BILOXI OB GYN CLINIC (NPI# 1255454708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255454708 |
| Entity Type | Organization |
| Organization Name | BILOXI OB GYN CLINIC |
| Practice Address |
147 Reynoir St Suite 105 Biloxi MS 39530-4109 |
| Practice Telephone | 2284366658 |
| Practice Fax Number | 2284329455 |
| Mailing Telephone | 2284366658 |
| Mailing Fax Number | 2284329455 |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2008-04-07 |
| Authorized Official Name | MRS. LATISHA MARIE WISNIEWSKI (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 2284366658 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
MS | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568585016 | Biloxi Ob Gyn Clinic | Obstetrics & Gynecology | 1720a Medical Park Dr, Sutie 300, Biloxi, MS 39532-2129 | 2007-04-09 |
| Street Address |
147 REYNOIR ST SUITE 105 |
| City | BILOXI |
| State | MS |
| Zip Code | 39530-4109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659346633 | Charles Milligan Holman Jr. | Urology | 147 Reynoir St, Suite 306, Biloxi, MS 39530-4109 | 2006-02-22 |
| 1851840607 | Denese H. Dapito | General Acute Care Hospital | 147 Reynoir St, Biloxi, MS 39530-4109 | 2016-09-21 |
| 1902152606 | Biloxi Hma Physician Management, LLC | Internal Medicine | 147 Reynoir St, Suite 204, Biloxi, MS 39530-4109 | 2012-07-31 |
| 1730435439 | Biloxi Hma Physician Management, LLC | Obstetrics & Gynecology | 147 Reynoir St, Suite 203, Biloxi, MS 39530-4109 | 2012-07-31 |
| 1376813618 | Biloxi Hma Physician Management, LLC | Internal Medicine | 147 Reynoir St, Suite 205, Biloxi, MS 39530-4109 | 2012-01-04 |
| 1407154438 | Biloxi Hma Physician Management, LLC | Psychiatry & Neurology | 147 Reynoir St, Suite 304, Biloxi, MS 39530-4109 | 2011-02-28 |
| 1396074241 | Biloxi Bay Urology Center Pllc | Clinic/Center | 147 Reynoir St, Suite 306, Biloxi, MS 39530-4109 | 2009-12-23 |
| 1295918894 | Endocrine Care Center, Pllc | Specialist | 147 Reynoir St, Suite 305, Biloxi, MS 39530-4109 | 2007-12-06 |
| 1114127222 | Courtney Elizabeth Meredith | Obstetrics & Gynecology | 147 Reynoir St, Suite 105, Biloxi, MS 39530-4109 | 2007-07-18 |
| 1427170885 | Gulf Coast Neurology Clinic, P.a. | Psychiatry & Neurology | 147 Reynoir St, Ste 304, Biloxi, MS 39530-4109 | 2007-04-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588158125 | Gulf Coast Anesthesia Associates | Anesthesiology | 147 Reynoir St Ste 305, Biloxi, MS 39530 | 2018-06-18 |
| 1326486804 | Pavilion Personal Care LLC | In Home Supportive Care | 1450b Beach Blvd, Biloxi, MS 39530 | 2013-06-06 |
| 1366707713 | Makeva K Reed | Nurse Practitioner | 321 Division St, Biloxi, MS 39530 | 2012-07-11 |
| 1174833602 | Keith Edward Earley Jr. | Ophthalmology | 301 Fisher Ave, Keesler Afb, MS 39530 | 2010-10-18 |
| 1730406729 | Alexander H. Nguyen | Surgery | 4503 M St, Biloxi, MS 39530 | 2010-04-29 |
| 1881891265 | Tina Fleming Mcgrew | Nurse Practitioner | 321-b Divison Street, Biloxi, MS 39530 | 2007-06-29 |
| 1285857623 | South Mississippi Nephrology, Pllc | Internal Medicine | 784 Vieux Marche, Biloxi, MS 39530 | 2007-04-11 |
| 1164573515 | Keith G Goodfellow | Obstetrics & Gynecology | 147 Reynoir St Ste 105, Biloxi, MS 39530 | 2007-01-14 |
| 1871640292 | Doreen Brock | Nurse Practitioner | 1046 Division Street, Biloxi, MS 39530 | 2007-01-05 |
| 1922069715 | Garvin Wallace Cunningham | Dentist | 683 Division St, Biloxi, MS 39530 | 2006-03-31 |
| Find all providers in zip 39530 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295915320 | Dr Mike Dorcik, Pa | Obstetrics & Gynecology | 12511 Mccully Dr, Biloxi, MS 39532-9091 | 2007-11-06 |
| 1780095885 | Gulf Coast Gynecology Clinic, Pllc | Obstetrics & Gynecology | 962 Tommy Munro Dr, Suite A., Biloxi, MS 39532-2138 | 2014-05-13 |
| 1568585016 | Biloxi Ob Gyn Clinic | Obstetrics & Gynecology | 1720a Medical Park Dr, Sutie 300, Biloxi, MS 39532-2129 | 2007-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982961728 | Laura Rebecca Daily | Obstetrics & Gynecology | 501 Marshall St Ste G07, Jackson, MS 39202-1651 | 2012-04-18 |
| 1093027385 | Lindsey Miller Turner | Obstetrics & Gynecology | 1020 River Oaks Dr Ste 320, Flowood, MS 39232-9512 | 2010-07-02 |
| 1891945440 | R C & P R Purohit Pa | Obstetrics & Gynecology | 135 Keating Road, Batesville, MS 38606 | 2008-09-19 |
| 1902010986 | Wadie Hill Abraham II | Obstetrics & Gynecology | 2373 Highway 11 and 80, Toomsuba, MS 39364-9441 | 2007-05-09 |
| 1730213596 | Southcrest Women Healthcare | Obstetrics & Gynecology | 401south Crest Circle, Suite 101, Southaven, MS 38671 | 2007-03-15 |
| 1093815474 | Cecil Douglas Odom | Obstetrics & Gynecology | 1020 River Oaks Drive, Ste 310, Jackson, MS 39232 | 2006-09-25 |
| 1366551079 | E J Price Jr. | Obstetrics & Gynecology | 300 Rawls Drive, Suite 900, Mccomb, MS 39648 | 2006-08-29 |
| 1457375446 | Tommy Alexander | Obstetrics & Gynecology | 2010 E Shiloh Rd, Corinth, MS 38834-3724 | 2006-07-26 |
| 1104869148 | Natasha N Hardeman | Obstetrics & Gynecology | 2506 Lakeland Dr Ste 600, Flowood, MS 39232-7640 | 2006-06-14 |
| 1568421246 | Charles David Miles | Obstetrics & Gynecology | 425 Hospital Dr Ste 4, Columbus, MS 39705-1938 | 2006-03-21 |
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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.