Patton Medical of the Gulf Coast Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

PATTON MEDICAL OF THE GULF COAST INC

Doing business as

Patton Medical of the Gulf Coast Inc

Practice address

3002 Bienville Blvd
Suite C
Ocean Springs, MS 39564-4354

Phone

(228) 872-8685

Fax

(228) 872-8685

NPI assigned

Jun 30, 2006

Last updated

Apr 5, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. William Keith Wade

Title

Owner

Phone

(228) 872-8685

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• PATTON MEDICAL OF THE GULF COAST INC Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301961600000",
    "number": "1063440584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3002 BIENVILLE BLVD",
            "address_2": "SUITE C",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395644354",
            "telephone_number": "228-872-8685",
            "fax_number": "228-872-8685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3002 BIENVILLE BLVD",
            "address_2": "SUITE C",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395644354",
            "telephone_number": "228-872-8685",
            "fax_number": "228-872-8685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATTON MEDICAL OF THE GULF COAST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2011-04-05",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "228-872-8685",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "809654934A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00440743",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PATTON MEDICAL OF THE GULF COAST INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pritesh S Patel, OD
• Gregory Patino
• Patterson Pharmacy Inc.
• John Patterson, CRNA
• Pattersons Pharmacy Co Inc (Pattersons Pharmacy)
• Patton Medical of the Gulf Coast, Inc.
• Tonya Lisa Patton
• Marva Payton, SLPD, CCC-SLP
• Ashley Pugeau Pearson, LCSW
• Nicholas L Pendleton, FNP

• Prosthetic/Orthotic Supplier in Ocean Springs, MS
• Providers in Ocean Springs, MS by specialty
• Prosthetic/Orthotic Supplier in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.

Verify at the official NPI Registry.