MR. CHARLTON PAIGE DENNISON (NPI# 1083858674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083858674 |
| Entity Type | Individual |
| Full Name | MR. CHARLTON PAIGE DENNISON |
| Credential | M.D. |
| Practice Address |
11446 Ashton Ln E Gulfport MS 39503-4428 |
| Practice Telephone | 2053442044 |
| Mailing Telephone | 2053442044 |
| Enumeration Date | 2009-04-27 |
| Last Update Date | 2013-05-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 22037 | MS | Allopathic & Osteopathic Physicians |
| Street Address |
11446 ASHTON LN E |
| City | GULFPORT |
| State | MS |
| Zip Code | 39503-4428 |
| 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 Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487601050 | Kelly Michelle Nations | Emergency Medicine | 1510 Thornton Ave, Gulfport, MS 39501-2157 | 2006-05-28 |
| 1790731222 | Frederick B Gaupp | Emergency Medicine | 10556 Highway 49, Gulfport, MS 39503-4109 | 2006-05-26 |
| 1497735039 | Ronnie Ali | Emergency Medicine | 11564 Stanton Cir, Gulfport, MS 39503-6156 | 2006-01-19 |
| 1972587418 | Stanford Allen Owen | Emergency Medicine | 3300 15th St, Gulfport, MS 39501-3901 | 2005-11-29 |
| 1427580570 | Meagan Spear | Emergency Medicine | 4500 13th St, Gulfport, MS 39501-2569 | 2017-03-29 |
| 1689037178 | James Lawrence Rose II | Emergency Medicine | 4500 13th St, Gulfport, MS 39501-2515 | 2016-04-01 |
| 1881070183 | Keystone Medical Services of Gulfport, Inc. | Emergency Medicine | 15200 Community Rd, Gulfport, MS 39503-3085 | 2015-08-10 |
| 1932516945 | Mallory Blakeslee | Emergency Medicine | 4500 13th St, Gulfport, MS 39501-2569 | 2014-07-22 |
| 1962780379 | Memorial Hospital At Gulfport | Emergency Medicine | 4500 13th St, Emergency Department, Gulfport, MS 39501-2515 | 2011-08-02 |
| 1558681726 | Nghia Duc Nguyen | Emergency Medicine | 4500 13th St, Gulfport, MS 39501-2515 | 2010-06-10 |
| Find all providers in GULFPORT | ||||
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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.