MISSISSIPPI COAST UROLOGY (NPI# 1346251477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346251477 |
| Entity Type | Organization |
| Organization Name | MISSISSIPPI COAST UROLOGY |
| Practice Address |
2525 Telephone Rd Pascagoula MS 39567-3202 |
| Practice Telephone | 2287624483 |
| Practice Fax Number | 2287690406 |
| Mailing Telephone | 2287624483 |
| Mailing Fax Number | 2287690406 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2011-10-28 |
| Authorized Official Name | DONALD S DAVENPORT (CEO) |
| Authorized Official Telephone | 2287624483 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 13231 | MS | Allopathic & Osteopathic Physicians |
| Street Address |
2525 TELEPHONE RD |
| City | PASCAGOULA |
| State | MS |
| Zip Code | 39567-3202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174583496 | David Milton Jenkins | Surgery | 2525 Telephone Rd, Pascagoula, MS 39567-3202 | 2006-03-23 |
| 1649871682 | Katherine Rae Herndon | Physician Assistant | 2525 Telephone Rd, Pascagoula, MS 39567-3202 | 2020-11-05 |
| 1295382828 | Lashaunda Whitley | Nurse Practitioner | 2525 Telephone Rd, Pascagoula, MS 39567-3202 | 2019-08-19 |
| 1083124143 | Alejandra Diaz | Physician Assistant | 2525 Telephone Rd, Pascagoula, MS 39567-3202 | 2017-10-03 |
| 1366989253 | Anna Kahlmus | Nurse Practitioner | 2525 Telephone Rd, Pascagoula, MS 39567-3202 | 2017-01-30 |
| 1942747266 | Maggie Emerson Duke | Nurse Practitioner | 2525 Telephone Rd, Pascagoula, MS 39567-3202 | 2017-01-24 |
| 1629514286 | Tracie George | Nurse Practitioner | 2525 Telephone Rd, Pascagoula, MS 39567-3202 | 2017-01-06 |
| 1235473950 | South Mississippi Urology Pllc | Urology | 2525 Telephone Rd, Pascagoula, MS 39567-3202 | 2012-11-19 |
| 1477723252 | Jason Payne | Surgery | 2525 Telephone Rd, Pascagoula, MS 39567-3202 | 2008-03-07 |
| 1528249554 | Jeremy J Simpler | Surgery | 2525 Telephone Rd, Pascagoula, MS 39567-3202 | 2007-11-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316439615 | Quad/med, LLC | Clinic/Center | 1000 Jere St. Pe' Hwy, C/o Ingalls Main Substation, 1st Floor, Pascagoula, MS 39567 | 2018-06-01 |
| 1477948107 | Market Place Pharmacy, LLC | Pharmacy | 1965 Market Street, Pascagoula, MS 39567 | 2015-03-31 |
| 1518382266 | Randy S Kirksey | Social Worker | 1017 Farnworth Ave, Pascagoula, MS 39567 | 2014-03-04 |
| 1063710747 | Hinman Chiropractic Care, Pa | Chiropractor | 3215 Market Street, Pascagoula, MS 39567 | 2011-03-04 |
| 1215232830 | Jessica E Shores | Military Health Care Provider | 1000 Access Rd Bldg 2026, Pascagoula, MS 39567 | 2011-01-12 |
| 1912214438 | Walker Chiropractic Center, Pllc | Chiropractor | 1408 Ingalls Ave, Pascagoula, MS 39567 | 2010-09-03 |
| 1386979961 | South Mississippi Ear, Nose and Throat | Otolaryngology | 2525 Telephone Road, Pascagoula, MS 39567 | 2009-10-15 |
| 1720299415 | James H Halbrook | Dentist | 2202 Old Mobile Hwy, Pascagoula, MS 39567 | 2007-05-24 |
| 1871624627 | Thayne Christopher Griener | Otolaryngology | 2812 Andrews Avenue, Pascagoula, MS 39567 | 2007-03-07 |
| 1447318159 | Ada Ruth Bosarge | Physical Therapist | 2838 Andrew St, Pascagoula, MS 39567 | 2006-12-05 |
| Find all providers in zip 39567 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235473950 | South Mississippi Urology Pllc | Urology | 2525 Telephone Rd, Pascagoula, MS 39567-3202 | 2012-11-19 |
| 1386842755 | David Lamar Spencer Jr. | Urology | 2525 Telephone Rd, Pascagoula, MS 39567-3202 | 2007-07-06 |
| 1407861776 | Mark S Lyell | Urology | 2525 Telephone Rd, Pascagoula, MS 39567 | 2006-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023678000 | The Urology Clinic, LLC | Urology | 14231 Seaway Rd Ste 6000, Gulfport, MS 39503-4628 | 2019-06-20 |
| 1881006807 | Roy Donald Duncan | Urology | 300 Forrest Hill Cir, Aberdeen, MS 39730-2147 | 2014-05-26 |
| 1396184149 | Robert Joseph Hargis | Urology | 116 Afton Way, Clinton, MS 39056 | 2013-06-14 |
| 1619290400 | Woodie Lynn Mason | Urology | 115 Wildwood Dr, Madison, MS 39110-7045 | 2010-03-08 |
| 1639305592 | William Meredith Brodford | Urology | 3916 Pinewood, Dr., Jackson, MS 39211-6444 | 2009-06-05 |
| 1669672143 | Laurel Urology Clinic Pa | Urology | 304 S 10th Ave, Laurel, MS 39440 | 2007-07-23 |
| 1932233392 | Jens Francis Graversen | Urology | 1002 Jefferson St., Suite 450, Laurel, MS 39440-4306 | 2007-03-15 |
| 1073682035 | Doyle Land Renfroe | Urology | 1201 Medical Park Dr, Oxford, MS 38655-5327 | 2006-11-06 |
| 1629159587 | Urological Surgery Associates Pllc | Urology | 294 E Layfair Dr, Flowood, MS 39232-9526 | 2006-10-18 |
| 1013098995 | Avinash C Gulanikar | Urology | 294 East Layfair Dr, Flowood, MS 39232 | 2006-10-18 |
| Find all providers with the same taxonomy | ||||
| City | PASCAGOULA |
| Zip Code | 39567 |
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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.