Active NPI
Frederick B Gaupp, MD
- Emergency Medicine Physician
- Gulfport, MS
National Provider Identifier
1790731222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 016195
- Practice address
- 10556 Highway 49
Gulfport, MS 39503-4109 - Phone
- (228) 539-2399
- Fax
- (228) 539-2377
- NPI assigned
- May 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 016195 | LA | Primary |
| Emergency Medicine Physician | 207P00000X | 09750 | MS | |
| Emergency Medicine Physician | 207P00000X | MD.27709 | AL |
Addresses
Primary practice location
10556 Highway 49
Gulfport, MS 39503-4109
Mailing address
10556 Highway 49
Gulfport, MS 39503-4109
Phone (228) 539-2399
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009942867 | Medicaid | AL | |
| 1338940 | Medicaid | LA | |
| 051538562 | Other | AL | BCBS |
| 7943900 | Other | AL | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.27709 | AL | MD | Emergency Medicine Physician |
| 016195 | LA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gulfport 49 Imaging, LLC | Past | Accepting new patients | |
| Our Lady of the Lake Hospital Inc | Emergency Medicine | Past | Accepting new patients |
| Van Meter MD & Associates | Past | Accepting new patients | |
| Keith Van Meter & Associates | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Radiology Clinic/Center
- Gulfport, MS
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-
- Multi-Specialty Clinic/Center
- Bay St. Louis, MS
- NPI 1093811051
-
- Emergency Medicine Physician
- Napoleonville, LA
- NPI 1487796710
Emergency Medicine
-
- Multi-Specialty Clinic/Center
- New Orleans, LA
- NPI 1275638272
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357689600000",
"number": "1790731222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10556 HIGHWAY 49",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395034109",
"telephone_number": "228-539-2399",
"fax_number": "228-539-2377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10556 HIGHWAY 49",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395034109",
"telephone_number": "228-539-2399",
"fax_number": "228-539-2377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAUPP",
"first_name": "FREDERICK",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-26",
"last_updated": "2013-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "LA",
"license": "016195",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MS",
"license": "09750",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AL",
"license": "MD.27709",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009942867",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1338940",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "051538562",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7943900",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gulfport, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.