Children's Medical Center

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

14692 Issued in MS

Legal business name

CHILDREN'S MEDICAL CENTER

Practice address

15465 Oak LN
Suite 100 F
Gulfport, MS 39503-2663

Phone

(228) 832-0414

Fax

(228) 832-8227

NPI assigned

Oct 22, 2007

Last updated

Jun 13, 2008By 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

Ms. Fauzia F. Quddus, M.D.NPI 1841301116

Title

President

Phone

(228) 832-0414

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Fauzia F. Quddus, M.D.

  • Pediatrics Physician
  • Gulfport, MS
  • NPI 1841301116
  Authorized official Same address or phone

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1790974111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15465 OAK LN",
            "address_2": "SUITE 100 F",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395032663",
            "telephone_number": "228-832-0414",
            "fax_number": "228-832-8227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15465 OAK LN",
            "address_2": "SUITE 100 F",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395032663",
            "telephone_number": "228-832-0414",
            "fax_number": "228-832-8227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-22",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "QUDDUS",
        "authorized_official_first_name": "FAUZIA",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "228-832-0414",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MS",
            "license": "14692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09014469",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charlton Bryan Blakeney D.M.D.
• Holly Chauvin, CFNP
• Linda Marie Chavers, PT
• Children's Center of Gulfport, Inc.
• Children's International, LLC
• Guadalupe Marie Pitoau Chiquina, B.A.
• Chiropractic Life Center LLC
• Choices Coordinated Care Solutions, Inc.
• Kimberly Ann Choina-Karamat, ACNP-BC
• Latoya Yvonne Christian, RN

• Pediatrics Physician in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Pediatrics Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.