Keystone Hospitalist Services of Gulfport Inc

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

Legal business name

KEYSTONE HOSPITALIST SERVICES OF GULFPORT INC

Practice address

15200 Community Rd
Gulfport, MS 39503-3085

Phone

(228) 575-7000

NPI assigned

Aug 10, 2015

Organization subpart

No

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

Authorized official

Name

Glenn C Adams

Title

President

Phone

(800) 669-2640

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1439164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439164800000",
    "number": "1497131791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 W SWANN AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336062639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15200 COMMUNITY RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395033085",
            "telephone_number": "228-575-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYSTONE HOSPITALIST SERVICES OF GULFPORT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-10",
        "last_updated": "2015-08-10",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-669-2640"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristi Ramey Kennon, PA-C
• Amy Kenny
• Barbara L. Kerby, N.P.
• Sean C Kerby, M.D.
• Kern Optical
• Keystone Medical Services of Gulfport, Inc.
• Sidra Khalid, M.D
• Abdul Rehman Shahid Khan, MD
• Kids and Tummies LLC
• Moses Kiehl

• Hospitalist Physician in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Hospitalist Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.