GULF MEDICAL, LLC (NPI# 1720123003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720123003 |
| Entity Type | Organization |
| Organization Name | GULF MEDICAL, LLC |
| Practice Address |
15012 Lemoyne Blvd Biloxi MS 39532-5205 |
| Practice Telephone | 2283741894 |
| Practice Fax Number | 2283749675 |
| Mailing Telephone | 2283741894 |
| Mailing Fax Number | 2283749675 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. DANIEL D SHEPHERD (CLINIC MANAGER) |
| Authorized Official Telephone | 2283741894 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 17226 | MS | Allopathic & Osteopathic Physicians |
| Street Address |
15012 LEMOYNE BLVD |
| City | BILOXI |
| State | MS |
| Zip Code | 39532-5205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417912486 | North Bay Family Medical Clinic, Pa | Family Medicine | 15012 Lemoyne Blvd, Biloxi, MS 39532-5205 | 2006-04-20 |
| 1356900534 | Seren Emerson Ainsworth II | Family Medicine | 15012 Lemoyne Blvd, Biloxi, MS 39532 | 2019-06-11 |
| 1891157467 | Sarah Hill | Nurse Practitioner | 15012 Lemoyne Blvd, Biloxi, MS 39532 | 2016-03-23 |
| 1457788077 | Pete Gonzales | Counselor | 15012 Lemoyne Blvd, Biloxi, MS 39532-5205 | 2013-09-27 |
| 1104198266 | Amie L Alexander | Nurse Practitioner | 15012 Lemoyne Blvd, Biloxi, MS 39532-5205 | 2012-02-06 |
| 1285967646 | Tu-huong T Tran | Nurse Practitioner | 15012 Lemoyne Blvd, Biloxi, MS 39532-5205 | 2009-09-16 |
| 1174736540 | Shawn Patrick Sparks | Specialist/Technologist | 15012 Lemoyne Blvd, Biloxi, MS 39532-5205 | 2007-05-08 |
| 1902927809 | Kathy L Roberts | Social Worker | 15012 Lemoyne Blvd, Biloxi, MS 39532-5205 | 2007-04-02 |
| 1700961976 | Gerald Frederick Joseph Roy | Social Worker | 15012 Lemoyne Blvd, Biloxi, MS 39532-5205 | 2006-10-26 |
| 1407938368 | Alan Dale Gatlin | Family Medicine | 15012 Lemoyne Blvd, Biloxi, MS 39532-5205 | 2006-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427693613 | Bloom Mental Health LLC | Nurse Practitioner | 933 Tommy Munro Dr., Suite C, Biloxi, MS 39532 | 2019-11-12 |
| 1003397530 | The National Diabetes & Obesity Research Institute At Tradition, Missi | Dietitian, Registered | 19289 St. Joseph Street, Suite C, Biloxi, MS 39532 | 2018-08-23 |
| 1134588999 | Victoria Leonard Scott | Counselor | 6905 Gregory Dr, Biloxi, MS 39532 | 2016-02-22 |
| 1639552490 | Laura O'keefe | Nurse Practitioner | 1720a Medical Park Dr Ste 150, Biloxi, MS 39532 | 2015-06-29 |
| 1659767150 | D'iberville Home Program LLC | Clinic/Center | 14215 Cook Road, Biloxi, MS 39532 | 2015-04-10 |
| 1467842476 | Alicia Michelle Mcdaniel | Nurse Practitioner | 14209 Cook Rd Suite 200, Biloxi, MS 39532 | 2015-01-28 |
| 1437402393 | Lisa Q. Brown | Occupational Therapist | 680 Bay Cove Drive, Residents At Baycove, Biloxi, MS 39532 | 2012-10-17 |
| 1962759381 | Joshua Shumway | Physical Therapist | 220 Ploesti Dr, Keesler Afb, MS 39532 | 2012-08-06 |
| 1386912483 | Polk's Crossgates Discount Drugs Inc. | Pharmacy | 1845 Popps Ferry Road, Biloxi, MS 39532 | 2011-12-05 |
| 1346566957 | Kerri Lyn Manjarrez | Social Worker | 12304 Tiffany Lane, Biloxi, MS 39532 | 2010-04-08 |
| Find all providers in zip 39532 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609203173 | Memorial Hospital At Gulfport | Internal Medicine | 1756 Popps Ferry Rd Ste A, Biloxi, MS 39532-2118 | 2013-09-30 |
| 1285845933 | Azad Alamgir Kabir | Internal Medicine | 1120 Beach Blvd, Biloxi, MS 39530-3631 | 2007-05-24 |
| 1770705204 | Syeda Shaista Rumman | Internal Medicine | 400 Veterans Ave Bldg 3, Room 126d, Biloxi, MS 39531-2410 | 2007-05-03 |
| 1942367164 | Rachael F Tadlock | Internal Medicine | 1721 Medical Park Dr Ste 101, Biloxi, MS 39532-2105 | 2007-01-03 |
| 1346322880 | Tricia K Aultman | Internal Medicine | 1009 Tommy Munro Dr, Biloxi, MS 39532-2100 | 2006-10-20 |
| 1891729190 | Hammed Kehinde Olarinde | Internal Medicine | Va Gulf Coast Vets Hcs, 400 Veterans Avenue, Biloxi, MS 39531 | 2006-07-10 |
| 1164450359 | Gulf Coast Internal Medicine Pllc | Internal Medicine | 1721 Medical Park Dr, Ste 101, Biloxi, MS 39532 | 2006-06-28 |
| 1083661946 | Belinda Alexander | Internal Medicine | 2771 Pass Rd, Suite A, Biloxi, MS 39531-2600 | 2006-05-27 |
| 1558323964 | Dawn Mae Hansen | Internal Medicine | 2550 Pass Rd, Biloxi, MS 39531-2726 | 2006-04-03 |
| 1306826854 | Andrew J. Peterson | Internal Medicine | 147 Reynoir Street, Suite 101, Biloxi, MS 39530 | 2006-01-20 |
| Find all providers in BILOXI | ||||
Please comment or provide details below to improve the information on GULF MEDICAL, LLC.
| 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.