Memorial Hospital at Gulfport

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MEMORIAL HOSPITAL AT GULFPORT

Practice address

835 Thames Ave
Suite a
Bay St Louis, MS 39520-5005

Phone

(228) 463-0824

Fax

(228) 463-0827

NPI assigned

Jul 14, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Jeff T Steiner

Title

VP of Finance

Phone

(228) 818-0563

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Physicians Clinic at MHG Doing business as

Locations

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

{
    "created_epoch": "1342224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387238400000",
    "number": "1629323845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 555",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395330555",
            "telephone_number": "228-575-1730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 THAMES AVE",
            "address_2": "SUITE A",
            "city": "BAY ST LOUIS",
            "state": "MS",
            "postal_code": "395205005",
            "telephone_number": "228-463-0824",
            "fax_number": "228-463-0827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL HOSPITAL AT GULFPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-14",
        "last_updated": "2013-12-17",
        "status": "A",
        "authorized_official_last_name": "STEINER",
        "authorized_official_first_name": "JEFF",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "228-818-0563",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02234203",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physicians Clinic at MHG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Gray McDunnah, RPH
• Denisha V McNair, PCMHT
• Medical Foundation of South Ms
• Teresa C Meece, FNP-C
• Memorial Hospital at Gulfport
• Memorial Hospital at Gulfport
• Memorial Hospital at Gulfport
• Merleaux Aesthetic Solutions Co
• Johnny Miller
• Mississippi State Department of Health

• Internal Medicine Physician in Bay St Louis, MS
• Providers in Bay St Louis, MS by specialty
• Internal Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2013; 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.