Gulf Coast Interventional Pain Management Clinic, Inc.

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

18456 Issued in MS

Legal business name

GULF COAST INTERVENTIONAL PAIN MANAGEMENT CLINIC, INC.

Practice address

15164 Dedeaux Rd Ste B
Gulfport, MS 39503-3124

Phone

(228) 284-1642

Fax

(228) 284-1643

NPI assigned

Sep 24, 2012

Organization subpart

No

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

Authorized official

Name

Shawn X. Mei, M.D.NPI 1407912223

Title

Physician

Phone

(228) 284-1642

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shawn Xun Mei, MD

  • Interventional Pain Medicine Physician
  • Gulfport, MS
  • NPI 1407912223
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1348444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525996800000",
    "number": "1700137205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15164 DEDEAUX RD STE B",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395033124",
            "telephone_number": "228-284-1642",
            "fax_number": "228-284-1643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15164 DEDEAUX RD STE B",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395033124",
            "telephone_number": "228-284-1642",
            "fax_number": "228-284-1643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST INTERVENTIONAL PAIN MANAGEMENT CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-24",
        "last_updated": "2018-05-11",
        "status": "A",
        "authorized_official_last_name": "MEI",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "X.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "228-284-1642",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MS",
            "license": "18456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1407912223",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gulf Coast Ear Nose and Throat Associates, LLC
• Gulf Coast Endocrinology
• Gulf Coast Endodontic Associates, LLC
• Gulf Coast Imaging
• Gulf Coast Interventional Pain Management Clinic, Inc
• Gulf Coast Limb & Brace
• Gulf Coast Lung and Sleep Medicine Institute, LLC
• Gulf Coast Medical Transport LLC
• Gulf Coast Mental Health Center
• Gulf Coast Mental Health Center

• Pain Medicine (Anesthesiology) Physician in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Pain Medicine (Anesthesiology) Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.