Memorial Hospital at Gulfport
Organization Active NPI Nephrology Physician · Biloxi, MS
NPI 1649585258 · NPPES record last updated Jan 3, 2011
Key facts
- NPI
- 1649585258
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nephrology Physician 207RN0300X
- Legal business name
- MEMORIAL HOSPITAL AT GULFPORT
- Practice address
- 784 Vieux Marche Mall
Biloxi, MS 39530-3822 - Phone
- (228) 374-7525
- NPI assigned
- Aug 9, 2010
- Organization subpart
- No
Authorized official
- Name
- Mr. Jeff T Steiner
- Title
- VP Finance
- Phone
- (228) 818-3106
Practitioners 1
-
Robert C Wessler, M.D
Affiliated clinicians 765
-
Lauren Ackerman, PA
-
Casey Adams, CNP
-
Daniel Adams, MD
-
Satjit Adlakha, D.O.
-
Ahmad Agha, M.B.B.S.
-
Belinda Alexander, M.D.
-
Amy Allen, CRNP
-
Summer Lea Allen, MD
-
Brian Thomas Anthony, M.D.
-
Lisa Yarborough Anthony, N.P.
-
Kathleen Cecilia Arnold, A.N.P.
-
Nabil Azar, M.D.
-
Lissa Kelly Baber, AGACNP
-
Seema Anil Badve, MD
-
Rainna P Bahadur, M.D.
-
Christine Tracey Balius, MSN, FNP-C
-
Anne Elizabeth Baranano, M.D.
Medicare Care Compare: Hospital
- Listed as
- Memorial Hospital at Gulfport
- Overall star rating
- ★★★☆☆ 3 of 5
- Type
- Acute Care Hospitals
- Ownership
- Government - Local
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
Hospital certification: CCN 250019
- Legal name
- MEMORIAL HOSPITAL AT GULFPORT
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Aug 19, 2009
- Beds
- 445
- Ownership / control type
- Local
- Organization structure
- Other · Non-profit
- Enrollment address
- 4500 13TH St
Gulfport, MS 39501-2515 - Hospital subgroups
- Acute care
All disclosed owners & managing parties 11
| Name | Role | Since | Share |
|---|---|---|---|
| Ajm Oustalet |
Corporate Officer |
Mar 1, 2009 | 5% |
| Peggy L Noonan |
Corporate Director |
May 1, 2020 | 5% |
| W-2 Managing Employee |
Jan 1, 2006 | 5% | |
| Kent Nicaud |
Corporate Director |
Nov 1, 2008 | |
| W-2 Managing Employee |
Nov 1, 2008 | ||
| Thaddeus Carter |
Corporate Officer |
Aug 1, 2017 | 5% |
| Claire Tindell |
Corporate Officer |
Jan 1, 2019 | 5% |
| Harrison County Board of Supervisors |
5% Or Greater Direct Ownership Interest | Feb 15, 1989 | 50% |
| Carrolyn Hamilton |
Corporate Director | Aug 10, 2009 | |
| David H White |
Corporate Director | Sep 17, 1993 | |
| City of Gulfport |
5% Or Greater Direct Ownership Interest | Feb 15, 1989 | 50% |
| Jennifer Dumal |
W-2 Managing Employee | Feb 8, 1998 | |
| Carlos Bell |
Corporate Officer |
Nov 26, 2018 | 5% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080515000774 | MS | Part a Provider - Hospital | 9537062997 | This NPI is an additional NPI on the enrollment |
National Provider Directory
Locations (25 of 31)
1928 Depot Way
Bay St Louis, MS 39520
Phone (228) 867-4160
2781 C T Switzer SR Dr
Ste 306
Biloxi, MS 39531
Phone (228) 248-2480
147 Reynoir St
Ste 307
Biloxi, MS 39530
Phone (228) 435-0100
1720 Medical Park Dr
#8
Biloxi, MS 39532
Phone (228) 575-2902
920 Tommy Munro Dr
Ste 100
Biloxi, MS 39532
Phone (228) 575-1234
1756 Popps Ferry Rd
Ste B
Biloxi, MS 39532
Phone (228) 575-1800
2771 Pass Rd
Ste A
Biloxi, MS 39531
Phone (228) 385-4645
970 Tommy Munro Dr
Ste A
Biloxi, MS 39532
Phone (228) 207-7102
5403 Indian Hill Blvd
Diamondhead, MS 39525
Phone (228) 255-6129
6510 Highway 90
#D
Gautier, MS 39553
Phone (228) 438-2038
1397 Broad Ave
Gulfport, MS 39501
Phone (228) 575-1945
9454 Three Rivers Rd
Ste D
Gulfport, MS 39503
Phone (228) 575-2660
1340 Broad Ave
Ste 320
Gulfport, MS 39501
Phone (228) 575-1775
1340 Broad Ave
Ste 410
Gulfport, MS 39501
Phone (228) 575-1775
20006 Highway 53
#7
Gulfport, MS 39503
Phone (228) 575-1200
1110 Broad Ave
Ste 500
Gulfport, MS 39501
Phone (228) 575-2588
22 29th St
Gulfport, MS 39507
Phone (228) 575-1333
1213 Broad Ave
Ste 3
Gulfport, MS 39501
Phone (228) 575-1865
1340 Broad Ave
Ste 270
Gulfport, MS 39501
Phone (228) 575-1234
4300B W Railroad St
Gulfport, MS 39501
Phone (228) 863-5705
8950 Lorraine Rd
Ste B
Gulfport, MS 39503
Phone (228) 575-2770
8950 Lorraine Rd
Ste A
Gulfport, MS 39503
Phone (228) 396-3238
15190 Community Rd
Ste 350
Gulfport, MS 39503
Phone (228) 539-5858
12261 Highway 49
Ste 12
Gulfport, MS 39503
Phone (228) 867-4395
1118 Broad Ave
Gulfport, MS 39501
Phone (228) 822-6474
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician |
207RN0300X | Yes |
Addresses
Primary practice location
784 Vieux Marche Mall
Biloxi, MS 39530-3822
Mailing address
PO Box 555
Biloxi, MS 39533-0555
Phone (228) 864-0854
Other names
- Physicans Clinic at MHG
Other providers in Biloxi, MS
- Memorial Hospital at Gulfport
- Memorial Hospital at Gulfport
- Memorial Hospital at Gulfport
- Memorial Hospital at Gulfport
- Memorial Hospital at Gulfport
- Courtney Elizabeth Meredith
- Metro Treatment of Mississippi LP
- Michael Diaz MD PC
- Shelia Denise Mickle
- Mid-South Home Care Services, LLC
All providers in Biloxi, MS · Nephrology Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 3, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.