FORREST SIMPSON WELLS (NPI# 1477568749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477568749 |
| Entity Type | Individual |
| Full Name | FORREST SIMPSON WELLS |
| Credential | MD |
| Practice Address |
4509 Gibson Rd Ocean Springs MS 39564-6026 |
| Practice Telephone | 2288723993 |
| Practice Fax Number | 2288723992 |
| Mailing Telephone | 2288723993 |
| Mailing Fax Number | 2288723992 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2020-05-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
18050 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | MEDICARE RAILROAD | P0007341Z | 01 |
| MS | 03479057 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487117206 | Forrest C. Wells | Emergency Medicine | 30 N 1900 E Rm 1c026, Salt Lake City, UT 84132-0002 | 2019-04-09 |
| 1720366545 | Forrest Alden Kaiao Wells | Counselor | 40 Aulike St, Suit 411, Kailua, HI 96734-2758 | 2011-07-27 |
| Street Address |
4509 GIBSON RD |
| City | OCEAN SPRINGS |
| State | MS |
| Zip Code | 39564-6026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336259100 | Gulf Coast Plastic & Reconstructive Surgery, Pllc | Surgery | 4509 Gibson Rd, Ocean Springs, MS 39564-6026 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750996401 | Shelby Bourgeois | Speech-Language Pathologist | 108 Heron Park Pl, Ocean Springs, MS 39564 | 2020-09-10 |
| 1467010520 | Rachel Stephenie Knox | Student in an Organized Health Care Education/Training Program | 81mdss/gme 301 Fisher St., Rm 1g123, Keesler Afb, MS 39564 | 2019-06-04 |
| 1457839292 | Polly Anne Lampon | Registered Nurse | 2301 Rue Beaux Chenes, Ocean Springs, MS 39564 | 2018-08-03 |
| 1578062725 | Gulf Coast Sleep Medicine LLC | Clinic/Center | 2112 Bienville Blvd., Suite P, Ocean Springs, MS 39564 | 2018-02-02 |
| 1598212623 | Edward Victor Brown Jr. | Dentist | 15465 Oak Lane, Gulfport, MS 39564 | 2016-09-07 |
| 1386016749 | L. Randy Buntyn, D.m.d., Pllc | Dentist | 1203 Government St., Ocean Springs, MS 39564 | 2015-10-26 |
| 1467835629 | Msmobileyes Inc. | Optometrist | 2510 Bileville Blvd, Ocean Springs, MS 39564 | 2015-07-07 |
| 1659760999 | Clark Jamison Levi | Pharmacist | 1019 Government Street Suite F & D, Ocean Springs, MS 39564 | 2015-01-09 |
| 1932545480 | Therese Anne Hanna | Nurse Practitioner | 6900 Washington Avenue, Ocean Springs, MS 39564 | 2013-05-10 |
| 1346589421 | Jennah Claine Ladner | Nurse Practitioner | 1137 Ocean Springs Road, Ocean Springs, MS 39564 | 2013-02-08 |
| Find all providers in zip 39564 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336259100 | Gulf Coast Plastic & Reconstructive Surgery, Pllc | Surgery | 4509 Gibson Rd, Ocean Springs, MS 39564-6026 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023477841 | Plastic Surgery of North Ms., Pa | Surgery | 4248 S Eason Blvd Ste B, Tupelo, MS 38801-6549 | 2016-02-22 |
| 1164511374 | Suman Kumar Das | Surgery | 2629 Courthouse Cir, Flowood, MS 39232-9521 | 2006-10-12 |
| 1043872948 | John Magruder Sullivan IIi | Surgery | 2500 N State St, Jackson, MS 39216-4500 | 2019-07-01 |
| 1508352196 | Katherine Christine Benedict | Surgery | 2500 N State St, Jackson, MS 39216-4500 | 2018-07-06 |
| 1184022485 | Mississippi Center for Plastic Surgery | Surgery | 200 W Jackson St, Suite 100, Ridgeland, MS 39157-2310 | 2014-12-18 |
| 1891087417 | William Darden North | Surgery | 1055 River Oaks Dr, Flowood, MS 39232-9595 | 2011-05-16 |
| 1841581352 | South Central Cinics, Inc | Surgery | 1410 Jefferson St, Laurel, MS 39440-4243 | 2011-05-02 |
| 1366604100 | Erica Hutcheson Bass | Surgery | 160 Fountains Blvd Ste B, Madison, MS 39110-6343 | 2008-07-01 |
| 1073770228 | Shell Plastic Surgery,pllc | Surgery | 1306 Belk Blvd, Oxford, MS 38655-5302 | 2008-05-16 |
| 1295927838 | John H Miller Md PC | Surgery | 2781 C T Switzer Sr Dr, Suite 306, Biloxi, MS 39531-4536 | 2007-08-17 |
| Find all providers with the same taxonomy | ||||
| City | OCEAN SPRINGS |
| Zip Code | 39564 |
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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.