MEMORIAL HOSPITAL AT GULFPORT (NPI# 1790973071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790973071 |
| Entity Type | Organization |
| Organization Name | MEMORIAL HOSPITAL AT GULFPORT |
| Other Organization Name | ENDOCRINOLOGY AT MHG |
| Practice Address |
4540 W Railroad St Gulfport MS 39501-2480 |
| Mailing Address |
Po Box 555 Biloxi MS 39533-0555 |
| Practice Telephone | 2288648454 |
| Practice Fax Number | 2288651451 |
| Mailing Telephone | 2288658454 |
| Mailing Fax Number | 2288651451 |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2008-12-11 |
| Authorized Official Name | MR. RANDY ROBINSON (ADMINISTRATOR) |
| Authorized Official Telephone | 2288651453 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
13274 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 02635534 | 05 | |
| MS | RAILROAD MEDICARE | CA1177 | 01 |
| Other Name | Type Code |
|---|---|
| ENDOCRINOLOGY at MHG | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215354402 | Memorial Hospital At Gulfport | Physical Therapy Assistant | 2781 C.t. Switzer, Suite 404, Biloxi, MS 39531 | 2014-03-25 |
| 1609203173 | Memorial Hospital At Gulfport | Internal Medicine | 1756 Popps Ferry Rd Ste A, Biloxi, MS 39532-2118 | 2013-09-30 |
| 1285070672 | Memorial Hospital At Gulfport | Occupational Therapist | 2781 C. T. Switzer Dr., Suite 404, Biloxi, MS 39531-4535 | 2013-05-13 |
| 1205129137 | Memorial Hospital At Gulfport | Family Medicine | 20006 Hwy 53, 7 Sunshine Place, Gulfport, MS 39503-0000 | 2011-05-25 |
| 1275848889 | Memorial Hospital At Gulfport | Internal Medicine | 4405 E Aloha Dr, Suite 1, Diamondhead, MS 39525-3380 | 2010-08-09 |
| 1649585258 | Memorial Hospital At Gulfport | Internal Medicine | 784 Vieux Marche Mall, Biloxi, MS 39530-3822 | 2010-08-09 |
| 1730411463 | Memorial Hospital At Gulfport | Pediatrics | 12259 Highway 49, Suite C, Gulfport, MS 39503-3063 | 2010-02-05 |
| 1649404435 | Memorial Hospital At Gulfport | Internal Medicine | 970 Tommy Munro Dr, Biloxi, MS 39532-2130 | 2009-05-07 |
| 1295978435 | Memorial Hospital At Gulfport | Psychiatry & Neurology | 5407 Indian Hill Blvd, Diamondhead, MS 39525-3324 | 2009-04-17 |
| 1255524211 | Memorial Hospital At Gulfport | Clinic/Center | 1340 Broad Ave Ste 220, Gulfport, MS 39501-2404 | 2007-08-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MEMORIAL HOSPITAL AT GULFPORT | 4500 13th St, Gulfport, MS 39501-2515 |
| Street Address |
4540 W RAILROAD ST |
| City | GULFPORT |
| State | MS |
| Zip Code | 39501-2480 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588617997 | Beverly Lansden | Internal Medicine | 4540 W Railroad St, Gulfport, MS 39501-2480 | 2006-05-18 |
| 1013254358 | Ashley Barq House | Nurse Practitioner | 4540 W Railroad St, Gulfport, MS 39501-2480 | 2013-01-07 |
| 1396065694 | Amy M Dimitriades | Nurse Practitioner | 4540 W Railroad St, Gulfport, MS 39501-2480 | 2010-06-09 |
| 1366774093 | Memorial Hospital At Gulfport | Internal Medicine | 4540 W Railroad St, Suite B, Gulfport, MS 39501-2480 | 2010-02-05 |
| 1801128533 | Memorial Hospital At Gulfport | Internal Medicine | 4540 W Railroad St, Suite A, Gulfport, MS 39501-2480 | 2010-02-05 |
| 1043434566 | Gulf Coast Endocrinology | Internal Medicine | 4540 W Railroad St, Gulfport, MS 39501-2480 | 2007-04-13 |
| 1912950320 | Muzaffar Piracha | Internal Medicine | 4540 W Railroad St, Gulfport, MS 39501-2480 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598301632 | Daniel Edward Bloom | Physician Assistant | Naval Branch Health Clinic Gulfport, 5502 Marvin Shields Blvd, Gulfport, MS 39501 | 2019-11-25 |
| 1730721374 | Affinity Healthcare LLC | Non-emergency Medical Transport (VAN) | 1822 15th St, Suite 8, Gulfport, MS 39501 | 2019-10-15 |
| 1093361156 | Gulf Coast Companion Care, LLC | Home Health | 1314 Pass Road, Ste B, Gulfport, MS 39501 | 2019-08-14 |
| 1609420991 | Greg Meekin Ent | Otolaryngology | 1201 31st Avenue, Gulfport, MS 39501 | 2019-07-25 |
| 1225681216 | Murphy Chiropractic Gulfport, LLC | Clinic/Center | 2700 25th Ave., Gulfport, MS 39501 | 2019-07-19 |
| 1477022838 | Patriot Healthcare of Mississippi, LLC | Family Medicine | 1110 Broad Street, Suite 300, Gulfport, MS 39501 | 2018-11-15 |
| 1477003028 | Mindful Matters | Nurse Practitioner | 1613 23rd Avenue, Gulfport, MS 39501 | 2016-10-06 |
| 1902294093 | Tangular Barnes | Nurse Practitioner | Gulf Coast Mental Health Center, 1600 Broad Ave, Gulfport, MS 39501 | 2014-12-25 |
| 1487065355 | Huong Nguyen | Pharmacist | 2433 25th Avenue, Gulfport, MS 39501 | 2014-05-14 |
| 1770907412 | Matthew Coleman | Military Health Care Provider | Nbhc Naval Construction Battalion Center Gulfport, 5501 Marvin Shields Blvd, Gulfport, MS 39501 | 2014-02-18 |
| Find all providers in zip 39501 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| 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 |
|---|---|---|---|---|
| 1588617997 | Beverly Lansden | Internal Medicine | 4540 W Railroad St, Gulfport, MS 39501-2480 | 2006-05-18 |
| 1801128533 | Memorial Hospital At Gulfport | Internal Medicine | 4540 W Railroad St, Suite A, Gulfport, MS 39501-2480 | 2010-02-05 |
| 1043434566 | Gulf Coast Endocrinology | Internal Medicine | 4540 W Railroad St, Gulfport, MS 39501-2480 | 2007-04-13 |
| 1912950320 | Muzaffar Piracha | Internal Medicine | 4540 W Railroad St, Gulfport, MS 39501-2480 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841761129 | Dcgm, Inc | Internal Medicine | 1040 River Oaks Dr Ste 302, Flowood, MS 39232-9575 | 2018-12-11 |
| 1669727228 | Farah Naz Mushtaq | Internal Medicine | 5909 U S Highway 49 Ste 30, Hattiesburg, MS 39402-2860 | 2012-07-19 |
| 1649404435 | Memorial Hospital At Gulfport | Internal Medicine | 970 Tommy Munro Dr, Biloxi, MS 39532-2130 | 2009-05-07 |
| 1396808879 | Oxford Endocrinology Consultants, P.C. | Internal Medicine | 512 Azalea Drive, Oxford, MS 38655 | 2006-12-18 |
| 1376553222 | Richard J Galloway | Internal Medicine | 5909 Us Highway 49, Suite 30, Hattiesburg, MS 39401 | 2006-08-09 |
| 1477563104 | Amanda Reagan Schiefer | Internal Medicine | 971 Lakeland Drive, Jackson, MS 39126 | 2006-08-08 |
| 1376559880 | Mark Devin Shepherd | Internal Medicine | 670 Crossover Rd, Tupelo, MS 38801-4944 | 2006-08-01 |
| 1366498677 | Linda Mary Dales | Internal Medicine | 1516 23rd Ave, Meridian, MS 39301-4026 | 2006-05-26 |
| 1730138231 | Diabetes & Endocrine Institute, Pllc | Internal Medicine | 2610 Courthouse Cir, Flowood, MS 39232-9562 | 2006-05-10 |
| 1740251941 | Jayant Dey | Internal Medicine | 4250 S Eason Blvd, Tupelo, MS 38801-6549 | 2006-01-27 |
| 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.