Gulf South Heart & Vascular Institute, PLLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

16691 Issued in MS

Legal business name

GULF SOUTH HEART & VASCULAR INSTITUTE, PLLC

Practice address

4507 15TH St
Gulfport, MS 39501-2500

Phone

(228) 863-9999

Fax

(228) 863-9955

NPI assigned

Jun 11, 2009

Last updated

Jun 11, 2009By 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. Cyril V.K. Bethala, M.D.NPI 1528178415

Title

Owner

Phone

(228) 863-9999

Specialties & licenses 1

Addresses

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.

• Cyril VK Bethala, M.D.

  • Interventional Cardiology Physician
  • Slidell, LA
  • NPI 1528178415
  Authorized official Same address or phone

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

{
    "created_epoch": "1244678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244678400000",
    "number": "1811124308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4507 15TH ST",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395012500",
            "telephone_number": "228-863-9999",
            "fax_number": "228-863-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4507 15TH ST",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395012500",
            "telephone_number": "228-863-9999",
            "fax_number": "228-863-9955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF SOUTH HEART & VASCULAR INSTITUTE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-11",
        "last_updated": "2009-06-11",
        "status": "A",
        "authorized_official_last_name": "BETHALA",
        "authorized_official_first_name": "CYRIL",
        "authorized_official_middle_name": "V.K.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "228-863-9999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MS",
            "license": "16691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gulf Coast Psychotherapy
• Gulf Coast Recovery Clinic
• Gulf Coast Spinal & Neurosurgical Specialists
• Gulf Coast Spinal & Neurosurgical Specialists LLC
• Gulf Coast Value Cab
• Gulf South Pediatric Cardiology, LLC
• Gulf South Surgery Center LLC
• Gulfcoast Dental Center
• Gulfcoast Pulmonary Consultants PA
• Gulfport 49 Imaging, LLC

• Cardiovascular Disease Physician in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Cardiovascular Disease Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2009; 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.