South Mississippi Ear, Nose and Throat

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

SOUTH MISSISSIPPI EAR, NOSE AND THROAT

Practice address

2525 Telephone Road
Pascagoula, MS 39567

Phone

(228) 762-4483

Fax

(228) 769-0406

NPI assigned

Oct 15, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Donald S Davenport

Title

Ceo

Phone

(228) 762-4483

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1255564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255564800000",
    "number": "1386979961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 TELEPHONE ROAD",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "39567",
            "telephone_number": "228-762-4483",
            "fax_number": "228-769-0406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 TELEPHONE ROAD",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "39567",
            "telephone_number": "228-762-4483",
            "fax_number": "228-769-0406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH MISSISSIPPI EAR, NOSE AND THROAT",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-15",
        "last_updated": "2009-10-15",
        "status": "A",
        "authorized_official_last_name": "DAVENPORT",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "228-762-4483",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory A Smith, D.M.D.
• William Warren Smith, MD
• Cynthia Dees Snow, FNP-BC, AGACNP-BC
• South Coast Family Physicians
• South Coast Family Physicians
• South Mississippi Mental Health Center
• South Mississippi Smiles Dentistry LLC
• South Mississippi Urology PLLC
• Southern Girl Homecare LLC
• Southern Ms Heart Center,PA

• Otolaryngology Physician in Pascagoula, MS
• Providers in Pascagoula, MS by specialty
• Otolaryngology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.