Individual provider Active NPI

Robert K Ozon, MD

  • Neurology Physician
  • Gulfport, MS
National Provider Identifier
1861483075
Registry record updated Jan 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
17909 Issued in MS
Practice address
9344 Three Rivers Rd
Gulfport, MS 39503-4268
Phone
(228) 865-9898
Fax
(228) 863-5616
NPI assigned
Nov 4, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 17909 MS Primary

Addresses

Primary practice location

9344 Three Rivers Rd
Gulfport, MS 39503-4268

Mailing address

9344 Three Rivers Rd
Gulfport, MS 39503-4268
Phone (228) 865-9898

Other identifiers 2

IdentifierTypeStateIssuer
06238271MedicaidMS
200850319OtherCHAMPUS & COMMERCIAL

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
17909MSMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Benzer Ms 1 LLC PastSince Sep 5, 2018 Accepting new patients
Sun Coast Pain Management, P.a. Past Accepting new patients
Gulf Coast Heart Institute Past Accepting new patients
Sun Coast Anesthesia PA Past Accepting new patients
R. Kent Ozon MD PLLC Neurology PastSince Feb 26, 2008 Accepting new patients
Neurology Associates of Ms PastSince Feb 23, 2004 Accepting new patients

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263340800000",
    "number": "1861483075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9344 THREE RIVERS RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395034268",
            "telephone_number": "228-865-9898",
            "fax_number": "228-863-5616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9344 THREE RIVERS RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395034268",
            "telephone_number": "228-865-9898",
            "fax_number": "228-863-5616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OZON",
        "first_name": "ROBERT",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-04",
        "last_updated": "2010-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MS",
            "license": "17909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06238271",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS & COMMERCIAL",
            "identifier": "200850319",
            "state": null
        }
    ],
    "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 13, 2010; 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.