SW Mediacal Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

097339 Issued in MS

Legal business name

SW MEDIACAL INC

Practice address

2561 Pass Rd
Suite D
Biloxi, MS 39531-2125

Phone

(228) 594-8380

Fax

(228) 594-8393

NPI assigned

Aug 5, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Elizabeth Metalf

Title

President

Phone

(228) 594-8380

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1438732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438819200000",
    "number": "1376929901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2561 PASS RD",
            "address_2": "SUITE D",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395312125",
            "telephone_number": "228-594-8380",
            "fax_number": "228-594-8393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2561 PASS RD",
            "address_2": "SUITE D",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395312125",
            "telephone_number": "228-594-8380",
            "fax_number": "228-594-8393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SW MEDIACAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-05",
        "last_updated": "2015-08-06",
        "status": "A",
        "authorized_official_last_name": "METALF",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "228-594-8380",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "MS",
            "license": "097339",
            "primary": true
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "MS",
            "license": null,
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "MS",
            "license": "23941",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R791344",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Brown Sullivan, LMSW
• Summit Wellness of la-Ms LLC
• Sun Coast Anesthesia PA
• Adnan Ahmad Sunji, MD
• Savannah Jane Sutherland, DO
• Megan Elizabeth Swanson, LCSW
• Robert John Swanson III, PHARM.D.
• Jeffrey Mark Swenson
• Jane Liddell Swett, LCSW
• Marjorie Grace Teng Sy, M.D.

• Optometrist in Biloxi, MS
• Providers in Biloxi, MS by specialty
• Optometrist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2015; 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.