Patton Medical of the Gulf Coast, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PATTON MEDICAL OF THE GULF COAST, INC.

Practice address

3002 Bienville Blvd
Ocean Springs, MS 39564-4354

Phone

(228) 872-8685

NPI assigned

Jul 13, 2005

Last updated

Aug 22, 2020By 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

Vice President

Phone

(228) 872-8685

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174521918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3002 BIENVILLE BLVD",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395644354",
            "telephone_number": "228-872-8685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3002 BIENVILLE BLVD",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395644354",
            "telephone_number": "228-872-8685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATTON MEDICAL OF THE GULF COAST, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "228-872-8685",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 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
• Carter Brand Pennington, DPT

• Durable Medical Equipment & Medical Supplies in Ocean Springs, MS
• Providers in Ocean Springs, MS by specialty
• Durable Medical Equipment & Medical Supplies in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.