Gulf Coast Plastic & Reconstructive Surgery, PLLC

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

Legal business name

GULF COAST PLASTIC & RECONSTRUCTIVE SURGERY, PLLC

Practice address

4509 Gibson Rd
Ocean Springs, MS 39564-6026

Phone

(228) 872-3993

Fax

(228) 872-3992

NPI assigned

Aug 30, 2006

Organization subpart

No

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

Authorized official

Name

Jimmie G Richmond

Title

Billing

Phone

(228) 872-3993

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

Practitioners 2

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

• Mary-Elizabeth Cordle, NP

  • Acute Care Nurse Practitioner
  • Ocean Springs, MS
  • NPI 1316963911
  Medicare reassignment Care Compare group NPD
• Forrest Simpson Wells, MD

  • Plastic and Reconstructive Surgery Physician
  • Ocean Springs, MS
  • NPI 1477568749
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402358400000",
    "number": "1336259100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4509 GIBSON RD",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395646026",
            "telephone_number": "228-872-3993",
            "fax_number": "228-872-3992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4509 GIBSON RD",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395646026",
            "telephone_number": "228-872-3993",
            "fax_number": "228-872-3992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST PLASTIC & RECONSTRUCTIVE SURGERY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2014-06-10",
        "status": "A",
        "authorized_official_last_name": "RICHMOND",
        "authorized_official_first_name": "JIMMIE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "228-872-3993"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gulf Coast Hearing Systems
• Gulf Coast Hospice, LLC
• Gulf Coast Integrative Health, Inc
• Gulf Coast Neurology Center, PLLC
• Gulf Coast Physical Medicine Health and Rehabiliatation Inc
• Gulf Coast Radiology Group, PA
• Gulf Coast Rehabilitation, PC
• Gulf Coast Sleep Medicine LLC
• Gulf Coast Therapy Associates
• Gulf Shore Dermatology, PLLC

• Plastic and Reconstructive Surgery Physician in Ocean Springs, MS
• Providers in Ocean Springs, MS by specialty
• Plastic and Reconstructive Surgery Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.