PHILIP L BERTUCCI (NPI# 1194793299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194793299 |
| Entity Type | Individual |
| Full Name | PHILIP L BERTUCCI |
| Credential | MD |
| 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 | 2006-03-14 |
| Last Update Date | 2013-06-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 13141 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00122437 | 05 |
| 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 |
| 1053649558 | Popps Ferry Out-patient Surgery Center, LLC | Clinic/Center | 431 Bertucci Blvd, Biloxi, MS 39531-2255 | 2009-11-23 |
| 1699744482 | Gregory Emile Bertucci | Ophthalmology | 431 Bertucci Blvd, Biloxi, MS 39531-2255 | 2006-03-15 |
| 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 | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992145361 | Clayton Stevens | Ophthalmology | 2541 Pass Rd Ste G, Biloxi, MS 39531-2112 | 2013-07-01 |
| 1295937183 | Anne Elizabeth Baranano | Ophthalmology | 2781 C T Switzer Sr Dr Ste 100, Biloxi, MS 39531-4535 | 2007-06-03 |
| 1861479529 | Avit John Gremillion IIi | Ophthalmology | 962 Tommy Munro Dr., Suite B, Biloxi, MS 39532-2138 | 2005-12-23 |
| 1336773878 | Stevens Eye Care, PC | Ophthalmology | 2541 Pass Rd Ste G, Biloxi, MS 39531-2112 | 2020-02-24 |
| 1518209543 | Jennifer Julianna Olds | Ophthalmology | 301 Fisher St, Biloxi, MS 39534-2508 | 2013-03-16 |
| 1104051911 | Ruben Kuruvilla | Ophthalmology | Gulf Coast Veterans Health Care System, 400 Veterans Avenue, Biloxi, MS 39531 | 2009-05-22 |
| 1972726636 | Jonathan Edward Ellis | Ophthalmology | 301 Fisher St, Biloxi, MS 39534-2508 | 2007-04-11 |
| 1972678134 | Eye Associates of The South Pllc | Ophthalmology | 1720a Medical Park Dr, Suite 330, Biloxi, MS 39532-2129 | 2006-11-22 |
| 1710993670 | Janet Carriere Harrison | Ophthalmology | 400 Veterans Ave, Biloxi, MS 39531-2410 | 2006-07-31 |
| 1831117019 | Joel M Knight | Ophthalmology | 1720a Medical Park Dr, Suite 330, Biloxi, MS 39532-2129 | 2006-07-17 |
| 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.