MISSISSIPPI EMERGENCY PHYSICIAN SERVICES, LLC (NPI# 1710220678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710220678 |
| Entity Type | Organization |
| Organization Name | MISSISSIPPI EMERGENCY PHYSICIAN SERVICES, LLC |
| Practice Address |
150 Reynoir St Biloxi MS 39530-4130 |
| Mailing Address |
300 S Park Rd Suite 400 Hollywood FL 33021-8593 |
| Practice Telephone | 8776935700 |
| Mailing Telephone | 8008158377 |
| Enumeration Date | 2013-03-29 |
| Last Update Date | 2014-04-10 |
| Authorized Official Name | DAVID S SCHILLINGER (PRESIDENT) |
| Authorized Official Telephone | 8776935700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285023119 | Mississippi Emergency Physician Services, LLC | Emergency Medicine | 54 Sergeant Prentiss Dr, Natchez, MS 39120-4726 | 2015-01-15 |
| 1538503446 | Mississippi Emergency Physician Services, LLC | Nurse Practitioner | 1970 Hospital Dr, Clarksdale, MS 38614-7202 | 2013-04-22 |
| 1639513542 | Mississippi Emergency Physician Services, LLC | Nurse Practitioner | 129 Jefferson Davis Blvd, Natchez, MS 39120-5103 | 2013-04-22 |
| 1801139621 | Mississippi Emergency Physician Services, LLC | Nurse Practitioner | 1850 Chadwick Dr, Jackson, MS 39204-3404 | 2013-03-29 |
| 1285977009 | Mississippi Emergency Physician Services, LLC | Nurse Practitioner | 303 Medical Center Dr, Batesville, MS 38606-8608 | 2013-03-29 |
| 1447593306 | Mississippi Emergency Physician Services, LLC | Nurse Practitioner | 350 Crossgates Blvd, Brandon, MS 39042-2601 | 2013-03-29 |
| 1487997201 | Mississippi Emergency Physician Services, LLC | Nurse Practitioner | 1105 Earl Frye Blvd, Amory, MS 38821-5500 | 2013-03-29 |
| 1073856894 | Mississippi Emergency Physician Services, LLC | Nurse Practitioner | 161 River Oaks Dr, Canton, MS 39046-5375 | 2013-03-29 |
| Street Address |
150 REYNOIR ST |
| City | BILOXI |
| State | MS |
| Zip Code | 39530-4130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174516108 | Professional Pathology Associates | Specialist | 150 Reynoir St, Biloxi, MS 39530-4130 | 2005-08-24 |
| 1831719632 | Biloxi Hma LLC | Clinical Medical Laboratory | 150 Reynoir St, Biloxi, MS 39530-4130 | 2020-04-21 |
| 1124597224 | Shelbey Elise Simpson | Physician Assistant | 150 Reynoir St, Biloxi, MS 39530-4130 | 2018-11-19 |
| 1093298754 | Brandy Lynn Westman | Nurse Practitioner | 150 Reynoir St, Biloxi, MS 39530-4130 | 2018-09-10 |
| 1407364482 | Gci Radiology Pllc | Specialist | 150 Reynoir St, Biloxi, MS 39530 | 2018-01-12 |
| 1538678438 | Allen Carter Nelson | Nurse Practitioner | 150 Reynoir St, Biloxi, MS 39530 | 2017-09-22 |
| 1245771856 | Harrison Physician Services, LLP | Physician Assistant | 150 Reynoir St, Biloxi, MS 39530-4130 | 2017-03-15 |
| 1619419900 | Kenyada Marshall | Nurse Practitioner | 150 Reynoir St, Biloxi, MS 39530-4130 | 2016-11-17 |
| 1134574429 | Adam L Whitaker | Emergency Medicine | 150 Reynoir St, Biloxi, MS 39530-4130 | 2016-04-25 |
| 1407216617 | Mark B. Wall, Md Pa | Radiology | 150 Reynoir St, Biloxi, MS 39530-4130 | 2016-03-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588158125 | Gulf Coast Anesthesia Associates | Anesthesiology | 147 Reynoir St Ste 305, Biloxi, MS 39530 | 2018-06-18 |
| 1326486804 | Pavilion Personal Care LLC | In Home Supportive Care | 1450b Beach Blvd, Biloxi, MS 39530 | 2013-06-06 |
| 1366707713 | Makeva K Reed | Nurse Practitioner | 321 Division St, Biloxi, MS 39530 | 2012-07-11 |
| 1174833602 | Keith Edward Earley Jr. | Ophthalmology | 301 Fisher Ave, Keesler Afb, MS 39530 | 2010-10-18 |
| 1730406729 | Alexander H. Nguyen | Surgery | 4503 M St, Biloxi, MS 39530 | 2010-04-29 |
| 1881891265 | Tina Fleming Mcgrew | Nurse Practitioner | 321-b Divison Street, Biloxi, MS 39530 | 2007-06-29 |
| 1285857623 | South Mississippi Nephrology, Pllc | Internal Medicine | 784 Vieux Marche, Biloxi, MS 39530 | 2007-04-11 |
| 1164573515 | Keith G Goodfellow | Obstetrics & Gynecology | 147 Reynoir St Ste 105, Biloxi, MS 39530 | 2007-01-14 |
| 1871640292 | Doreen Brock | Nurse Practitioner | 1046 Division Street, Biloxi, MS 39530 | 2007-01-05 |
| 1922069715 | Garvin Wallace Cunningham | Dentist | 683 Division St, Biloxi, MS 39530 | 2006-03-31 |
| Find all providers in zip 39530 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578615001 | Andrew A. Ragula | Emergency Medicine | 13034b Shriners Blvd, Biloxi, MS 39532-8250 | 2007-01-17 |
| 1326081092 | Thomas Joseph Seglio | Emergency Medicine | 150 Reynoir Street, Biloxi, MS 39530-4199 | 2006-06-13 |
| 1295714160 | Lennis Joseph Derouen | Emergency Medicine | 979 Tommy Munro Dr, Biloxi, MS 39532-2133 | 2006-01-10 |
| 1437684057 | Taylor Roth | Emergency Medicine | Keesler Afb, 301 Fisher Street, Biloxi, MS 39534 | 2017-04-21 |
| 1528590346 | Anthony P Bertasi IIi | Emergency Medicine | 301 Fisher St, Biloxi, MS 39534-2508 | 2017-03-30 |
| 1194176883 | Catherine Coss | Emergency Medicine | 301 Fisher St, Biloxi, MS 39534-2508 | 2016-06-24 |
| 1134574429 | Adam L Whitaker | Emergency Medicine | 150 Reynoir St, Biloxi, MS 39530-4130 | 2016-04-25 |
| 1770977035 | Brian Ferguson | Emergency Medicine | Keesler Medical Center, 500 Fisher St, Biloxi, MS 39534 | 2015-03-25 |
| 1184044281 | Joshua Nathaniel Burkhardt | Emergency Medicine | 301 Fisher St, Biloxi, MS 39534-2508 | 2014-04-16 |
| 1508284613 | Kelley Stanko | Emergency Medicine | 301 Fisher St, Biloxi, MS 39534-2508 | 2014-04-04 |
| Find all providers in BILOXI | ||||
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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.