Eric J. Wyble, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

12046 Issued in MS

Legal business name

ERIC J. WYBLE, MD

Practice address

1133 45TH Ave
Gulfport, MS 39501-2564

Phone

(228) 865-7299

NPI assigned

Feb 24, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Eric J Wyble

Title

Owner Medical Doctor

Phone

(228) 865-7299

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184025600000",
    "number": "1356317853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 366",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395020366",
            "telephone_number": "228-865-7299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 45TH AVE",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395012564",
            "telephone_number": "228-865-7299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC J. WYBLE, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-24",
        "last_updated": "2007-07-10",
        "status": "A",
        "authorized_official_last_name": "WYBLE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER  MEDICAL DOCTOR",
        "authorized_official_telephone_number": "228-865-7299",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "MS",
            "license": "12046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Plastic Surgery Physician in Gulfport, MS
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; 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.