MEMORIAL HOSPITAL AT GULFPORT (NPI# 1942462478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942462478 |
| Entity Type | Organization |
| Organization Name | MEMORIAL HOSPITAL AT GULFPORT |
| Other Organization Name | MEMORIAL ALLERGY CLINIC |
| Practice Address |
12100 Highway 49 Gulfport MS 39503-3063 |
| Mailing Address |
Po Box 98 Gulfport MS 39502-0098 |
| Practice Telephone | 2285390464 |
| Practice Fax Number | 2288311978 |
| Mailing Telephone | 2288651453 |
| Mailing Fax Number | 2288688504 |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2008-06-26 |
| Authorized Official Name | RANDY ROBINSON (ADMINISTRATOR) |
| Authorized Official Telephone | 2288651453 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Memorial Allergy Clinic | 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 |
12100 HIGHWAY 49 |
| City | GULFPORT |
| State | MS |
| Zip Code | 39503-3063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902847163 | Patricia Danielle Hall | Nurse Practitioner | 12100 Highway 49, Gulfport, MS 39503-3063 | 2006-06-09 |
| 1124290051 | Memorial Hospital At Gulfport | Pediatrics | 12100 Highway 49, Gulfport, MS 39503-3063 | 2008-04-01 |
| 1063527356 | James Holland | Allergy & Immunology | 12100 Highway 49, Gulfport, MS 39503-3063 | 2006-08-20 |
| 1679509293 | Medical Foundation of South Ms | Allergy & Immunology | 12100 Highway 49, Gulfport, MS 39503-3063 | 2006-06-24 |
| 1235171265 | Catherine Donald | Pediatrics | 12100 Highway 49, Gulfport, MS 39503-3063 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013515451 | Gulf Coast Neurospa, LLC | Psychiatry & Neurology | 8845 Lorraine Road, Gulfport, MS 39503 | 2020-10-16 |
| 1447865985 | Nicholas Wyrosdick | Physical Therapist | 12261 Us 49 #1, Gulfport, MS 39503 | 2020-09-11 |
| 1750935169 | Ladner Roy Drugs, LLC. | Pharmacy | 12261 Us 49 Suite 16, Gulfport, MS 39503 | 2019-07-25 |
| 1528559440 | Alexander Therapy Services, LLC | Clinic/Center | 15465 Oak Ln Ste 100c, Gulfport, MS 39503 | 2018-05-25 |
| 1750879003 | Heather Lynn Theisen | Nurse Practitioner | 15190 Community Rd Ste 330, Gulfport, MS 39503 | 2018-04-23 |
| 1083101216 | Gulf Coast Mental Health Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 15094 County Barn Road, Gulfport, MS 39503 | 2018-04-13 |
| 1306343173 | Dr. Raymond Monsour Scurfield, LLC | Community/Behavioral Health | 15465 Oak Lane Ste 100-g, Gulfport, MS 39503 | 2018-04-09 |
| 1952817157 | Mary Beth Welch | Behavioral Analyst | 9230 Old Lorraine Rd, Gulfport, MS 39503 | 2017-12-26 |
| 1831603257 | Beach View Family Dental, Pllc | Dentist | 9072 Lorraine Road, Gulfport, MS 39503 | 2017-11-21 |
| 1437677721 | Mary Stephens Ruffin | Social Worker | 11262 Creek Dr, Gulfport, MS 39503 | 2017-09-07 |
| Find all providers in zip 39503 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619304185 | Memorial Hospital At Gulfport | Allergy & Immunology | 12261 Highway 49 Ste 11, Gulfport, MS 39503-2976 | 2013-09-30 |
| 1225294010 | Memorial Hospital At Gulfport | Allergy & Immunology | 12261 Highway 49, Gulfport, MS 39503-2975 | 2008-08-01 |
| 1063527356 | James Holland | Allergy & Immunology | 12100 Highway 49, Gulfport, MS 39503-3063 | 2006-08-20 |
| 1679509293 | Medical Foundation of South Ms | Allergy & Immunology | 12100 Highway 49, Gulfport, MS 39503-3063 | 2006-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780948216 | Blake Olmsted | Allergy & Immunology | 6414 U S Highway 98 Ste 80, Hattiesburg, MS 39402-7838 | 2012-06-29 |
| 1689803918 | Patricia Honea Stewart | Allergy & Immunology | 878 Lakeland Dr., Lb-building, Jackson, MS 39216-4500 | 2009-07-08 |
| 1801094016 | Mississippi Asthma and Allergy Clinic Pa | Allergy & Immunology | 680d Hwy 51 North, Ridgeland, MS 39157 | 2007-07-10 |
| 1154529709 | Chelle P Wilhelm | Allergy & Immunology | 1513 Lakeland Dr Ste 101, Jackson, MS 39216-4829 | 2007-07-05 |
| 1841491404 | Delta Asthma & Allergy | Allergy & Immunology | 2335 Highway 1 S, Greenville, MS 38701-8337 | 2007-05-30 |
| 1114134863 | Karen Ashmore Maltby | Allergy & Immunology | 811 Garfield St, Tupelo, MS 38801-5748 | 2007-05-16 |
| 1407955537 | Joshua F Phillips | Allergy & Immunology | 1513 Lakeland Dr., Suite 101, Jackson, MS 39216 | 2006-09-22 |
| 1720007040 | Charlene Bell Broome | Allergy & Immunology | 6414 U S Highway 98, Ste 80, Hattiesburg, MS 39402-7815 | 2006-07-18 |
| 1902882251 | Mississippi Asthma & Allergy Clinic Pa | Allergy & Immunology | 1513 Lakeland Dr, Ste 100, Jackson, MS 39216-4829 | 2005-12-19 |
| 1003892357 | Daniel L Venarske | Allergy & Immunology | 1513 Lakeland Dr., Suite 101, Jackson, MS 39216 | 2005-12-19 |
| 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.