WILLIAM R. FELLOWS, MD (NPI# 1306840871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306840871 |
| Entity Type | Organization |
| Organization Name | WILLIAM R. FELLOWS, MD |
| Practice Address |
180 Debuys Rd Ste 130 Biloxi MS 39531-4402 |
| Practice Telephone | 2283887770 |
| Mailing Telephone | 2283887770 |
| Enumeration Date | 2005-06-11 |
| Last Update Date | 2008-09-10 |
| Authorized Official Name | WILLIAM R FELLOWS (OWNER) |
| Authorized Official Telephone | 2283887770 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
08239 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 03109765 | 05 |
| Street Address |
180 DEBUYS RD STE 130 |
| City | BILOXI |
| State | MS |
| Zip Code | 39531-4402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063989010 | Oceans Behavioral Hospital of Biloxi LLC | Psychiatric Hospital | 180 Debuys Rd, Biloxi, MS 39531-4402 | 2018-10-29 |
| 1245761360 | Christine Johns Wright | Nurse Practitioner | 180 Debuys Rd, Biloxi, MS 39531-4402 | 2017-03-21 |
| 1639616378 | Gina Gauthreaux | Social Worker | 180 Debuys Rd, Ste 203, Biloxi, MS 39531-4402 | 2017-01-19 |
| 1366988230 | Lauren Sullivan | Registered Nurse | 180 Debuys Rd, Biloxi, MS 39531-4402 | 2017-01-16 |
| 1568814978 | Angelia Ruth Bone | Social Worker | 180 Debuys Rd, Biloxi, MS 39531-4402 | 2016-07-09 |
| 1124466099 | Beverly A Echoles | Nurse Practitioner | 180 Debuys Rd, Biloxi, MS 39531-4402 | 2013-06-12 |
| 1275889255 | Biloxi Hma Physician Management, LLC | Social Worker | 180 Debuys Rd, Biloxi, MS 39531-4402 | 2012-07-27 |
| 1952690273 | Candace M Lockey | Social Worker | 180 Debuys Rd, Biloxi, MS 39531-4402 | 2011-04-07 |
| 1063715746 | Painstop Spine Clinic, LLC | Family Medicine | 180 Debuys Rd, Biloxi, MS 39531-4402 | 2010-12-17 |
| 1174856835 | Keith Anthony D'angelo | Social Worker | 180 Debuys Rd, Biloxi, MS 39531-4402 | 2009-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306460431 | Southern Home Care Services, Inc. | In Home Supportive Care | 1901 Pass Rd, Ste C, Biloxi, MS 39531 | 2020-06-04 |
| 1285287698 | Veronica Lynn Walker | Nurse Practitioner | 180-b Debuys Road, Biloxi, MS 39531 | 2019-07-24 |
| 1982264875 | Brittany Paitsel | Dietitian, Registered | 19289 Saint Joseph Street, Suite C, Biloxi, MS 39531 | 2019-06-13 |
| 1144792425 | Traditions Hospice of Biloxi, LLC | Hospice Care, Community Based | 243 Beauvoir Road, Suite B, Biloxi, MS 39531 | 2018-12-26 |
| 1790275956 | Gulf Coast Wellness Center Inc | Physical Medicine & Rehabilitation | 2318 Pass Rd Ste 7c, Biloxi, MS 39531 | 2018-05-14 |
| 1861929655 | John Marc Bailey | Physician Assistant | 2781 Ct Switzer Dr Ste 402, Biloxi, MS 39531 | 2017-05-11 |
| 1134574270 | Shondra Davis | Social Worker | 400 Veteran Ave, Biloxi, MS 39531 | 2016-04-26 |
| 1063872349 | Stephanie Nix Lentz | Physician Assistant | 180b Debuys Rd Ste 203, Biloxi, MS 39531 | 2016-03-01 |
| 1093121196 | Gulf Coast Outpatient Surgery Center, LLC | Clinic/Center | 2781 Ct Senior Switzer Drive, Suite 101, Biloxi, MS 39531 | 2014-07-09 |
| 1215354402 | Memorial Hospital At Gulfport | Physical Therapy Assistant | 2781 C.t. Switzer, Suite 404, Biloxi, MS 39531 | 2014-03-25 |
| Find all providers in zip 39531 | ||||
| Taxonomy Code | 207RA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Addiction Medicine |
| An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164518874 | John Thomas Barringer | Internal Medicine | 1551 E County Line Rd, Jackson, MS 39211-1801 | 2006-10-04 |
| 1730289802 | Lloyd James Gordon IIi | Internal Medicine | 3949 Highway 43 N, Brandon, MS 39047-7240 | 2006-09-25 |
| 1104117688 | Gerald B Broussard Jr. | Internal Medicine | 6051 U S Highway 49, Hattiesburg, MS 39401-7200 | 2011-05-02 |
| 1699897066 | Carl Alvin Faulks | Internal Medicine | 450 E Pass Rd, Suite 3, Gulfport, MS 39507-3212 | 2007-04-04 |
| 1396814794 | James J Kramer | Internal Medicine | 405 Fontaine Pl, Suite 101, Ridgeland, MS 39157-5228 | 2006-11-07 |
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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.