BILOXI MEDICAL CLINIC, INC (NPI# 1457951808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457951808 |
| Entity Type | Organization |
| Organization Name | BILOXI MEDICAL CLINIC, INC |
| Practice Address |
2490 Pass Rd Biloxi MS 39531-2838 |
| Practice Telephone | 2282320425 |
| Practice Fax Number | 2282320423 |
| Mailing Telephone | 2282320425 |
| Mailing Fax Number | 2282320423 |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2020-10-27 |
| Authorized Official Name | ALLAN LAM HO (CEO) |
| Authorized Official Telephone | 2282320425 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 01033500 | 05 |
| Street Address |
2490 PASS RD |
| City | BILOXI |
| State | MS |
| Zip Code | 39531-2838 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215949896 | Michael W Fairbanks | Nurse Practitioner | 2490 Pass Rd, Biloxi, MS 39531-2838 | 2006-08-12 |
| 1023477080 | Healthstop LLC | Internal Medicine | 2490 Pass Rd, Biloxi, MS 39531-2838 | 2016-02-19 |
| 1093045908 | Immediate Family Clinic | Clinic/Center | 2490 Pass Rd, Biloxi, MS 39531-2838 | 2009-12-28 |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225340599 | Hoyet Arlon Hand | Family Medicine | 967 Cedar Lake Rd, Suite B, Biloxi, MS 39532-2128 | 2010-07-02 |
| 1083885941 | James Walter Cook | Family Medicine | 468 Tuscano Ln, Biloxi, MS 39531-2513 | 2008-03-19 |
| 1326102807 | Karen Y Mullen | Family Medicine | 13066 Hwy 67, Suites A & B, Biloxi, MS 39532 | 2006-12-20 |
| 1437264504 | Rickey L Chance | Family Medicine | 1759 Medical Park Dr, Biloxi, MS 39532-2132 | 2006-08-20 |
| 1558396010 | Phillip Lance Barnes | Family Medicine | 201 Lameuse St, Biloxi, MS 39530-3107 | 2006-07-12 |
| 1912964024 | Thomas T Trieu | Family Medicine | 1025 Division St, Suite B, Biloxi, MS 39530-2906 | 2006-05-01 |
| 1417912486 | North Bay Family Medical Clinic, Pa | Family Medicine | 15012 Lemoyne Blvd, Biloxi, MS 39532-5205 | 2006-04-20 |
| 1598751281 | Earnest Calvin Simmons | Family Medicine | 150 Reynoir St., Room 633, Biloxi, MS 39530 | 2005-09-27 |
| 1356900534 | Seren Emerson Ainsworth II | Family Medicine | 15012 Lemoyne Blvd, Biloxi, MS 39532 | 2019-06-11 |
| 1801337548 | Antigen Solutions LLC | Family Medicine | 1025 Division St, Suite D, Biloxi, MS 39530-2906 | 2017-03-14 |
| Find all providers in BILOXI | ||||
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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.