NPIMap

Organization Active NPI

Gulf Coast Surgical Specialists Inc

  • Surgery Physician
  • Mobile, AL
National Provider Identifier
1114262748
Registry record updated Dec 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
29026 Issued in AL
Legal business name
GULF COAST SURGICAL SPECIALISTS INC
Practice address
3715 Dauphin St
BLDG 2, Suite 7-B
Mobile, AL 36608-1775
Phone
(251) 340-7880
Fax
(251) 340-7881
NPI assigned
Dec 8, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2012

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

Authorized official

Name
Dr. Daran Jennings Mason, MDNPI 1558576439
Title
Owner
Phone
(251) 463-0444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 29026 AL Primary

Addresses

Primary practice location

3715 Dauphin St
BLDG 2, Suite 7-B
Mobile, AL 36608-1775

Mailing address

3715 Dauphin St
BLDG 2, Suite 7-B
Mobile, AL 36608-1775
Phone (251) 340-7880

Other identifiers 1

IdentifierTypeStateIssuer
106150MedicaidAL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1354924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355356800000",
    "number": "1114262748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3715 DAUPHIN ST",
            "address_2": "BLDG 2, SUITE 7-B",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366081775",
            "telephone_number": "251-340-7880",
            "fax_number": "251-340-7881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 DAUPHIN ST",
            "address_2": "BLDG 2, SUITE 7-B",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366081775",
            "telephone_number": "251-340-7880",
            "fax_number": "251-340-7881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST SURGICAL SPECIALISTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-08",
        "last_updated": "2012-12-13",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "DARAN",
        "authorized_official_middle_name": "JENNINGS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-463-0444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "AL",
            "license": "29026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106150",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2012; 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.