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GULF COAST INTERVENTIONAL PAIN MANAGEMENT CLINIC INC. NPI 1700137205


NPI Information

NPI: 1700137205
Provider Name: GULF COAST INTERVENTIONAL PAIN MANAGEMENT CLINIC, INC.
Classification: Anesthesiology - 207LP2900X
Entity Type: Organization

Specialization: Pain Medicine

CLIA Number: 25D2046588

Address:
15164 DEDEAUX RD STE B
GULFPORT, MS
ZIP 39503
Phone: (228) 284-1642
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GULF COAST INTERVENTIONAL PAIN MANAGEMENT CLINIC, INC. is a pain medicine anesthesiology in Gulfport, MS. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. GULF COAST INTERVENTIONAL PAIN MANAGEMENT CLINIC, INC. NPI is 1700137205. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

15164 DEDEAUX RD STE B
GULFPORT, MS
ZIP 39503-124
Phone: (228) 284-1642
Fax: (228) 284-1643

The provider's authorized official is Shawn X. Mei .
The authorized official title is Physician and has the following contact phone number (228) 284-1642.

The CLIA number assigned to this NPI record is 25D2046588 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/24/2012 and was last updated on 5/11/2018.


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
1207LP2900XAnesthesiologyPain Medicine18456MISSISSIPPIYes

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
11407912223OTHERMISSISSIPPINPI

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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