COAST HEART INSTITUTE, PLLC (NPI# 1992718795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992718795 |
| Entity Type | Organization |
| Organization Name | COAST HEART INSTITUTE, PLLC |
| Practice Address |
4215 15th St Gulfport MS 39501-2523 |
| Practice Telephone | 2288635211 |
| Mailing Telephone | 2288635211 |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. BASSAM R BAROUDI (MANAGING PARTNER/OWNER) |
| Authorized Official Telephone | 2288635211 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Street Address |
4215 15TH ST |
| City | GULFPORT |
| State | MS |
| Zip Code | 39501-2523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487683231 | Bassam Baroudi | Internal Medicine | 4215 15th St, Gulfport, MS 39501-2523 | 2006-07-02 |
| 1548893605 | Michelle E Mullins | Nurse Practitioner | 4215 15th St, Gulfport, MS 39501-2523 | 2020-02-18 |
| 1396301198 | Stephanie H Lumpkin | Nurse Practitioner | 4215 15th St, Gulfport, MS 39501-2523 | 2019-05-16 |
| 1093286551 | Kevin Thomas Schisler | Nurse Practitioner | 4215 15th St, Gulfport, MS 39501-2523 | 2018-12-10 |
| 1871096859 | Jennie Mckee | Nurse Practitioner | 4215 15th St, Gulfport, MS 39501-2523 | 2018-03-15 |
| 1518404235 | Tiffany Brosh | Nurse Practitioner | 4215 15th St, Gulfport, MS 39501-2523 | 2017-01-20 |
| 1437540184 | Casey Adams | Nurse Practitioner | 4215 15th St, Gulfport, MS 39501-2523 | 2015-02-16 |
| 1467888966 | Ochsner Clinic LLC | General Practice | 4215 15th St, Gulfport, MS 39501-2523 | 2013-09-17 |
| 1952741977 | Umair Zafar Malik | Internal Medicine | 4215 15th St, Gulfport, MS 39501-2523 | 2013-07-05 |
| 1033425087 | Fahad Javed | Internal Medicine | 4215 15th St, Gulfport, MS 39501 | 2010-08-27 |
| Find all providers in the same location | ||||
| 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 | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1891100129 | William Hill | Internal Medicine | 7 Holly Ct, Gulfport, MS 39503-6211 | 2014-06-25 |
| 1609296037 | Hugo C. Nievas, Md, Pa | Internal Medicine | 1017 44th Ave, Gulfport, MS 39501-2547 | 2014-04-24 |
| 1821415357 | Michael Payment Md Cardiology Pa | Internal Medicine | 4533 13th St, Gulfport, MS 39501-2516 | 2014-03-21 |
| 1528178415 | Cyril Vk Bethala | Internal Medicine | 4507 15th St, Gulfport, MS 39501 | 2006-08-30 |
| 1649380536 | Jay J Libys | Internal Medicine | 14055 Seaway Road, Gulfport, MS 39503 | 2006-08-30 |
| 1487683231 | Bassam Baroudi | Internal Medicine | 4215 15th St, Gulfport, MS 39501-2523 | 2006-07-02 |
| 1710916564 | Wakkas Tayara | Internal Medicine | 1391 Broad Ave, Gulfport, MS 39501-2419 | 2006-07-02 |
| 1720039043 | Mohammed I Awaad | Internal Medicine | 1104 Broad Ave, Gulfport, MS 39501-2414 | 2006-05-12 |
| 1295353878 | Ochsner Mississippi, LLC | Internal Medicine | 4507 15th St, Gulfport, MS 39501-2500 | 2020-07-09 |
| 1902233778 | Heart Hypertension Cholesterol & Diabetes Care LLC | Internal Medicine | 15444 Dedeaux Rd Ste B, Gulfport, MS 39503-2637 | 2013-10-10 |
| Find all providers in GULFPORT | ||||
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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.