ZACKARY FORDHAM


Address: 4500 13th St, Gulfport, MS 39502
Phone: 6016723173

ZACKARY FORDHAM (NPI# 1265589089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265589089
Entity Type Individual
Full Name ZACKARY FORDHAM
Credential MD
Practice Address 4500 13th St
Gulfport
MS 39502
Mailing Address 4500 13th St
Po Box 1810
Gulfport
MS 39502
Practice Telephone 6016723173
Mailing Telephone 6016723173
Enumeration Date 2007-01-04
Last Update Date 2010-09-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207P00000X Emergency Medicine 21091 MS Allopathic & Osteopathic Physicians
Y 207P00000X Emergency Medicine 28369 AL Allopathic & Osteopathic Physicians

Office Location

Street Address 4500 13TH ST
City GULFPORT
State MS
Zip Code 39502

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790777142 Jack Q Causey II Specialist 4500 13th St, Gulfport, MS 39501-2515 2005-08-20
1255940110 Brittany Threatt Specialist/Technologist, Other 4500 13th St, Gulfport, MS 39501-2515 2020-07-27
1881217792 Dawn M Waters Technician, Other 4500 13th St, Gulfport, MS 39501-2569 2020-05-26
1356963953 Jamie Rea Morris Family Medicine 4500 13th St, Gulfport, MS 39501-2515 2020-05-18
1497374490 Alicia Lee Ellsberry Nurse Practitioner 4500 13th St, Gulfport, MS 39501-2515 2020-04-10
1578192035 Lauren Martino Pharmacist 4500 13th St, Gulfport, MS 39501-2515 2020-04-06
1942840368 Addie Holleman Holcomb Registered Nurse 4500 13th St, Gulfport, MS 39501-2515 2020-01-14
1477190114 Shannon Vallee Canzoneri Pharmacist 4500 13th St, Gulfport, MS 39501-2515 2019-12-02
1629614003 Kanieshia M Mitchell Nurse Practitioner 4500 13th St, Gulfport, MS 39501-2569 2019-11-21
1346882339 Molly H Weir Nurse Practitioner 4500 13th St, Gulfport, MS 39501-2515 2019-10-11
Find all providers in the same location

Taxonomy Information

Taxonomy Code 207P00000X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083858674 Charlton Paige Dennison Emergency Medicine 11446 Ashton Ln E, Gulfport, MS 39503-4428 2009-04-27
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
Find all providers in GULFPORT

Competitor

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City GULFPORT
Zip Code 39502

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Dataset Information

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.

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