Joseph Daniel Devlin (NPI# 1528276136, PAC ID# 0547577009) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1528276136 |
| PAC ID by PECOS | 0547577009 |
| Professional Enrollment ID | I20151026000481 |
| Full Name | Joseph Daniel Devlin |
| Organization Legal Name | TBD ACQUISITION II LLC |
| Address |
11150 Hwy 49 Suite B Gulfport MS 39503-4110 |
| Phone Number | 2288675202 |
| Gender | M |
| Graduation Year | 2001 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 7911272257 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 11150 Hwy 49, Suite B, Gulfport, MS 39503-4110 | 2288675202 | TBD ACQUISITION II LLC |
| 11150 Hwy 49 N, Gulfport, MS 39503-4110 | 2288311700 | TBD ACQUISITION II LLC |
| Organization Legal Name | TBD ACQUISITION II LLC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Helmut A Steinwender | Psychiatry | Tbd Acquisition II LLC | 11150 Hwy 49 N, Gulfport, MS 39503-4110 |
| Mary E Paul | Nurse Practitioner | Tbd Acquisition II LLC | 11150 Hwy 49 N, Gulfport, MS 39503-4110 |
| Kelly L Tinson | Nurse Practitioner | Tbd Acquisition II LLC | 11150 Hwy 49 N, Gulfport, MS 39503-4110 |
| Rajeev Srivastava | Psychiatry | Tbd Acquisition II LLC | 11150 Hwy 49 N, Gulfport, MS 39503-4110 |
| Tongii L Shavers | Psychiatry | Tbd Acquisition II LLC | 1340 Broad Ave, Suite 410, Gulfport, MS 39501-2459 |
| Desiree Marie Norman | Nurse Practitioner | Tbd Acquisition II LLC | 11150 Hwy 49, Suite B, Gulfport, MS 39503-4110 |
| Brad Z Berger | Psychiatry | Tbd Acquisition II LLC | 11150 Hwy 49, Suite B, Gulfport, MS 39503-4110 |
| Street Address |
11150 HWY 49 SUITE B |
| City | GULFPORT |
| State | MS |
| Zip | 39503-4110 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Desiree Marie Norman | Nurse Practitioner | Tbd Acquisition II LLC | 11150 Hwy 49, Suite B, Gulfport, MS 39503-4110 |
| Brad Z Berger | Psychiatry | Tbd Acquisition II LLC | 11150 Hwy 49, Suite B, Gulfport, MS 39503-4110 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan Dwaine Brown | Orthopedic Surgery | Bienville Orthopaedic Specialists, LLC | 15476 Dedeaux Rd, Suite B, Gulfport, MS 39503-2637 |
| Clarence Ray Quave Jr. | Physical Therapy | Encore Rehabilitation Inc | 15476 B Dedeaux Rd, Gulfport, MS 39503-2637 |
| Cherryl D Purvis | Nurse Practitioner | Heart Hypertension Cholesterol and Diabetes Care LLC | 15444 Dedeaux Rd, Suite B, Gulfport, MS 39503-2637 |
| Joseph M Frame | Physical Therapy | 15444 Dedeaux Rd A, Gulfport, MS 39503-2637 | |
| Ricky D Roach | Podiatry | 15476 Dedeaux Rd, Gulfport, MS 39503-2637 | |
| Henry T Leis | Orthopedic Surgery | Bienville Orthopaedic Specialists, LLC | 15476 Dedeaux Rd, Suite B, Gulfport, MS 39503-2637 |
| Ophelia Abrahams | Occupational Therapy | Bienville Orthopaedic Specialists, LLC | 15476 Dedeaux Rd, Suite B, Gulfport, MS 39503-2637 |
| Jason Lowery | Physician Assistant | Bienville Orthopaedic Specialists, LLC | 15476 Dedeaux Rd, Suite B, Gulfport, MS 39503-2637 |
| Eric Jason Graham | Orthopedic Surgery | Bienville Orthopaedic Specialists, LLC | 15476 Dedeaux Rd, Suite B, Gulfport, MS 39503-2637 |
| Nicole Lynn Johnson | Nurse Practitioner | Bienville Orthopaedic Specialists, LLC | 15476 Dedeaux Rd, Suite B, Gulfport, MS 39503-2637 |
| Find all physicians in zip 39503 | |||
| City | GULFPORT |
| Zip Code | 39503 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | GULFPORT + CLINICAL SOCIAL WORKER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.