BILOXI HMA PHYSICIAN MANAGEMENT, LLC (NPI# 1902152606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902152606 |
Entity Type | Organization |
Organization Name | BILOXI HMA PHYSICIAN MANAGEMENT, LLC |
Other Organization Name | COAST ONCOLOGY & HEMATOLOGY |
Practice Address |
147 Reynoir St Suite 204 Biloxi MS 39530-4109 |
Mailing Address |
5811 Pelican Bay Blvd Suite 500 Naples FL 34108-2733 |
Practice Telephone | 2283746296 |
Practice Fax Number | 2283745032 |
Mailing Telephone | 2395983131 |
Mailing Fax Number | 2395920438 |
Enumeration Date | 2012-07-31 |
Last Update Date | 2012-11-27 |
Authorized Official Name | MR. MICHAEL L GINGRAS (VICE PRESIDENT) |
Authorized Official Telephone | 2395983131 |
Is Organization Subpart | Y |
Parent Organization Name | HEALTH MANAGEMENT ASSOCIATES, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207RH0000X |
Internal Medicine Specialization: Hematology |
Allopathic & Osteopathic Physicians | ||
N | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
Allopathic & Osteopathic Physicians | ||
Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Coast Oncology & Hematology | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730435439 | Biloxi Hma Physician Management, LLC | Obstetrics & Gynecology | 147 Reynoir St, Suite 203, Biloxi, MS 39530-4109 | 2012-07-31 |
1376899070 | Biloxi Hma Physician Management, LLC | Family Medicine | 3680 Sangani Blvd, Diberville, MS 39540-8703 | 2012-07-31 |
1184970881 | Biloxi Hma Physician Management, LLC | Nurse Anesthetist, Certified Registered | 150 Reynoir St, Biloxi, MS 39530-4130 | 2012-07-31 |
1275889255 | Biloxi Hma Physician Management, LLC | Social Worker | 180 Debuys Rd, Biloxi, MS 39531-4402 | 2012-07-27 |
1083971626 | Biloxi Hma Physician Management, LLC | Internal Medicine | 967 Cedar Lake Rd, Suite B, Biloxi, MS 39532-2128 | 2012-04-20 |
1376813618 | Biloxi Hma Physician Management, LLC | Internal Medicine | 147 Reynoir St, Suite 205, Biloxi, MS 39530-4109 | 2012-01-04 |
1093082356 | Biloxi Hma Physician Management, LLC | Family Medicine | 3920 Promenade Pkwy, Suite A, Diberville, MS 39540-5368 | 2011-11-30 |
1518248319 | Biloxi Hma Physician Management, LLC | Family Medicine | 3920 Promenade Pkwy, Suite A, Diberville, MS 39540-5368 | 2011-09-07 |
1407154438 | Biloxi Hma Physician Management, LLC | Psychiatry & Neurology | 147 Reynoir St, Suite 304, Biloxi, MS 39530-4109 | 2011-02-28 |
1356648711 | Biloxi Hma Physician Management, LLC | Family Medicine | 1735 Richard Dr, Suite C, Biloxi, MS 39532-4400 | 2011-02-22 |
Street Address |
147 REYNOIR ST SUITE 204 |
City | BILOXI |
State | MS |
Zip Code | 39530-4109 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659346633 | Charles Milligan Holman Jr. | Urology | 147 Reynoir St, Suite 306, Biloxi, MS 39530-4109 | 2006-02-22 |
1851840607 | Denese H. Dapito | General Acute Care Hospital | 147 Reynoir St, Biloxi, MS 39530-4109 | 2016-09-21 |
1730435439 | Biloxi Hma Physician Management, LLC | Obstetrics & Gynecology | 147 Reynoir St, Suite 203, Biloxi, MS 39530-4109 | 2012-07-31 |
1376813618 | Biloxi Hma Physician Management, LLC | Internal Medicine | 147 Reynoir St, Suite 205, Biloxi, MS 39530-4109 | 2012-01-04 |
1407154438 | Biloxi Hma Physician Management, LLC | Psychiatry & Neurology | 147 Reynoir St, Suite 304, Biloxi, MS 39530-4109 | 2011-02-28 |
1396074241 | Biloxi Bay Urology Center Pllc | Clinic/Center | 147 Reynoir St, Suite 306, Biloxi, MS 39530-4109 | 2009-12-23 |
1295918894 | Endocrine Care Center, Pllc | Specialist | 147 Reynoir St, Suite 305, Biloxi, MS 39530-4109 | 2007-12-06 |
1114127222 | Courtney Elizabeth Meredith | Obstetrics & Gynecology | 147 Reynoir St, Suite 105, Biloxi, MS 39530-4109 | 2007-07-18 |
1255454708 | Biloxi Ob Gyn Clinic | Obstetrics & Gynecology | 147 Reynoir St, Suite 105, Biloxi, MS 39530-4109 | 2007-04-09 |
1427170885 | Gulf Coast Neurology Clinic, P.a. | Psychiatry & Neurology | 147 Reynoir St, Ste 304, Biloxi, MS 39530-4109 | 2007-04-05 |
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 | 207RH0003X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Hematology & Oncology |
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710365630 | Grenada Hematology Oncology LLC | Internal Medicine | 1300 Sunset Dr Ste F, Grenada, MS 38901-4083 | 2015-05-12 |
1720241201 | Jennifer T Eubanks | Internal Medicine | 1704 23rd Ave Fl 2, Meridian, MS 39301-3103 | 2008-07-06 |
1780713966 | Jackson Oncology Associates, Pllc | Internal Medicine | 1860 Chadwick Dr Ste 301, Jackson, MS 39204-3467 | 2007-03-05 |
1346379500 | Jackson Oncology Associates,pllc | Internal Medicine | 2969 Curran Dr N Ste 200, Jackson, MS 39216-4121 | 2007-03-05 |
1023147204 | Jackson Oncology Associates, Pllc | Internal Medicine | 2200 Highway 61 N Ste 3300, Vicksburg, MS 39183-8246 | 2007-03-05 |
1760585178 | Rose Cancer Center PC | Internal Medicine | 807 Robb Street, Summit, MS 39666 | 2006-09-07 |
1215960786 | Wail Alnas | Internal Medicine | 345 Baptist Blvd, Columbus, MS 39705 | 2006-07-08 |
1760415608 | Benton M Wheeler | Internal Medicine | 504 Azalea Dr Ste A, Oxford, MS 38655-5397 | 2006-07-07 |
1801825781 | Sonia M Benn | Internal Medicine | 7668 Airways Blvd, Southaven, MS 38671-5304 | 2006-07-02 |
1639119589 | Justin T Baker | Internal Medicine | 1227 N State St Ste 101, Jackson, MS 39202-2002 | 2006-06-08 |
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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.