Organization Active NPI

Endocrine Care Center, PLLC

  • Specialist
  • Biloxi, MS
National Provider Identifier
1295918894
Registry record updated Nov 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
19154 Issued in MS
Legal business name
ENDOCRINE CARE CENTER, PLLC
Practice address
147 Reynoir St
Suite 305
Biloxi, MS 39530-4109
Phone
(228) 432-5200
Fax
(228) 432-5201
NPI assigned
Dec 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2009

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

Authorized official

Name
Dr. Todd W. Frieze, MD
Title
Owner
Phone
(228) 432-5200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 19154 MS Primary

Addresses

Primary practice location

147 Reynoir St
Suite 305
Biloxi, MS 39530-4109

Mailing address

PO Box 7029
Diberville, MS 39540-7001
Phone (228) 432-5200

Other identifiers 1

IdentifierTypeStateIssuer
06408291MedicaidMS

National Provider Directory

National Provider Directory

Locations

147 Reynoir St
Ste 305
Biloxi, MS 39530
Phone (228) 432-5200

NPI Registry JSON

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258416000000",
    "number": "1295918894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7029",
            "city": "DIBERVILLE",
            "state": "MS",
            "postal_code": "395407001",
            "telephone_number": "228-432-5200",
            "fax_number": "228-432-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 REYNOIR ST",
            "address_2": "SUITE 305",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395304109",
            "telephone_number": "228-432-5200",
            "fax_number": "228-432-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDOCRINE CARE CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-06",
        "last_updated": "2009-11-17",
        "status": "A",
        "authorized_official_last_name": "FRIEZE",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "228-432-5200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MS",
            "license": "19154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06408291",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Biloxi, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2009; 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.