COAST CARDIOVASCULAR CONSULTANTS (NPI# 1346656543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346656543 |
| Entity Type | Organization |
| Organization Name | COAST CARDIOVASCULAR CONSULTANTS |
| Practice Address |
1391 Broad Ave Gulfport MS 39501-2419 |
| Mailing Address |
1720a Medical Park Dr Suite 340 Biloxi MS 39532-2129 |
| Practice Telephone | 2288638868 |
| Practice Fax Number | 2288638956 |
| Mailing Telephone | 2283927429 |
| Mailing Fax Number | 2283963830 |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2014-07-08 |
| Authorized Official Name | DONNA HAILEY (ADMIN MANAGER) |
| Authorized Official Telephone | 2283927429 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SA2100X |
Clinical Nurse Specialist Specialization: Acute Care |
R875526 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194874222 | Coast Cardiovascular Consultants | Internal Medicine | 1720a Medical Park Dr, Suite 340, Biloxi, MS 39532-2129 | 2007-01-09 |
| Street Address |
1391 BROAD AVE |
| City | GULFPORT |
| State | MS |
| Zip Code | 39501-2419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710916564 | Wakkas Tayara | Internal Medicine | 1391 Broad Ave, Gulfport, MS 39501-2419 | 2006-07-02 |
| 1699322024 | Kimberly S Livings | Nurse Practitioner | 1391 Broad Ave, Gulfport, MS 39501-2419 | 2019-08-21 |
| 1790347540 | Taylor Ronquillo | Nurse Practitioner | 1391 Broad Ave, Gulfport, MS 39501-2419 | 2019-07-02 |
| 1760941223 | Mariah L Cox | Nurse Practitioner | 1391 Broad Ave, Gulfport, MS 39501-2419 | 2019-03-14 |
| 1285120675 | Tony Alexander Turan | Nurse Practitioner | 1391 Broad Ave, Gulfport, MS 39501-2419 | 2018-07-09 |
| 1881083046 | Melissa Steenkamp | Nurse Practitioner | 1391 Broad Ave, Gulfport, MS 39501-2419 | 2015-01-12 |
| 1972910230 | Elizabeth Drummond | Nurse Practitioner | 1391 Broad Ave, Gulfport, MS 39501-2419 | 2014-07-18 |
| 1619214541 | Amanda Nicole Hanson | Nurse Practitioner | 1391 Broad Ave, Gulfport, MS 39501-2419 | 2013-01-11 |
| 1760570550 | Lezlie Mathews | Nurse Practitioner | 1391 Broad Ave, Gulfport, MS 39501-2419 | 2006-10-10 |
| 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 | 364SA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508186024 | Healthy Me | Clinical Nurse Specialist | 104 Davis St, Coffeeville, MS 38922-9273 | 2010-06-07 |
| 1386029767 | Valerie Brunt | Clinical Nurse Specialist | 2500 N State St, Jackson, MS 39216-4500 | 2015-07-27 |
Please comment or provide details below to improve the information on COAST CARDIOVASCULAR CONSULTANTS.
| 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.