DR. MITCHELL J GRUICH (NPI# 1154431351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154431351 |
| Entity Type | Individual |
| Full Name | DR. MITCHELL J GRUICH |
| Credential | M.D., F.A.A.P. |
| Practice Address |
2356 Pass Rd Suite 300 Biloxi MS 39531-2236 |
| Practice Telephone | 2283851711 |
| Practice Fax Number | 2283853333 |
| Mailing Telephone | 2283851711 |
| Mailing Fax Number | 2283853333 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 13525 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00115028 | 05 |
| Street Address |
2356 PASS RD SUITE 300 |
| City | BILOXI |
| State | MS |
| Zip Code | 39531-2236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487860979 | Vickie Gill Cruse | Audiologist | 2356 Pass Rd, Biloxi, MS 39531-2236 | 2007-05-14 |
| 1457436347 | Charles J Gruich | Residential Treatment Facility, Physical Disabilities | 2356 Pass Rd, Suite 100, Biloxi, MS 39531-2236 | 2006-10-26 |
| 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 | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720302508 | Gulf Coast Abc Pediatrics, Inc. | Pediatrics | 1024 Tommy Munro Dr Ste A, Biloxi, MS 39532-2157 | 2010-03-23 |
| 1922330372 | Richard Charles Schmidt | Pediatrics | 6207 Herbie Rd, Biloxi, MS 39532-8454 | 2010-02-10 |
| 1639212442 | Joanna Dupont | Pediatrics | 2561 Pass Rd, Biloxi, MS 39531 | 2007-02-14 |
| 1679679864 | Elisabeth Jones Haller | Pediatrics | 1721 Medical Park Dr Ste 200, Biloxi, MS 39532-2105 | 2006-09-15 |
| 1346357498 | Jennifer Leticia Grayson | Pediatrics | 147 Reynoir St Ste 202, Biloxi, MS 39530-4109 | 2006-08-24 |
| 1710092077 | Walter Kastler Grant IIi | Pediatrics | 920 Tommy Munro Dr, Biloxi, MS 39532-2150 | 2006-08-20 |
| 1801888250 | Michael Frederick Hensley | Pediatrics | 761 Esters Blvd, Biloxi, MS 39530-3134 | 2005-08-19 |
| 1295187987 | Diana Rice | Pediatrics | 81 Mdg Keesler Medical Center, 301 Fisher Street, Biloxi, MS 39534-2582 | 2016-07-06 |
| 1003203159 | Daniel Victor-calvin Hammond | Pediatrics | 301 Fisher St, Biloxi, MS 39534 | 2015-04-15 |
| 1255663993 | Memorial Hospital At Gulfport | Pediatrics | 1756 Popps Ferry Rd, Suite A, Biloxi, MS 39532-2118 | 2010-02-05 |
| Find all providers in BILOXI | ||||
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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.