Active NPI
Mark Mauldin, M.D.
- Emergency Medicine Physician
- Ocean Springs, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MS14371
- Practice address
- 3109 Bienville Blvd
Ocean Springs, MS 39564-4361 - Phone
- (228) 818-1111
- NPI assigned
- Jan 12, 2007
- Last updated
- Nov 11, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MS14371 | MS | Primary |
Addresses
Primary practice location
3109 Bienville Blvd
Ocean Springs, MS 39564-4361
Mailing address
2101 Highway 90
Gautier, MS 39553-5340
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MS14371 | MS | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| George County Hospital | Current | Accepting new patients | |
| Round Table Physicians Group PLLC | Current | Accepting new patients | |
| Singing River Health System | Emergency Medicine | Current | Accepting new patients |
| Singing River Health System | Current | Accepting new patients | |
| George County Hospital- Erp | Current | Accepting new patients | |
| George County Hospital | Current | Accepting new patients | |
| Hancock Emergency Group LLC | Emergency Medicine | Current | Accepting new patients |
| Round Table Specialist Group, PLLC | Emergency Medicine | Current | Accepting new patients |
| Singing River Hospital System | Past | Accepting new patients |
Locations
149 Drinkwater Rd
Bay St Louis, MS 39520
Phone (228) 467-8600
2101 Highway 90
Gautier, MS 39553
Phone (228) 497-7576
859 Winter St
Lucedale, MS 39452
Phone (601) 766-4286
3109 Bienville Blvd
Ocean Springs, MS 39564
Phone (228) 818-1100
2809 Denny Ave
Pascagoula, MS 39581
Phone (228) 809-5000
5701 W Slaughter Ln
Bldg G
Austin, TX 78749
Phone (512) 651-5787
1014 Wirt Rd
Ste 200
Houston, TX 77055
Phone (713) 527-5000
11103 Westheimer Rd
Houston, TX 77042
Phone (832) 708-3651
800 W Central Texas Expy
Killeen, TX 76541
Phone (254) 220-4117
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Rural Acute Care Hospital
- Lucedale, MS
- NPI 1023074028
-
- Emergency Medicine Physician
- Bay St Louis, MS
- NPI 1295142396
-
- Multi-Specialty Clinic/Center
- Gautier, MS
- NPI 1083893937
-
- Emergency Medical Services (Emergency Medicine) Physician
- Bellaire, TX
- NPI 1023439114
-
dba Foot & Ankle Specialist
- Foot & Ankle Surgery Podiatrist
- Lucedale, MS
- NPI 1114664885
-
- Rural Acute Care Hospital
- Lucedale, MS
- NPI 1093752602
-
dba Singing River Hospital Professional Services
- Internal Medicine Physician
- Pascagoula, MS
- NPI 1033238456
Emergency Medicine
-
- Emergency Medicine Physician
- Houston, TX
- NPI 1497152268
-
dba The Neurosurgery Center
- Neurological Surgery Physician
- Pascagoula, MS
- NPI 1629288931
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226361600000",
"number": "1508917147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 HIGHWAY 90",
"city": "GAUTIER",
"state": "MS",
"postal_code": "395535340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3109 BIENVILLE BLVD",
"city": "OCEAN SPRINGS",
"state": "MS",
"postal_code": "395644361",
"telephone_number": "228-818-1111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAULDIN",
"first_name": "MARK",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-12",
"last_updated": "2008-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MS",
"license": "MS14371",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ocean Springs, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.