Active NPI
Gulf Coast Spinal & Neurosurgical Specialists
- Ambulatory Surgical Clinic/Center
- Gulfport, MS
National Provider Identifier
1053699488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- GULF COAST SPINAL & NEUROSURGICAL SPECIALISTS
- Practice address
- 1340 Broad Ave
Suite 440
Gulfport, MS 39501-2404 - Phone
- (228) 822-2117
- NPI assigned
- Aug 3, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Barry Monday
- Title
- Billing Admin
- Phone
- (601) 296-2552
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | |||
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
1340 Broad Ave
Suite 440
Gulfport, MS 39501-2404
Mailing address
PO Box 17708
Hattiesburg, MS 39404-7708
Phone (601) 296-2552
National Provider Directory
National Provider DirectorySubparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Physical Therapist
- Gulfport, MS
- NPI 1912270869
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312329600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1312329600000",
"number": "1053699488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 17708",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394047708",
"telephone_number": "601-296-2552",
"fax_number": "601-296-2397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1340 BROAD AVE",
"address_2": "SUITE 440",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395012404",
"telephone_number": "228-822-2117"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GULF COAST SPINAL & NEUROSURGICAL SPECIALISTS",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-03",
"last_updated": "2011-08-03",
"status": "A",
"authorized_official_last_name": "MONDAY",
"authorized_official_first_name": "BARRY",
"authorized_official_title_or_position": "BILLING ADMIN",
"authorized_official_telephone_number": "601-296-2552"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gulfport, MS
- Gulf Coast Physical Therapy Centers PA
- Gulf Coast Plastic Surgery
- Gulf Coast Play Therapy Clinic, LLC
- Gulf Coast Psychotherapy
- Gulf Coast Recovery Clinic
- Gulf Coast Spinal & Neurosurgical Specialists LLC
- Gulf Coast Value Cab
- Gulf South Heart & Vascular Institute, PLLC
- Gulf South Pediatric Cardiology, LLC
- Gulf South Surgery Center LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.