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GARDEN PARK PHYSICIAN GROUP INC NPI 1285660688


NPI Information

NPI: 1285660688
Provider Name: GARDEN PARK PHYSICIAN GROUP INC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
416 E PASS RD
GULFPORT, MS
ZIP 39507
Phone: (228) 896-6505
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GARDEN PARK PHYSICIAN GROUP INC 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. GARDEN PARK PHYSICIAN GROUP INC NPI is 1285660688. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

416 E PASS RD
GULFPORT, MS
ZIP 39507-236
Phone: (228) 896-6505
Fax: (228) 896-6509

The provider's authorized official is Louis R. Joseph .
The authorized official title is Vp and has the following contact phone number (615) 373-7600.

The enumeration date for this NPI number is 6/25/2006 and was last updated on 3/15/2013.


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
1208000000XPediatricsNo
2367A00000XAdvanced Practice MidwifeNo
3207R00000XInternal 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
1CG6005MEDICARE PIN
2CJ5360MEDICARE PIN
301622395MEDICAIDMISSISSIPPI
4J5628MEDICARE PIN
509016021MEDICAIDMISSISSIPPI
609106019MEDICAIDMISSISSIPPI
71285660688MEDICAIDALABAMA
8C02318MEDICARE PINMISSISSIPPI
908838517MEDICAIDMISSISSIPPI
1009016020MEDICAIDMISSISSIPPI
1105826810MEDICAIDMISSISSIPPI

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

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.