MR. JOSEPH ALBERT CHURCH III (NPI# 1265470744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265470744 |
| Entity Type | Individual |
| Full Name | MR. JOSEPH ALBERT CHURCH III |
| Credential | OTR/L-CHT |
| Practice Address |
1105 39th Ave Gulfport MS 39501-2654 |
| Practice Telephone | 2285754654 |
| Practice Fax Number | 2285754651 |
| Mailing Telephone | 2285754654 |
| Mailing Fax Number | 2285754651 |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2013-01-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225XH1200X |
Occupational Therapist Specialization: Hand |
OT0116 | MS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00119593 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386905453 | Joseph Church | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Dr, 2410 Taubman Center, Spc 5346, Ann Arbor, MI 48109-5000 | 2012-06-05 |
| 1376842831 | Joseph Church | Counselor | 5870 Arlington Ave, Suite 103, Riverside, CA 92504-2037 | 2011-03-23 |
| 1942393095 | Joseph August Church | Pediatrics | 4650 W Sunset Blvd, Ms# 75, Los Angeles, CA 90027-6062 | 2006-10-02 |
| Street Address |
1105 39TH AVE |
| City | GULFPORT |
| State | MS |
| Zip Code | 39501-2654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023055415 | Coast Hand Therapy, Inc. | Occupational Therapist | 1105 39th Ave, Gulfport, MS 39501-2654 | 2006-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598301632 | Daniel Edward Bloom | Physician Assistant | Naval Branch Health Clinic Gulfport, 5502 Marvin Shields Blvd, Gulfport, MS 39501 | 2019-11-25 |
| 1730721374 | Affinity Healthcare LLC | Non-emergency Medical Transport (VAN) | 1822 15th St, Suite 8, Gulfport, MS 39501 | 2019-10-15 |
| 1093361156 | Gulf Coast Companion Care, LLC | Home Health | 1314 Pass Road, Ste B, Gulfport, MS 39501 | 2019-08-14 |
| 1609420991 | Greg Meekin Ent | Otolaryngology | 1201 31st Avenue, Gulfport, MS 39501 | 2019-07-25 |
| 1225681216 | Murphy Chiropractic Gulfport, LLC | Clinic/Center | 2700 25th Ave., Gulfport, MS 39501 | 2019-07-19 |
| 1477022838 | Patriot Healthcare of Mississippi, LLC | Family Medicine | 1110 Broad Street, Suite 300, Gulfport, MS 39501 | 2018-11-15 |
| 1477003028 | Mindful Matters | Nurse Practitioner | 1613 23rd Avenue, Gulfport, MS 39501 | 2016-10-06 |
| 1902294093 | Tangular Barnes | Nurse Practitioner | Gulf Coast Mental Health Center, 1600 Broad Ave, Gulfport, MS 39501 | 2014-12-25 |
| 1487065355 | Huong Nguyen | Pharmacist | 2433 25th Avenue, Gulfport, MS 39501 | 2014-05-14 |
| 1770907412 | Matthew Coleman | Military Health Care Provider | Nbhc Naval Construction Battalion Center Gulfport, 5501 Marvin Shields Blvd, Gulfport, MS 39501 | 2014-02-18 |
| Find all providers in zip 39501 | ||||
| Taxonomy Code | 225XH1200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Hand |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023055415 | Coast Hand Therapy, Inc. | Occupational Therapist | 1105 39th Ave, Gulfport, MS 39501-2654 | 2006-06-02 |
| 1669006102 | Alyssa Morgan Zelenka | Occupational Therapist | 15476 Dedeaux Rd, Gulfport, MS 39503-2637 | 2020-02-24 |
| 1427507037 | Ophelia Abrahams | Occupational Therapist | 15476 Dedeaux Rd, Suite B, Gulfport, MS 39503-2637 | 2016-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427238195 | Memphis Hand Center | Occupational Therapist | 5699 Getwell Rd, Bldg E, Sutie 4, Southaven, MS 38672-7312 | 2007-11-09 |
| 1144400813 | Memphis Hand Center, Inc | Occupational Therapist | 156 Highway 51 S, Batesville, MS 38606-2552 | 2007-11-09 |
| 1932395878 | Prohealth Solutions, Inc | Occupational Therapist | 722 West Canal Street, Picayune, MS 39466 | 2007-09-24 |
| 1972561470 | Kaye B Cannon | Occupational Therapist | 1743 Cliff Gookin Blvd, Tupelo, MS 38801-6723 | 2006-05-03 |
| 1588139521 | Carolyn Lawson | Occupational Therapist | 6300 E Lake Blvd Ste 201, Vancleave, MS 39565-6771 | 2018-10-05 |
| 1881076362 | Cody L Pounders | Occupational Therapist | 1211 S Gloster St Ste C, Tupelo, MS 38801-6548 | 2015-06-22 |
| 1457476467 | Chanelle Alis Cooley | Occupational Therapist | 23 Mason St, Laurel, MS 39440-4437 | 2007-03-20 |
Please comment or provide details below to improve the information on MR. JOSEPH ALBERT CHURCH III.
| 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.