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MEMORIAL HOSPITAL AT GULFPORT NPI 1093142598


NPI Information

NPI: 1093142598
Provider Name: MEMORIAL HOSPITAL AT GULFPORT
Classification: Urology - 208800000X
Entity Type: Organization

CLIA Number: 25D2081940

Address:
1340 BROAD AVE STE 210
GULFPORT, MS
ZIP 39501
Phone: (228) 575-1600
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MEMORIAL HOSPITAL AT GULFPORT is an urology in Gulfport, MS. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. MEMORIAL HOSPITAL AT GULFPORT NPI is 1093142598. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1340 BROAD AVE STE 210
GULFPORT, MS
ZIP 39501-465
Phone: (228) 575-1600
Fax: (228) 575-1603

The provider's authorized official is Peggy Lorraine Noonan .
The authorized official title is Director, Physician Business Servic and has the following contact phone number (228) 575-1740.

The CLIA number assigned to this NPI record is 25D2081940 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/30/2013 and was last updated on 1/9/2024.


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
1207L00000XAnesthesiologyNo
2207RC0000XInternal MedicineCardiovascular DiseaseNo
3207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismNo
4207RG0100XInternal MedicineGastroenterologyNo
5207RH0003XInternal MedicineHematology & OncologyNo
6363A00000XPhysician AssistantNo
7363L00000XNurse PractitionerNo
8207RN0300XInternal MedicineNephrologyNo
9207RP1001XInternal MedicinePulmonary DiseaseNo
10207RR0500XInternal MedicineRheumatologyNo
11207RX0202XInternal MedicineMedical OncologyNo
12207T00000XNeurological SurgeryNo
13207X00000XOrthopaedic SurgeryNo
14208800000XUrologyYes

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

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.