POPPS FERRY OUT-PATIENT SURGERY CENTER, LLC (NPI# 1053649558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053649558 |
| Entity Type | Organization |
| Organization Name | POPPS FERRY OUT-PATIENT SURGERY CENTER, LLC |
| Practice Address |
431 Bertucci Blvd Biloxi MS 39531-2255 |
| Practice Telephone | 2283852020 |
| Practice Fax Number | 2283889435 |
| Mailing Telephone | 2283852020 |
| Mailing Fax Number | 2283889435 |
| Enumeration Date | 2009-11-23 |
| Last Update Date | 2010-11-18 |
| Authorized Official Name | DR. GREGORY E BERTUCCI (OWNER) |
| Authorized Official Telephone | 2283852020 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS0132X |
Clinic/Center Specialization: Ophthalmologic Surgery |
Ambulatory Health Care Facilities |
| Street Address |
431 BERTUCCI BLVD |
| City | BILOXI |
| State | MS |
| Zip Code | 39531-2255 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275526105 | Jasper T Mccullough | Optometrist | 431 Bertucci Blvd, Biloxi, MS 39531-2255 | 2005-08-25 |
| 1295166148 | Steven Gautreaux | Registered Nurse | 431 Bertucci Blvd, Biloxi, MS 39531-2255 | 2013-12-03 |
| 1053667758 | Jay Fuller | Optometrist | 431 Bertucci Blvd, Biloxi, MS 39531-2255 | 2012-07-31 |
| 1699744482 | Gregory Emile Bertucci | Ophthalmology | 431 Bertucci Blvd, Biloxi, MS 39531-2255 | 2006-03-15 |
| 1194793299 | Philip L Bertucci | Ophthalmology | 431 Bertucci Blvd, Biloxi, MS 39531-2255 | 2006-03-14 |
| 1053389627 | Charles Curtis Gipson | Optometrist | 431 Bertucci Blvd, Biloxi, MS 39531-2255 | 2006-03-09 |
| 1700859881 | Tri County Eye Clinic, Pllc | Optometrist | 431 Bertucci Blvd, Biloxi, MS 39531-2255 | 2006-02-09 |
| 1073595906 | Roderick D Fields | Optometrist | 431 Bertucci Blvd, Biloxi, MS 39531 | 2005-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306460431 | Southern Home Care Services, Inc. | In Home Supportive Care | 1901 Pass Rd, Ste C, Biloxi, MS 39531 | 2020-06-04 |
| 1285287698 | Veronica Lynn Walker | Nurse Practitioner | 180-b Debuys Road, Biloxi, MS 39531 | 2019-07-24 |
| 1982264875 | Brittany Paitsel | Dietitian, Registered | 19289 Saint Joseph Street, Suite C, Biloxi, MS 39531 | 2019-06-13 |
| 1144792425 | Traditions Hospice of Biloxi, LLC | Hospice Care, Community Based | 243 Beauvoir Road, Suite B, Biloxi, MS 39531 | 2018-12-26 |
| 1790275956 | Gulf Coast Wellness Center Inc | Physical Medicine & Rehabilitation | 2318 Pass Rd Ste 7c, Biloxi, MS 39531 | 2018-05-14 |
| 1861929655 | John Marc Bailey | Physician Assistant | 2781 Ct Switzer Dr Ste 402, Biloxi, MS 39531 | 2017-05-11 |
| 1134574270 | Shondra Davis | Social Worker | 400 Veteran Ave, Biloxi, MS 39531 | 2016-04-26 |
| 1063872349 | Stephanie Nix Lentz | Physician Assistant | 180b Debuys Rd Ste 203, Biloxi, MS 39531 | 2016-03-01 |
| 1093121196 | Gulf Coast Outpatient Surgery Center, LLC | Clinic/Center | 2781 Ct Senior Switzer Drive, Suite 101, Biloxi, MS 39531 | 2014-07-09 |
| 1215354402 | Memorial Hospital At Gulfport | Physical Therapy Assistant | 2781 C.t. Switzer, Suite 404, Biloxi, MS 39531 | 2014-03-25 |
| Find all providers in zip 39531 | ||||
| Taxonomy Code | 261QS0132X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ophthalmologic Surgery |
| Definition to come... |
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|---|---|---|---|---|
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| 1528416641 | Southern Eye Surgery and Laser Center, LLC | Clinic/Center | 1923 W 10th St, Laurel, MS 39440-2538 | 2016-05-31 |
| 1245480482 | Coleman Cataract and Eye Laser Surgery Center, Inc. | Clinic/Center | 2005 Hwy 82 W, Greenwood, MS 38930 | 2008-09-24 |
| 1215014022 | Hattiesburg Eye Clinic Cataract & Lasik Surgery Center, LLC | Clinic/Center | 103 Millsaps Dr, Hattiesburg, MS 39402-1348 | 2006-11-01 |
| 1750390548 | Oxford Eye Surgery Center,l.p | Clinic/Center | 1314 Belk Blvd, Oxford, MS 38655-5302 | 2006-08-08 |
| 1669757761 | Coastal Eye Surgery Center | Clinic/Center | 14245 Dedeaux Rd, Gulfport, MS 39503-3369 | 2011-10-20 |
| 1891951885 | Mississippi Eye Surgery Center | Clinic/Center | 3434 Bienville Blvd, Ocean Springs, MS 39564-5732 | 2008-07-30 |
| 1073791158 | Southern Eye Surgery Center LLC | Clinic/Center | 1420 S 28th Ave, Hattiesburg, MS 39402-3107 | 2008-01-31 |
| 1336236710 | The Eye Surgery and Laser Center | Clinic/Center | 501 Marshall St, Suite 604, Jackson, MS 39202-1651 | 2006-10-06 |
| 1164472031 | Tupelo Surgery Center, L.L.C. | Clinic/Center | 3353 N Gloster St, Suite 300, Tupelo, MS 38804-9735 | 2006-05-11 |
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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.