Gulf Shore Dermatology, PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

14315 Issued in MS

Legal business name

GULF SHORE DERMATOLOGY, PLLC

Practice address

2112 Bienville Blvd
Suite F1
Ocean Springs, MS 39564-3052

Phone

(228) 818-1850

Fax

(228) 818-1807

NPI assigned

Aug 30, 2006

Last updated

Aug 15, 2011By 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

Eric Torp, M.D.NPI 1841300175

Title

Physician

Phone

(228) 818-1850

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• Eric Carl Torp, M.D.

  • Dermatology Physician
  • Ocean Springs, MS
  • NPI 1841300175
  Authorized official Same address or phone
• Gwendolyn Ann Crane, M.D.

  • Dermatology Physician
  • Gulfport, MS
  • NPI 1417971094
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313366400000",
    "number": "1770693012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 44TH AVE",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395012552",
            "telephone_number": "228-868-4006",
            "fax_number": "228-822-2461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 BIENVILLE BLVD",
            "address_2": "SUITE F1",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395643052",
            "telephone_number": "228-818-1850",
            "fax_number": "228-818-1807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF SHORE DERMATOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2011-08-15",
        "status": "A",
        "authorized_official_last_name": "TORP",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "228-818-1850",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MS",
            "license": "14315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09324843",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gulf Coast Plastic & Reconstructive Surgery, PLLC
• Gulf Coast Radiology Group, PA
• Gulf Coast Rehabilitation, PC
• Gulf Coast Sleep Medicine LLC
• Gulf Coast Therapy Associates
• Gulf South Wellness and Longevity PLLC
• Gulfshore Medical Consultants, PA
• Elizabeth Hoover Gunn, PHARM D
• Renee Gunn, MS RDN LD
• Raven Gutierrez, OTR/L

• Dermatology Physician in Ocean Springs, MS
• Providers in Ocean Springs, MS by specialty
• Dermatology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2011; 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.