Van Wurm MD,PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

VAN WURM MD,PLLC

Practice address

3631 Bienville Blvd
Suite a
Ocean Springs, MS 39564-5702

Phone

(228) 818-0585

Fax

(228) 818-0588

NPI assigned

Dec 10, 2015

Organization subpart

No

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

Authorized official

Name

Dr. William Van Wurm, M.D.

Title

Owner

Phone

(228) 818-0585

Specialties & licenses 3

Addresses

Other identifiers 1

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

{
    "created_epoch": "1449705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484784000000",
    "number": "1508231994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3631 BIENVILLE BLVD",
            "address_2": "SUITE A",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395645702",
            "telephone_number": "228-818-0585",
            "fax_number": "228-818-0588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3631 BIENVILLE BLVD",
            "address_2": "SUITE A",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395645702",
            "telephone_number": "228-818-0585",
            "fax_number": "228-818-0588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN WURM MD,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-10",
        "last_updated": "2017-01-19",
        "status": "A",
        "authorized_official_last_name": "WURM",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "VAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "228-818-0585",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MS",
            "license": "20580",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MS",
            "license": "20580",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03673557",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aejaz Ul Haq, MD
• Jennifer Urban, NP
• Urology Associates
• Louise H. Usher, FNP-BC
• Value in Prevention of Mississippi, PLLC
• Cynthia Vanderwood
• Elizabeth Vanhuffel, PHARMD
• Vascular Specialists of Mobile, P.C.
• Iva Nell Vaughan, FNP
• Michele J. Velez, SLP

• Pediatrics Physician in Ocean Springs, MS
• Providers in Ocean Springs, MS by specialty
• Pediatrics Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2017; 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.