DR. WILLIAM E. KERGOSIEN (NPI# 1730109018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730109018 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM E. KERGOSIEN |
| Credential | M.D. |
| Practice Address |
109 Carroll Ave Bay St Louis MS 39520-4503 |
| Practice Telephone | 2284676733 |
| Mailing Telephone | 2284676733 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2013-01-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 12138 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00019189 | 05 |
| Street Address |
109 CARROLL AVE |
| City | BAY ST LOUIS |
| State | MS |
| Zip Code | 39520-4503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508470568 | Michael Stephens | Student in an Organized Health Care Education/Training Program | 236 Eighth Street, Bay Saint Louis, MS 39520 | 2020-09-06 |
| 1437400959 | Hancock Medical Health Services, Inc. | Nurse Practitioner | 600 Pine St., Bay St Louis, MS 39520 | 2012-09-24 |
| 1245581768 | Hancock Medical Health Services, Inc. | Nurse Practitioner | 602 Pine St., Bay St Louis, MS 39520 | 2012-09-24 |
| 1912258427 | Hancock Medical Health Services, Inc. | Nurse Practitioner | 6590 Lakeshore Road, Bay St Louis, MS 39520 | 2012-09-24 |
| 1942551445 | Hancock Medical Health Services | Nurse Practitioner | 750 Blue Meadow Road, Bay St Louis, MS 39520 | 2012-09-24 |
| 1134404809 | Hancock Chiropractic LLC | Chiropractor | 806 Hwy 90, Bay St. Louis, MS 39520 | 2011-10-13 |
| 1669762902 | Stacey Marie Kreher | Nurse Practitioner | 1009 Benigno Ln., Hancock Women's Center, Bay St. Louis, MS 39520 | 2011-04-07 |
| 1639352123 | Joyce Deloris Buie | Nurse Practitioner | 3062 Longfellow Rd, #25, Bay St. Louis, MS 39520 | 2007-12-07 |
| 1336346451 | Ochsner Medical Center - Hancock LLC | Clinic/Center | 3068 Port and Harbor Dr, Bay St Louis, MS 39520 | 2007-07-02 |
| 1043437684 | The Beach Surgical Group | Clinic/Center | 952 Green Meadow Rd., Bay St Louis, MS 39520 | 2007-04-18 |
| Find all providers in zip 39520 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780853242 | Bert Chevis M D LLC | Family Medicine | 849 Highway 90, Bay St Louis, MS 39520-1600 | 2008-02-28 |
| 1619080397 | Sidney Albert Chevis | Family Medicine | 644 Dunbar Ave, Bay St Louis, MS 39520 | 2006-08-16 |
| 1477599280 | Medical Foundation of South Ms | Family Medicine | 618 Blue Meadow Rd, Suite 20, Bay St Louis, MS 39520-2834 | 2006-06-21 |
| 1396199840 | Vineeth-joseph John Sankoorikal | Family Medicine | 149 Drinkwater Rd, Bay St Louis, MS 39520 | 2016-04-21 |
| 1962856419 | Sahiba Ahluwalia | Family Medicine | 149 Drinkwater Rd, Bay St Louis, MS 39520-1658 | 2016-04-21 |
| 1194188722 | Jessica Lynn Douglas | Family Medicine | 149 Drinkwater Rd, Bay St Louis, MS 39520-1658 | 2016-03-31 |
| 1518394089 | Memorial Hospital At Gulfport | Family Medicine | 835 Thames Ave, Bay St Louis, MS 39520-5005 | 2013-09-30 |
| 1013204742 | Andrew Blaine Adams | Family Medicine | 149 Drinkwater Rd, Bay St Louis, MS 39520-1658 | 2011-07-01 |
| 1083769236 | Ayslin Marie Beckett | Family Medicine | 149 Drinkwater Rd, Bay St Louis, MS 39520-1658 | 2007-01-25 |
| 1649228529 | Bertin C Chevis | Family Medicine | 149 Drinkwater Rd, Suite C, Bay St Louis, MS 39520-1658 | 2006-05-04 |
| Find all providers in BAY ST LOUIS | ||||
| City | BAY ST LOUIS |
| Zip Code | 39520 |
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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.