 2019-01-31
1558872929 Laura Rogers Nurse Practitioner 1340 Broad Ave Ste 300, Gulfport, MS 39501-2404 2017-10-12
1467983601 Lori Edwards Nurse Practitioner 1340 Broad Ave Ste 300, Gulfport, MS 39501-2404 2017-03-21
1538618145 Jerry Williams Nurse Practitioner 1340 Broad Ave Ste 300, Gulfport, MS 39501-2404 2016-09-23
1295965614 Virginia Arrington Blalack Internal Medicine 1340 Broad Ave Ste 310, Gulfport, MS 39501-2464 2009-07-20
1740617232 Memorial Hospital At Gulfport Internal Medicine 1340 Broad Ave Ste 310, Gulfport, MS 39501-2464 2013-09-30
1295749216 Memorial Hospital At Gulfport Social Worker 1340 Broad Ave Ste 410, Gulfport, MS 39501-2459 2006-07-27
1497831093 Memorial Hospital @gulfport Surgery 1340 Broad Ave Ste 420, Gulfport, MS 39501-2459 2006-10-27
1942711288 Tiffany Sanders Nurse Practitioner 1340 Broad Ave Ste 420, Gulfport, MS 39501-2459 2017-10-13
1639313968 Carolyn J Engle Registered Nurse 1340 Broad Ave Ste 420, Gulfport, MS 39501-2459 2009-04-30
1285668921 Abha Mishra Psychiatry & Neurology 1340 Broad Ave Ste 440, Gulfport, MS 39501-2460 2006-07-10
1144862442 Robert Chris Meyers Nurse Practitioner 1340 Broad Ave Ste 440, Gulfport, MS 39501-2460 2019-10-08
1194281931 Mackenzie K Taylor Nurse Practitioner 1340 Broad Ave Ste 440, Gulfport, MS 39501-2460 2019-02-18
1457815235 Laura Katherine Stevens Nurse Practitioner 1340 Broad Ave Ste 440, Gulfport, MS 39501-2460 2019-01-25