PASCAGOULA URGENT CARE CENTER LLC (NPI# 1073846770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073846770 |
| Entity Type | Organization |
| Organization Name | PASCAGOULA URGENT CARE CENTER LLC |
| Practice Address |
4305 Denny Ave Pascagoula MS 39581-5509 |
| Practice Telephone | 2287622044 |
| Mailing Telephone | 2287622044 |
| Enumeration Date | 2009-09-12 |
| Last Update Date | 2009-09-12 |
| Authorized Official Name | DR. KEVIN SCOTT COOPER (OWNER) |
| Authorized Official Telephone | 2287622044 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
13038 | MS | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | INDIVIDUAL NPI | 1023267630 | 01 |
| Street Address |
4305 DENNY AVE |
| City | PASCAGOULA |
| State | MS |
| Zip Code | 39581-5509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356478564 | Cooper Family Medical Center Inc. | Clinic/Center | 4305 Denny Ave, Pascagoula, MS 39581-5509 | 2007-02-27 |
| 1427534221 | Serendipity Mph | Counselor | 4305 Denny Ave, Pascagoula, MS 39581-5509 | 2018-07-14 |
| 1003122821 | John C Elkins | Registered Nurse | 4305 Denny Ave, Pascagoula, MS 39581-5509 | 2010-08-31 |
| 1528380722 | Physician Advantage Urgent Care of Pascagoula LLC | Clinic/Center | 4305 Denny Ave, Pascagoula, MS 39581-5509 | 2010-02-16 |
| 1023267630 | Kevin Scott Cooper | Family Medicine | 4305 Denny Ave, Pascagoula, MS 39581-5509 | 2008-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760945448 | Jacquelyn B Ellison | Nurse Practitioner | 4105 Hospital Road, Ste 103, Pascagoula, MS 39581 | 2019-04-10 |
| 1104346816 | Jennifer Ngoc Bui | Dentist | 4001 Denny Ave Suite 1, Pascagoula, MS 39581 | 2017-06-23 |
| 1528486289 | Thomas Stallworth | Nurse Practitioner | 4105 Hospital St Ste 104, Pascagoula, MS 39581 | 2014-03-31 |
| 1487919957 | Candace Noel Pendowski | Nurse Practitioner | 4211 Hospital St Suite 208, Pascagoula, MS 39581 | 2012-07-10 |
| 1649548892 | Kim M. Tumminello | Nurse Practitioner | 4253 Denny Avenue, Pascagoula, MS 39581 | 2011-12-02 |
| 1649547860 | Abrian Norell Flowers | Physical Therapist | 3537 Denny Avenue, Suite 115, Pascagoula, MS 39581 | 2011-11-17 |
| 1164724118 | Coast To Coast Rehab LLC | Rehabilitation Practitioner | 3537 Denny Ave, Suite 115, Pascagoula, MS 39581 | 2010-11-24 |
| 1740500958 | Joshua Eric Tucker | Physical Medicine & Rehabilitation | 4105 Hospital St Ste 112b, Pascagoula, MS 39581 | 2010-06-10 |
| 1720164916 | Vernon W Doster | Family Medicine | 3616 Hospital Street, Suite D, Pascagoula, MS 39581 | 2006-10-31 |
| 1841387727 | David Bruce Allen | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4300 Hospital Rd, Suite 105, Pascagoula, MS 39581 | 2006-10-10 |
| Find all providers in zip 39581 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235442872 | Pascagoula Urgent Care | Clinic/Center | 2210 Denny Ave, Pascagoula, MS 39567-3416 | 2010-07-25 |
| 1528380722 | Physician Advantage Urgent Care of Pascagoula LLC | Clinic/Center | 4305 Denny Ave, Pascagoula, MS 39581-5509 | 2010-02-16 |
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| 1366922023 | Physician Services of The Gulf Coast LLC | Clinic/Center | 921 Cedar Lake Rd Ste E, Biloxi, MS 39532-2126 | 2018-08-21 |
| 1235619479 | Maxem Health Urgent Care Mccomb | Clinic/Center | 101 Edgewood Dr, Mccomb, MS 39648-2043 | 2018-08-16 |
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| 1285126227 | Medplus Fulton, LLC | Clinic/Center | 407 Interchange Drive, Fulton, MS 38843 | 2018-06-05 |
| Find all providers with the same taxonomy | ||||
| City | PASCAGOULA |
| Zip Code | 39581 |
Please comment or provide details below to improve the information on PASCAGOULA URGENT CARE CENTER LLC.
| 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.