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MEDICAL FOUNDATION OF SOUTH MS NPI 1245276740


NPI Information

NPI: 1245276740
Provider Name: MEDICAL FOUNDATION OF SOUTH MS

Doing Business As: INTERNAL MEDICINE CLINIC

Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
1110 BROAD AVE
SUITE 700
GULFPORT, MS
ZIP 39501
Phone: (228) 864-0314
Get Directions

MEDICAL FOUNDATION OF SOUTH MS is an internal medicine in Gulfport, MS. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. MEDICAL FOUNDATION OF SOUTH MS NPI is 1245276740. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Internal Medicine Clinic.

The provider's business location address is:

1110 BROAD AVE
SUITE 700
GULFPORT, MS
ZIP 39501-907
Phone: (228) 864-0314
Fax: (228) 864-0425

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 6/22/2006 and was last updated on 4/2/2008.


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
1207R00000XInternal MedicineYes

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
1CM1261MEDICARE PINMISSISSIPPI
2C01004MEDICARE PINMISSISSIPPI
309014379MEDICAIDMISSISSIPPI
4CA5893MEDICARE PINMISSISSIPPI
5C02001MEDICARE 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: 4/28/2024

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