Abha Mishra Neurology PLLC

Key facts

NPI

1497464838

Entity type

Organization (NPI type 2)

Primary specialty

Neurology Physician 2084N0400X

Legal business name

ABHA MISHRA NEUROLOGY PLLC

Practice address

1340 Broad Ave
Gulfport, MS 39501-2404

Phone

(228) 596-1103

NPI assigned

Nov 15, 2022

Organization subpart

No

Authorized official

Name

Abha Mishra, MD NPI 1285668921

Title

Owner

Phone

(228) 596-1270

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

Practitioners 1

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

• Abha Mishra, MD Neurology Physician · Gulfport, MS · NPI 1285668921
  Medicare reassignment NPD Authorized official MS · NEUROLOGY

Medicare participation

Medicare fee-for-service enrollment

Enrolled in MS

Medicare enrollment records

National Provider Directory

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/cafecfe3-1c38-4574-90a6-d2bb7610e4a4/

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 15, 2022.

{
    "created_epoch": "1668470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668470400000",
    "number": "1497464838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "753 E SCENIC DR",
            "city": "PASS CHRISTIAN",
            "state": "MS",
            "postal_code": "395714620",
            "telephone_number": "228-596-1270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 BROAD AVE",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395012404",
            "telephone_number": "228-596-1103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1412 44th Ave",
            "address_purpose": "LOCATION",
            "city": "Gulfport",
            "state": "MS",
            "postal_code": "395012554",
            "country_code": "US",
            "telephone_number": "228-596-1103",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1110 Broad Ave # Unite600",
            "address_purpose": "LOCATION",
            "city": "Gulfport",
            "state": "MS",
            "postal_code": "395018907",
            "country_code": "US",
            "telephone_number": "228-596-1270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ABHA MISHRA NEUROLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-15",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A",
        "authorized_official_last_name": "MISHRA",
        "authorized_official_first_name": "ABHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "228-596-1270",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

• 828 Walk in Clinic
• A & G Transit Services LLC
• A R Mizell LLC
• A. Luck Therapy LCSW PLLC
• Delaney Jane Abella
• Abha Mishra PLLC
• Ability Club Corporation
• Ophelia Abrahams, OTR/L, CHT
• Roberta Abshire, LMT
• Absolem Therapy LLC

All providers in Gulfport, MS · Neurology Physician in Mississippi