Gulf Coast Physical Medicine Health and Rehabiliatation Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

GULF COAST PHYSICAL MEDICINE HEALTH AND REHABILIATATION INC

Practice address

2418 Bienville Blvd
Ocean Springs, MS 39564-3112

Phone

(228) 875-6943

Fax

(228) 875-9682

NPI assigned

Oct 4, 2007

Last updated

Oct 4, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ronald Houston Jenkins, DCNPI 1003963745

Title

Owner

Phone

(228) 875-6943

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ronald Houston Jenkins, D.C.

  • Chiropractor
  • Ocean Springs, MS
  • NPI 1003963745
  Medicare reassignment Care Compare group Authorized official
• Stephen Stone, DC

  • Chiropractor
  • Gulfport, MS
  • NPI 1952837676
  Medicare reassignment Care Compare group NPD
• Jane Waldrop, P.T.

  • Physical Therapist
  • Long Beach, MS
  • NPI 1609973866
  NPD (past)

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191456000000",
    "number": "1689862526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2418 BIENVILLE BLVD",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395643112",
            "telephone_number": "228-875-6943",
            "fax_number": "228-875-9682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2418 BIENVILLE BLVD",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395643112",
            "telephone_number": "228-875-6943",
            "fax_number": "228-875-9682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST PHYSICAL MEDICINE HEALTH AND REHABILIATATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-04",
        "last_updated": "2007-10-04",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "HOUSTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "228-875-6943",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gulf Coast Family Counseling Agency
• Gulf Coast Hearing Systems (Beltone)
• Gulf Coast Hospice, LLC
• Gulf Coast Integrative Health, Inc
• Gulf Coast Neurology Center, PLLC
• Gulf Coast Plastic & Reconstructive Surgery, PLLC
• Gulf Coast Radiology Group, PA
• Gulf Coast Rehabilitation, PC
• Gulf Coast Sleep Medicine LLC
• Gulf Coast Therapy Associates

• Chiropractor in Ocean Springs, MS
• Providers in Ocean Springs, MS by specialty
• Chiropractor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.