GULF COAST INTERVENTIONAL PAIN MANAGEMENT CLINIC, INC. (NPI# 1700137205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700137205 |
| Entity Type | Organization |
| Organization Name | GULF COAST INTERVENTIONAL PAIN MANAGEMENT CLINIC, INC. |
| Practice Address |
15164 Dedeaux Rd Ste B Gulfport MS 39503-3124 |
| Practice Telephone | 2282841642 |
| Practice Fax Number | 2282841643 |
| Mailing Telephone | 2282841642 |
| Mailing Fax Number | 2282841643 |
| Enumeration Date | 2012-09-24 |
| Last Update Date | 2018-05-11 |
| Authorized Official Name | SHAWN X. MEI (PHYSICIAN) |
| Authorized Official Telephone | 2282841642 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
18456 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | NPI | 1407912223 | 01 |
| Street Address |
15164 DEDEAUX RD STE B |
| City | GULFPORT |
| State | MS |
| Zip Code | 39503-3124 |
| 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 | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134214331 | Coastal Chronic Pain Services, Pllc | Anesthesiology | 15190 Community Rd Ste 230b, Gulfport, MS 39503-3483 | 2006-10-04 |
| 1578898664 | Gulfport Anesthesia and Pain Treatment, Pllc | Anesthesiology | 4500 13th St, Gulfport, MS 39501-2515 | 2009-10-08 |
| 1932215464 | Brian R Dix | Anesthesiology | 15190 Community Rd, Suite 230a, Gulfport, MS 39503-3485 | 2006-08-21 |
| 1821104365 | Kent T Overmyer | Anesthesiology | 15190 Community Rd, Suite 230a, Gulfport, MS 39503-3485 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588158125 | Gulf Coast Anesthesia Associates | Anesthesiology | 147 Reynoir St Ste 305, Biloxi, MS 39530 | 2018-06-18 |
| 1063878676 | Wayne General Hospital | Anesthesiology | 940 Matthew Dr Ste 8, Waynesboro, MS 39367-2534 | 2016-01-12 |
| 1982996567 | Mb Costello Enterprises LLC | Anesthesiology | 1501 Lakeland Dr Ste 251, Jackson, MS 39216-4848 | 2011-05-13 |
| 1699081745 | Anesthesia & Pain Control Services, Inc. | Anesthesiology | 180b Debuys Rd Ste 211, Biloxi, MS 39531-4407 | 2010-08-27 |
| 1295845311 | Bretley Todd Sitzman | Anesthesiology | 7125 U S Highway 98, Hattiesburg, MS 39402 | 2006-08-30 |
| 1285663633 | Joe Christopher Cook I | Anesthesiology | 114 Byram Business Center Dr, Byram, MS 39272-9636 | 2006-06-30 |
| 1821034596 | Rex B Williams | Anesthesiology | 120 Stone Creek Blvd, Suite 500, Flowood, MS 39232-8205 | 2006-06-21 |
| 1598703852 | Miguel Figueroa | Anesthesiology | 46 Sgt Prentiss Dr Ste 201, Natchez, MS 39120-4751 | 2006-06-02 |
| 1619920584 | Pain Consultants of South Mississippi Pa | Anesthesiology | 106 Asbury Cir, Hattiesburg, MS 39402-1302 | 2006-05-19 |
| 1447210554 | Greenwood Leflore Hospital | Anesthesiology | 1403 Strong Ave, Greenwood, MS 38930 | 2006-03-23 |
| Find all providers with the same taxonomy | ||||
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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.