NPIMap

Organization Active NPI

Ochsner Mississippi, LLC

Doing business as Ochsner Pediatric Cardiology - Ocean Springs

  • Internal Medicine Physician
  • Ocean Springs, MS
National Provider Identifier
1174294102
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
OCHSNER MISSISSIPPI, LLC
Doing business as
Ochsner Pediatric Cardiology - Ocean Springs
Practice address
11 Doctors Dr
Ocean Springs, MS 39564-5709
Phone
(228) 215-2036
Fax
(228) 215-2034
NPI assigned
Sep 21, 2021
Last updated
Sep 7, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
OCHSNER MISSISSIPPI, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Authorized official

Name
Eduardo Benitez
Title
Director
Phone
(504) 430-0025

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Pediatric Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080P0202X

Addresses

Primary practice location

11 Doctors Dr
Ocean Springs, MS 39564-5709

Mailing address

1514 Jefferson Hwy
New Orleans, LA 70121-2429

Other names 1

  • Ochsner Pediatric Cardiology - Ocean Springs Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ochsner Mississippi LLC25 organizations share this tax ID, including this one
Part of
Ochsner Mississippi LLC

Other organizations with this tax ID 24

Organizations that report the same tax identification number in the National Provider Directory.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662508800000",
    "number": "1174294102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 JEFFERSON HWY",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701212429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 DOCTORS DR",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395645709",
            "telephone_number": "228-215-2036",
            "fax_number": "228-215-2034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCHSNER MISSISSIPPI, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OCHSNER MISSISSIPPI, LLC",
        "enumeration_date": "2021-09-21",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A",
        "authorized_official_last_name": "BENITEZ",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "504-430-0025"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ochsner Pediatric Cardiology - Ocean Springs",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ochsner Pediatric Cardiology - Ocean Springs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ocean Springs, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; 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.