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MEDICAL FOUNDATION OF SOUTH MS NPI 1679509293


NPI Information

NPI: 1679509293
Provider Name: MEDICAL FOUNDATION OF SOUTH MS

Doing Business As: NORWOOD VILLAGE MEDICAL

Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
12100 HIGHWAY 49
GULFPORT, MS
ZIP 39503
Phone: (228) 831-1988
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MEDICAL FOUNDATION OF SOUTH MS is a pediatrics in Gulfport, MS. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. MEDICAL FOUNDATION OF SOUTH MS NPI is 1679509293. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Norwood Village Medical.

The provider's business location address is:

12100 HIGHWAY 49
GULFPORT, MS
ZIP 39503-063
Phone: (228) 831-1988
Fax: (228) 831-1978

The provider's authorized official is Randy Robinson .
The authorized official title is Administrator and has the following contact phone number (228) 865-1453.

The enumeration date for this NPI number is 6/24/2006 and was last updated on 5/23/2008.


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 & ImmunologyNo
2207Q00000XFamily MedicineNo
3208000000XPediatricsYes

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
1C02001MEDICARE PINMISSISSIPPI
209014414MEDICAIDMISSISSIPPI
3C02232MEDICARE PINMISSISSIPPI
4C02169MEDICARE PINMISSISSIPPI
5CA5893MEDICARE PINMISSISSIPPI
6C02105MEDICARE 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

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