JEREMY W OWENS, MD, PC (NPI# 1508202268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508202268 |
| Entity Type | Organization |
| Organization Name | JEREMY W OWENS, MD, PC |
| Practice Address |
15190 Community Rd Suite 260 Gulfport MS 39503-3485 |
| Practice Telephone | 2283313310 |
| Enumeration Date | 2013-05-21 |
| Last Update Date | 2013-05-21 |
| Authorized Official Name | JEREMY OWENS (PHYSICIAN) |
| Authorized Official Telephone | 2283313310 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
20354 | MS | Allopathic & Osteopathic Physicians |
| Street Address |
15190 COMMUNITY RD SUITE 260 |
| City | GULFPORT |
| State | MS |
| Zip Code | 39503-3485 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255337770 | Ronald David Evans | Surgery | 15190 Community Rd, Suite 250, Gulfport, MS 39503-3485 | 2005-06-21 |
| 1861010159 | Singing River Gulfport | Clinic/Center | 15190 Community Rd, Gulfport, MS 39503-3485 | 2020-07-13 |
| 1427594480 | Christina Barnes | Nurse Practitioner | 15190 Community Rd, Suite 110, Gulfport, MS 39503-3485 | 2017-01-16 |
| 1417400896 | David N Johnston Jr. | Nurse Anesthetist, Certified Registered | 15190 Community Rd, Gulfport, MS 39503-3485 | 2016-08-02 |
| 1023469244 | Michelle Wright Taylor | Nurse Practitioner | 15190 Community Rd, Ste 220, Gulfport, MS 39503-3485 | 2016-06-29 |
| 1396107330 | D Balder Md, Pllc | Specialist | 15190 Community Rd, Gulfport, MS 39503-3485 | 2016-03-28 |
| 1154725562 | Matthew James Ladner | Physical Therapy Assistant | 15190 Community Rd, Gulfport, MS 39503-3485 | 2014-10-14 |
| 1255770558 | Amy Lynn Scheller | Surgery | 15190 Community Rd, Gulfport, MS 39503-3485 | 2013-06-19 |
| 1003254525 | Philip D Myers | Orthopaedic Surgery | 15190 Community Rd, Gulfport, MS 39503 | 2013-06-06 |
| 1992140230 | Yuma Spine & Joint Pllc | Orthopaedic Surgery | 15190 Community Rd, Suite 360, Gulfport, MS 39503-3485 | 2013-04-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013515451 | Gulf Coast Neurospa, LLC | Psychiatry & Neurology | 8845 Lorraine Road, Gulfport, MS 39503 | 2020-10-16 |
| 1447865985 | Nicholas Wyrosdick | Physical Therapist | 12261 Us 49 #1, Gulfport, MS 39503 | 2020-09-11 |
| 1750935169 | Ladner Roy Drugs, LLC. | Pharmacy | 12261 Us 49 Suite 16, Gulfport, MS 39503 | 2019-07-25 |
| 1528559440 | Alexander Therapy Services, LLC | Clinic/Center | 15465 Oak Ln Ste 100c, Gulfport, MS 39503 | 2018-05-25 |
| 1750879003 | Heather Lynn Theisen | Nurse Practitioner | 15190 Community Rd Ste 330, Gulfport, MS 39503 | 2018-04-23 |
| 1083101216 | Gulf Coast Mental Health Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 15094 County Barn Road, Gulfport, MS 39503 | 2018-04-13 |
| 1306343173 | Dr. Raymond Monsour Scurfield, LLC | Community/Behavioral Health | 15465 Oak Lane Ste 100-g, Gulfport, MS 39503 | 2018-04-09 |
| 1952817157 | Mary Beth Welch | Behavioral Analyst | 9230 Old Lorraine Rd, Gulfport, MS 39503 | 2017-12-26 |
| 1831603257 | Beach View Family Dental, Pllc | Dentist | 9072 Lorraine Road, Gulfport, MS 39503 | 2017-11-21 |
| 1437677721 | Mary Stephens Ruffin | Social Worker | 11262 Creek Dr, Gulfport, MS 39503 | 2017-09-07 |
| Find all providers in zip 39503 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013515451 | Gulf Coast Neurospa, LLC | Psychiatry & Neurology | 8845 Lorraine Road, Gulfport, MS 39503 | 2020-10-16 |
| 1134228703 | Ginger Wishik | Psychiatry & Neurology | 12266 Ashley Dr, Gulfport, MS 39503-2759 | 2006-09-21 |
| 1689684102 | Renaissance Counseling Center | Psychiatry & Neurology | 11070 David St, Gulfport, MS 39503-3481 | 2006-08-08 |
| 1780618686 | James Allen Rusch | Psychiatry & Neurology | 11150 Highway 49n, Gulfport, MS 39503 | 2006-07-10 |
| 1639523277 | Dr Bryan Vyverberg Md, Pllc | Psychiatry & Neurology | 8990 Lorraine Rd, Gulfport, MS 39503-4176 | 2016-04-20 |
| 1962594481 | Tongii L. Shavers | Psychiatry & Neurology | 11150 Highway 49n, Gulfport, MS 39503 | 2006-09-29 |
| 1891894499 | Barbara M. Murray | Psychiatry & Neurology | 1097 Acadian Dr, Gulfport, MS 39507-3545 | 2006-09-21 |
| 1548364847 | Philip Alan Schaeffer | Psychiatry & Neurology | 1403 43rd Ave, Gulfport, MS 39501-2545 | 2006-09-08 |
| 1699886176 | Stephen Charles James | Psychiatry & Neurology | 1340 Broad Ave, Suite 410, Gulfport, MS 39501-2404 | 2006-08-31 |
| 1750492609 | Albert Berchman Devillier | Psychiatry & Neurology | 1600 Broad Ave, Gulfport, MS 39501-3603 | 2006-08-31 |
| Find all providers in GULFPORT | ||||
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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.