Organization Active NPI

Medical Care Center, PLLC

  • Family Medicine Physician
  • Ocean Springs, MS
National Provider Identifier
1316168339
Registry record updated Jan 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME14877 Issued in MS
Legal business name
MEDICAL CARE CENTER, PLLC
Practice address
3434 Bienville Blvd
Ocean Springs, MS 39564-5732
Phone
(228) 875-1599
Fax
(228) 875-1124
NPI assigned
May 1, 2007
Last updated
Jan 26, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2010

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

Authorized official

Name
Janus Kulpa, M.D.NPI 1891833828
Title
Owner
Phone
(228) 875-1599

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA00086 MS
Family Medicine Physician 207Q00000X ME14877 MS Primary

Addresses

Primary practice location

3434 Bienville Blvd
Ocean Springs, MS 39564-5732

Mailing address

3434 Bienville Blvd
Ocean Springs, MS 39564-5732
Phone (228) 875-1599

National Provider Directory

National Provider Directory

Locations

3434 Bienville Blvd
Ocean Springs, MS 39564
Phone (228) 244-0067

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264464000000",
    "number": "1316168339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3434 BIENVILLE BLVD",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395645732",
            "telephone_number": "228-875-1599",
            "fax_number": "228-875-1124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3434 BIENVILLE BLVD",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395645732",
            "telephone_number": "228-875-1599",
            "fax_number": "228-875-1124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CARE CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2010-01-26",
        "status": "A",
        "authorized_official_last_name": "KULPA",
        "authorized_official_first_name": "JANUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "228-875-1599",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MS",
            "license": "PA00086",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "ME14877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 26, 2010; 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.