DR. CAROLYN M BUTTROSS (NPI# 1558400770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558400770 |
| Entity Type | Individual |
| Full Name | DR. CAROLYN M BUTTROSS |
| Credential | M.D |
| Practice Address |
2112 Bienville Blvd Suite G Ocean Springs MS 39564-3052 |
| Practice Telephone | 2288727705 |
| Practice Fax Number | 2288727746 |
| Mailing Telephone | 2288727705 |
| Mailing Fax Number | 2288727746 |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0006X |
Pediatrics Specialization: Developmental – Behavioral Pediatrics |
06016 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00018375 | 05 |
| Street Address |
2112 BIENVILLE BLVD SUITE G |
| City | OCEAN SPRINGS |
| State | MS |
| Zip Code | 39564-3052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821072588 | Lauren L. Timmons | Dentist | 2112 Bienville Blvd, Suite N-1, Ocean Springs, MS 39564-3052 | 2005-12-05 |
| 1013374347 | Carrie Virginia Pate Therapy Center, LLC | Social Worker | 2112 Bienville Blvd, Suite L-1, Ocean Springs, MS 39564-3052 | 2016-01-17 |
| 1629481890 | Tonya Lisa Patton | Hearing Instrument Specialist | 2112 Bienville Blvd, Suite I, Ocean Springs, MS 39564-3052 | 2014-06-05 |
| 1063779734 | Karen Zittleman | Social Worker | 2112 Bienville Blvd, Ste J, Ocean Springs, MS 39564-3067 | 2012-04-18 |
| 1063724094 | Carrie Virginia Pate | Social Worker | 2112 Bienville Blvd, Suite L-1, Ocean Springs, MS 39564-3052 | 2010-07-07 |
| 1477712198 | Bruce E. Dennings, Ph.d. | Psychologist | 2112 Bienville Blvd, Suite O-1, Ocean Springs, MS 39564-3052 | 2008-06-06 |
| 1437291002 | Ross Sowell Deavours | Audiologist | 2112 Bienville Blvd, Suite I, Ocean Springs, MS 39564-3067 | 2007-02-12 |
| 1790827376 | Better Hearing Center, Inc. | Audiologist | 2112 Bienville Blvd, Suite I, Ocean Springs, MS 39564-3067 | 2007-02-12 |
| 1972654325 | Bruce Eldon Dennings | Psychologist | 2112 Bienville Blvd, Suite O-1, Ocean Springs, MS 39564-3052 | 2007-01-14 |
| 1124127618 | Ruth W. Mcphearson | Psychologist | 2112 Bienville Blvd, Suite O-1, Ocean Springs, MS 39564-3052 | 2006-09-21 |
| Find all providers in the same location | ||||
| 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 | 2080P0006X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Developmental – Behavioral Pediatrics |
| A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed, 3/26/2008: definition corrected] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255416822 | David Leon Dugger | Pediatrics | 1800 Government St, Ocean Springs, MS 39564-3931 | 2006-10-25 |
| 1053496141 | Dugger Childrens Clinic | Pediatrics | 1800 Government St, Ocean Springs, MS 39564-3931 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568024552 | Spencer Brooks | Pediatrics | 2500 N State St, Jackson, MS 39216-4500 | 2019-07-01 |
| 1043797095 | Ashley Marie Radke | Pediatrics | 2500 N State St, Jackson, MS 39216-4500 | 2018-07-23 |
| 1487811311 | Suzanne Senter | Pediatrics | 2500 N State St, Jackson, MS 39216-4500 | 2008-05-19 |
| 1841343605 | Upa Pllc Child Dev Clinic | Pediatrics | 2500 N State St, Jackson, MS 39216-4500 | 2007-01-18 |
| 1750316691 | Linda Susan Buttross | Pediatrics | 2500 N State St, Jackson, MS 39216-4500 | 2006-07-11 |
| 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.