OCHSNER MISSISSIPPI, LLC (NPI# 1295353878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295353878 |
| Entity Type | Organization |
| Organization Name | OCHSNER MISSISSIPPI, LLC |
| Practice Address |
4507 15th St Gulfport MS 39501-2500 |
| Mailing Address |
1514 Jefferson Hwy New Orleans LA 70121-2429 |
| Practice Telephone | 2288639999 |
| Mailing Telephone | 5048424000 |
| Enumeration Date | 2020-07-09 |
| Last Update Date | 2020-07-09 |
| Authorized Official Name | EDUARDO BENITEZ (DIRECTOR) |
| Authorized Official Telephone | 5044300025 |
| Is Organization Subpart | Y |
| Parent Organization Name | OCHSNER MISSISSIPPI, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| John Ochsner Heart & Vascular Institute- Gulfport | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013533637 | Ochsner Mississippi, LLC | Internal Medicine | 111 N Cleveland Ave, Long Beach, MS 39560-4713 | 2020-06-19 |
| 1003313180 | Ochsner Mississippi, LLC | Internal Medicine | 4550 Shepherd Sq, Diamondhead, MS 39525-3325 | 2018-04-06 |
| 1619477577 | Ochsner Mississippi, LLC | Internal Medicine | 202 Drinkwater Rd, Bay St Louis, MS 39520-1638 | 2018-02-17 |
| 1487253407 | Ochsner Mississippi, LLC | Internal Medicine | 906 Sixth Ave, Picayune, MS 39466-3802 | 2020-10-21 |
| 1821609009 | Ochsner Mississippi, LLC | Internal Medicine | 2274 Highway 43 S, Picayune, MS 39466-8141 | 2020-08-12 |
| 1265050942 | Ochsner Mississippi, LLC | Internal Medicine | 1839 Cooper Rd Ste 100, Picayune, MS 39466-2836 | 2020-07-09 |
| 1568026425 | Ochsner Mississippi, LLC | Internal Medicine | 421 S 28th Ave Ste 110, Hattiesburg, MS 39401-7208 | 2019-04-26 |
| 1356836118 | Ochsner Mississippi, LLC | Internal Medicine | 401 Baptist Dr Ste 301, Madison, MS 39110-2012 | 2018-06-25 |
| 1972009363 | Ochsner Mississippi, LLC | Internal Medicine | 303 Marion Ave, Mccomb, MS 39648-2707 | 2018-04-04 |
| 1457857062 | Ochsner Mississippi, LLC | Internal Medicine | 309 Llewellyn Ave, Mccomb, MS 39648-2703 | 2018-04-03 |
| Street Address |
4507 15TH ST |
| City | GULFPORT |
| State | MS |
| Zip Code | 39501-2500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528178415 | Cyril Vk Bethala | Internal Medicine | 4507 15th St, Gulfport, MS 39501 | 2006-08-30 |
| 1598994725 | Cyril Vk Bethala, Md, Pa | Internal Medicine | 4507 15th St, Gulfport, MS 39501-2500 | 2009-07-09 |
| 1811124308 | Gulf South Heart & Vascular Institute, Pllc | Internal Medicine | 4507 15th St, Gulfport, MS 39501-2500 | 2009-06-11 |
| 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 | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891100129 | William Hill | Internal Medicine | 7 Holly Ct, Gulfport, MS 39503-6211 | 2014-06-25 |
| 1609296037 | Hugo C. Nievas, Md, Pa | Internal Medicine | 1017 44th Ave, Gulfport, MS 39501-2547 | 2014-04-24 |
| 1821415357 | Michael Payment Md Cardiology Pa | Internal Medicine | 4533 13th St, Gulfport, MS 39501-2516 | 2014-03-21 |
| 1528178415 | Cyril Vk Bethala | Internal Medicine | 4507 15th St, Gulfport, MS 39501 | 2006-08-30 |
| 1649380536 | Jay J Libys | Internal Medicine | 14055 Seaway Road, Gulfport, MS 39503 | 2006-08-30 |
| 1487683231 | Bassam Baroudi | Internal Medicine | 4215 15th St, Gulfport, MS 39501-2523 | 2006-07-02 |
| 1710916564 | Wakkas Tayara | Internal Medicine | 1391 Broad Ave, Gulfport, MS 39501-2419 | 2006-07-02 |
| 1720039043 | Mohammed I Awaad | Internal Medicine | 1104 Broad Ave, Gulfport, MS 39501-2414 | 2006-05-12 |
| 1902233778 | Heart Hypertension Cholesterol & Diabetes Care LLC | Internal Medicine | 15444 Dedeaux Rd Ste B, Gulfport, MS 39503-2637 | 2013-10-10 |
| 1952741977 | Umair Zafar Malik | Internal Medicine | 4215 15th St, Gulfport, MS 39501-2523 | 2013-07-05 |
| Find all providers in GULFPORT | ||||
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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.