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BILOXI HMA PHYSICIAN MANAGEMENT LLC NPI 1902152606


NPI Information

NPI: 1902152606
Provider Name: BILOXI HMA PHYSICIAN MANAGEMENT, LLC

Doing Business As: COAST ONCOLOGY & HEMATOLOGY

Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
147 REYNOIR ST
SUITE 204
BILOXI, MS
ZIP 39530
Phone: (228) 374-6296
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BILOXI HMA PHYSICIAN MANAGEMENT, LLC is a hematology and oncology internal medicine in Biloxi, MS. The provider is 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. BILOXI HMA PHYSICIAN MANAGEMENT, LLC NPI is 1902152606. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Coast Oncology & Hematology.

The provider's business location address is:

147 REYNOIR ST
SUITE 204
BILOXI, MS
ZIP 39530-109
Phone: (228) 374-6296
Fax: (228) 374-5032

The provider's authorized official is Michael L Gingras .
The authorized official title is Vice President and has the following contact phone number (239) 598-3131.

The enumeration date for this NPI number is 7/31/2012 and was last updated on 11/27/2012.


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
1207RH0000XInternal MedicineHematologyNo
2207RX0202XInternal MedicineMedical OncologyNo
3207RH0003XInternal MedicineHematology & OncologyYes

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
1C03540MEDICARE 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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