MEDICAL FOUNDATION OF SOUTH MS (NPI# 1477599280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477599280 |
| Entity Type | Organization |
| Organization Name | MEDICAL FOUNDATION OF SOUTH MS |
| Other Organization Name | BAY PLAZA MEDICAL CLINIC |
| Practice Address |
618 Blue Meadow Rd Suite 20 Bay St Louis MS 39520-2834 |
| Mailing Address |
1612 31st Ave Gulfport MS 39501-2750 |
| Practice Telephone | 2284630824 |
| Practice Fax Number | 2284630827 |
| Mailing Telephone | 2288651453 |
| Mailing Fax Number | 2288651451 |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2008-05-23 |
| Authorized Official Name | MR. RANDY ROBINSON (ADMINISTRATOR) |
| Authorized Official Telephone | 2288651453 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 02976571 | 05 |
| Other Name | Type Code |
|---|---|
| Bay Plaza Medical Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265451231 | Medical Foundation of South Ms | Pediatrics | 20091 Pineville Rd, Long Beach, MS 39560-3208 | 2006-07-19 |
| 1841220415 | Medical Foundation of South Ms | Pediatrics | 334 Courthouse Rd, Gulfport, MS 39507-1807 | 2006-07-03 |
| 1891731287 | Medical Foundation of South Ms | Internal Medicine | 5120 Beatline Rd, Suite A, Long Beach, MS 39560-3815 | 2006-06-22 |
| 1821233917 | Medical Foundation of South Ms | Family Medicine | 394 Courthouse Rd, Suite A, Gulfport, MS 39507-1865 | 2008-12-04 |
| 1356469423 | Medical Foundation of South Ms | Pediatrics | 1110 Broad Ave, Suite 700, Gulfport, MS 39501-8907 | 2007-03-27 |
| 1609951441 | Medical Foundation of South Ms | Clinic/Center | 2771 Pass Rd, Biloxi, MS 39531-2600 | 2006-10-26 |
| 1003915729 | Medical Foundation of South Ms | Internal Medicine | 2771 Pass Rd, Suite B, Biloxi, MS 39531-2600 | 2006-09-21 |
| 1174542146 | Medical Foundation of South Ms | Family Medicine | 5120 Beatline Rd, Suite B, Long Beach, MS 39560-3815 | 2006-07-19 |
| 1720014202 | Medical Foundation of South Ms | Internal Medicine | 2771 Pass Rd, Biloxi, MS 39531-2600 | 2006-06-25 |
| 1679509293 | Medical Foundation of South Ms | Allergy & Immunology | 12100 Highway 49, Gulfport, MS 39503-3063 | 2006-06-24 |
| Street Address |
618 BLUE MEADOW RD SUITE 20 |
| City | BAY ST LOUIS |
| State | MS |
| Zip Code | 39520-2834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336680529 | Children's International, LLC | Clinic/Center | 618 Blue Meadow Rd, Bay St Louis, MS 39520-2834 | 2017-03-20 |
| 1912265943 | Erin Favre Blanchette | Nurse Practitioner | 618 Blue Meadow Rd, Children's International Medical Group, Bay St Louis, MS 39520-2834 | 2012-04-27 |
| 1447581855 | Memorial Hospital At Gulfport | Pediatrics | 618 Blue Meadow Rd, Suite 20, Bay St Louis, MS 39520-2834 | 2010-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508470568 | Michael Stephens | Student in an Organized Health Care Education/Training Program | 236 Eighth Street, Bay Saint Louis, MS 39520 | 2020-09-06 |
| 1437400959 | Hancock Medical Health Services, Inc. | Nurse Practitioner | 600 Pine St., Bay St Louis, MS 39520 | 2012-09-24 |
| 1245581768 | Hancock Medical Health Services, Inc. | Nurse Practitioner | 602 Pine St., Bay St Louis, MS 39520 | 2012-09-24 |
| 1912258427 | Hancock Medical Health Services, Inc. | Nurse Practitioner | 6590 Lakeshore Road, Bay St Louis, MS 39520 | 2012-09-24 |
| 1942551445 | Hancock Medical Health Services | Nurse Practitioner | 750 Blue Meadow Road, Bay St Louis, MS 39520 | 2012-09-24 |
| 1134404809 | Hancock Chiropractic LLC | Chiropractor | 806 Hwy 90, Bay St. Louis, MS 39520 | 2011-10-13 |
| 1669762902 | Stacey Marie Kreher | Nurse Practitioner | 1009 Benigno Ln., Hancock Women's Center, Bay St. Louis, MS 39520 | 2011-04-07 |
| 1639352123 | Joyce Deloris Buie | Nurse Practitioner | 3062 Longfellow Rd, #25, Bay St. Louis, MS 39520 | 2007-12-07 |
| 1336346451 | Ochsner Medical Center - Hancock LLC | Clinic/Center | 3068 Port and Harbor Dr, Bay St Louis, MS 39520 | 2007-07-02 |
| 1043437684 | The Beach Surgical Group | Clinic/Center | 952 Green Meadow Rd., Bay St Louis, MS 39520 | 2007-04-18 |
| Find all providers in zip 39520 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952405201 | Bay St. Louis Pediatrics | Pediatrics | 202a Drinkwater Blvd, Bay St Louis, MS 39520 | 2006-09-08 |
| 1942241922 | Brandi Coleman | Pediatrics | 833 Highway 90, Bay St Louis, MS 39520-1601 | 2006-06-09 |
| 1962495895 | Bertrand Olavides Sy | Pediatrics | 151 Thames Ave, Bay St Louis, MS 39520-5002 | 2005-08-25 |
| 1457660797 | Hancock Medical Health Services, Inc. | Pediatrics | 151 Thames Ave, Bay St Louis, MS 39520-5002 | 2010-10-05 |
| 1902138639 | Memorial Hospital At Gulfport | Pediatrics | 835 Thames Ave, Suite B, Bay St Louis, MS 39520-5005 | 2010-02-05 |
| 1447581855 | Memorial Hospital At Gulfport | Pediatrics | 618 Blue Meadow Rd, Suite 20, Bay St Louis, MS 39520-2834 | 2010-01-25 |
| 1396712915 | Shama Shakir | Pediatrics | 109 Hospital Dr, Bay St Louis, MS 39520-1604 | 2006-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508464181 | Meredith Sanford | Pediatrics | 101 Farm View Dr, Oxford, MS 38655-7728 | 2020-10-15 |
| 1255947297 | Gluckstadt Tc Kids, LLC | Pediatrics | 101 Lexington Dr Ste A, Madison, MS 39110-6986 | 2020-09-16 |
| 1982224895 | Vpa PC | Pediatrics | 111 E Capitol St Ste 215, Jackson, MS 39201-2108 | 2020-04-21 |
| 1992356166 | Marcie P Errington | Pediatrics | 3110 Sumrall Rd, Crystal Springs, MS 39059-8955 | 2019-09-27 |
| 1235635566 | North Mississippi Medcial Center, Inc. | Pediatrics | 1150 S Green St Ste D, Tupelo, MS 38804-4901 | 2018-04-04 |
| 1538675798 | The Pedz Clinic | Pediatrics | 610 3rd St Sw, Magee, MS 39111-3994 | 2017-12-22 |
| 1841715539 | Happicare One LLC Ppec Pediatric Daycare | Pediatrics | 213 W Park Ave, Greenwood, MS 38930-3008 | 2017-08-03 |
| 1336598028 | Andrea Logan Md | Pediatrics | 3631 Bienville Blvd Ste B, Ocean Springs, MS 39564-5702 | 2016-06-03 |
| 1730541640 | Stephanie Harrell | Pediatrics | 309 Llewellyn Ave, Mccomb, MS 39648-2703 | 2016-03-22 |
| 1891179768 | Desoto Children's Clinic - Olive Branch | Pediatrics | 7145 Goodman Road, Olive Branch, MS 38654 | 2015-07-10 |
| Find all providers with the same taxonomy | ||||
| City | BAY ST LOUIS |
| Zip Code | 39520 |
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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.