Gulfport Obstetrical & Gynecological Clinic, PA

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

82612 Issued in MS

Legal business name

GULFPORT OBSTETRICAL & GYNECOLOGICAL CLINIC, PA

Practice address

4502 Old Pass Rd
Gulfport, MS 39501-2585

Phone

(228) 863-9977

Fax

(228) 822-2174

NPI assigned

Dec 28, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. David P Burkart

Title

Administrator

Phone

(228) 863-9977

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Provosty Taylor Jr., M.D.

  • Obstetrics & Gynecology Physician
  • Gulfport, MS
  • NPI 1508186990
  NPD

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477530657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4502 OLD PASS RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395012585",
            "telephone_number": "228-863-9977",
            "fax_number": "228-822-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4502 OLD PASS RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395012585",
            "telephone_number": "228-863-9977",
            "fax_number": "228-822-2174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULFPORT OBSTETRICAL & GYNECOLOGICAL CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BURKART",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "228-863-9977",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "MS",
            "license": "82612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gulfport Emergency Physicians
• Gulfport Healthcare LLC (Gulfport Care Center)
• Gulfport Medical Weight Loss
• Gulfport OBGYN Clinic, LLC
• Gulfport Obstetrical & Gynecological Clinic, PA
• Gulfport Outpatient Anesthesia, P.a.
• Gulfport Outpatient Surgery Center (Gosc LP)
• Gulfport Precision Vision Inc
• Gulfport Premier ABA LLC
• Gulfport School District

• Case Management Agency in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Case Management Agency in Mississippi

• 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.