DR. ABHA MISHRA (NPI# 1285668921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285668921 |
| Entity Type | Individual |
| Full Name | DR. ABHA MISHRA |
| Credential | MD |
| Practice Address |
1340 Broad Ave Ste 440 Gulfport MS 39501-2460 |
| Mailing Address |
7387 Live Oak Way Pass Christian MS 39571-8021 |
| Practice Telephone | 2288674855 |
| Practice Fax Number | 2288674870 |
| Mailing Telephone | 2284526121 |
| Mailing Fax Number | 2284526121 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2014-09-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
19797 | MS | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
0101239395 | VA | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
MD035978 | DC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00051815 | 05 |
| Street Address |
1340 BROAD AVE STE 440 |
| City | GULFPORT |
| State | MS |
| Zip Code | 39501-2460 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144862442 | Robert Chris Meyers | Nurse Practitioner | 1340 Broad Ave Ste 440, Gulfport, MS 39501-2460 | 2019-10-08 |
| 1194281931 | Mackenzie K Taylor | Nurse Practitioner | 1340 Broad Ave Ste 440, Gulfport, MS 39501-2460 | 2019-02-18 |
| 1457815235 | Laura Katherine Stevens | Nurse Practitioner | 1340 Broad Ave Ste 440, Gulfport, MS 39501-2460 | 2019-01-25 |
| 1073082210 | Leslie E Boling | Nurse Practitioner | 1340 Broad Ave Ste 440, Gulfport, MS 39501-2460 | 2018-11-16 |
| 1457826067 | An N Lam | Nurse Practitioner | 1340 Broad Ave Ste 440, Gulfport, MS 39501-2460 | 2018-10-10 |
| 1568773901 | Sam Shamsnia | Neurological Surgery | 1340 Broad Ave Ste 440, Gulfport, MS 39501-2460 | 2010-06-30 |
| 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 | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033381348 | Diane E Ross Md Pa | Psychiatry & Neurology | 2160 E Pass Road, Suite D, Gulfport, MS 39507-3801 | 2008-03-26 |
| 1447323001 | Diane Ellen Ross | Psychiatry & Neurology | 749 Oakleigh Ave, Gulfport, MS 39507-3809 | 2006-11-15 |
| 1306922976 | Lidgia R Vives-jackson | Psychiatry & Neurology | 1213 Broad Ave Ste 3, Gulfport, MS 39501-2475 | 2006-10-27 |
| 1861483075 | Robert K Ozon | Psychiatry & Neurology | 9344 Three Rivers Rd, Gulfport, MS 39503-4268 | 2005-11-04 |
| 1649877598 | Arthritis Institute of Mississippi, LLC | Psychiatry & Neurology | 9344 Three Rivers Rd, Gulfport, MS 39503-4268 | 2020-10-05 |
| 1952633695 | Memorial Hospital At Gulfport | Psychiatry & Neurology | 1340 Broad Ave, Ste 440 N, Gulfport, MS 39501-2404 | 2010-02-05 |
| 1053509331 | Memorial Hospital At Gulfport | Psychiatry & Neurology | 1340 Broad Ave, Suite 440, Gulfport, MS 39501-2404 | 2007-10-11 |
| 1205997251 | Chelsea R Grow | Psychiatry & Neurology | 1340 Broad Avenue, Ste 440, Gulfport, MS 39501 | 2006-12-13 |
| 1669417705 | Lee Voulters | Psychiatry & Neurology | 1340 Broad Ave, Suite 440, Gulfport, MS 39501-2404 | 2006-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871101378 | North Mississippi Medical Center, Inc. | Psychiatry & Neurology | 408 Council Cir Ste B, Tupelo, MS 38801-4949 | 2020-07-21 |
| 1376168500 | Ms Care Clinic, Inc | Psychiatry & Neurology | 625 S Pear Orchard Rd Ste B, Ridgeland, MS 39157-4836 | 2020-06-12 |
| 1528303401 | Dave Allen Roberts | Psychiatry & Neurology | 107 Candlewick Rd, Hattiesburg, MS 39402-3010 | 2012-12-04 |
| 1881959401 | Magnolia Specialty Clinic | Psychiatry & Neurology | 3704 Hwy. 72 West, Corinth, MS 38834-8556 | 2012-07-10 |
| 1538436167 | Mid-south Neurology-sleep Medical Clinic Pllc | Psychiatry & Neurology | 5740 Getwell Rd Bldg 6, Southaven, MS 38672-6346 | 2011-11-28 |
| 1629379078 | Bolivar Physician Practices LLC | Psychiatry & Neurology | 903 East Sunflower Rd, Suite 400, Cleveland, MS 38732-2551 | 2010-11-16 |
| 1235454059 | Mitchell Myers, M.d. | Psychiatry & Neurology | 2906 North State Street, Suite 301, Jackson, MS 39216 | 2010-04-05 |
| 1407188501 | Magnolia Regional Health Center | Psychiatry & Neurology | 611 Alcron Drive, Corinth, MS 38834 | 2010-02-01 |
| 1639309685 | Syed Baqer Sadiq | Psychiatry & Neurology | 3603 Bienville Blvd Ste 102, Ocean Springs, MS 39564-5736 | 2009-07-23 |
| 1770717449 | Precise Clinical Neuroscience Specialists | Psychiatry & Neurology | 3531 Lakeland Dr Ste 1060, Flowood, MS 39232-8016 | 2009-05-11 |
| Find all providers with the same taxonomy | ||||
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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.