Provider Type Icon

GULF COAST ASTHMA AND ALLERGY CLINIC NPI 1376642082


NPI Information

NPI: 1376642082
Provider Name: GULF COAST ASTHMA AND ALLERGY CLINIC
Classification: Allergy & Immunology - 207K00000X
Entity Type: Organization
Address:
1025 DIVISION ST
SUITE D
BILOXI, MS
ZIP 39530
Phone: (228) 432-5955
Get Directions

GULF COAST ASTHMA AND ALLERGY CLINIC is an allergy immunology in Biloxi, MS. The provider is 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. GULF COAST ASTHMA AND ALLERGY CLINIC NPI is 1376642082. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1025 DIVISION ST
SUITE D
BILOXI, MS
ZIP 39530-906
Phone: (228) 432-5955
Fax: (228) 432-5952

The provider's authorized official is Douglas Clinton Leavengood .
The authorized official title is President and has the following contact phone number (228) 432-5955.

The enumeration date for this NPI number is 9/21/2006 and was last updated on 7/12/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207K00000XAllergy & Immunology11243MISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1B31067MEDICARE UPINMISSISSIPPI
200110476MEDICAIDMISSISSIPPI
3BL1328182OTHERMISSISSIPPIDEA NUMBER
4512G700093MEDICARE PINMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.