Organization Active NPI

Coastal ENT Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Biloxi, MS
National Provider Identifier
1396539268
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
COASTAL ENT SURGERY CENTER LLC
Practice address
970 Tommy Munro Dr Ste D
Biloxi, MS 39532-2176
Phone
(228) 896-1987
NPI assigned
Apr 7, 2025
Last updated
Apr 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Authorized official

Name
Dr. Vincent Joseph Pisciotta
Title
Owner
Phone
(228) 324-4887

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

970 Tommy Munro Dr Ste D
Biloxi, MS 39532-2176

Mailing address

970 Tommy Munro Dr Ste D
Biloxi, MS 39532-2176

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
25D2336903Coastal ENT Surgery Center970 Tommy Munro Drive Suite D, Biloxi, MS 39532Certificate of waiverJan 12, 2028

National Provider Directory

National Provider Directory

Locations

970 Tommy Munro Dr
Ste D
Biloxi, MS 39532
Phone (228) 896-1987

NPI Registry JSON

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

{
    "created_epoch": "1743984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743984000000",
    "number": "1396539268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 TOMMY MUNRO DR STE D",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395322176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 TOMMY MUNRO DR STE D",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395322176",
            "telephone_number": "228-896-1987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL ENT SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-07",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A",
        "authorized_official_last_name": "PISCIOTTA",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "228-324-4887",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Biloxi, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.