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MISSISSIPPI COAST OB/GYN P.A. NPI 1730269242


NPI Information

NPI: 1730269242
Provider Name: MISSISSIPPI COAST OB/GYN, P.A.
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 25D0966013

Address:
21 DOCTORS DR
OCEAN SPRINGS, MS
ZIP 39564
Phone: (228) 872-1505
Get Directions

MISSISSIPPI COAST OB/GYN, P.A. is an obstetrics gynecology in Ocean Springs, MS. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. MISSISSIPPI COAST OB/GYN, P.A. NPI is 1730269242. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

21 DOCTORS DR
OCEAN SPRINGS, MS
ZIP 39564-709
Phone: (228) 872-1505

The provider's authorized official is Gregory W Horn .
The authorized official title is Stockholder and has the following contact phone number (228) 872-1505.

The CLIA number assigned to this NPI record is 25D0966013 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/17/2006 and was last updated on 12/15/2009.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & Gynecology15343MISSISSIPPIYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1C03023MEDICARE ID-TYPE UNSPECIFIEDMISSISSIPPIMEDICARE GROUP NUMBER
27531865MEDICAIDMISSISSIPPI

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: 5/5/2024

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