NPIMap

Organization Active NPI

Gulf Coast Lung and Sleep Medicine Institute, LLC

  • Pulmonary Disease Physician
  • Gulfport, MS
National Provider Identifier
1447357652
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
GULF COAST LUNG AND SLEEP MEDICINE INSTITUTE, LLC
Practice address
16120 Landon Rd
Suite B
Gulfport, MS 39503-6119
Phone
(228) 381-3013
Fax
(228) 831-3348
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Edmundo R Rubio, MDNPI 1619073491
Title
President/Ceo
Phone
(228) 831-3013

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X MS Primary

Addresses

Primary practice location

16120 Landon Rd
Suite B
Gulfport, MS 39503-6119

Mailing address

16120 Landon Rd
Suite B
Gulfport, MS 39503-6119
Phone (228) 381-3013

National Provider Directory

National Provider Directory

Locations

16120 Landon Rd
Ste B
Gulfport, MS 39503
Phone (228) 381-3013

16120 Landon Rd
#B
Gulfport, MS 39503

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447357652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16120 LANDON RD",
            "address_2": "SUITE B",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395036119",
            "telephone_number": "228-381-3013",
            "fax_number": "228-831-3348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16120 LANDON RD",
            "address_2": "SUITE B",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395036119",
            "telephone_number": "228-381-3013",
            "fax_number": "228-831-3348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST LUNG AND SLEEP MEDICINE INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUBIO",
        "authorized_official_first_name": "EDMUNDO",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "228-831-3013",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.