Gulfport OBGYN Clinic, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

GULFPORT OBGYN CLINIC, LLC

Practice address

4502 Old Pass Rd
Gulfport, MS 39501-2585

Phone

(228) 863-9977

Fax

(228) 863-9912

NPI assigned

Jul 29, 2024

Last updated

Jul 30, 2024By 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

Sydney Gruich

Title

Office Manager

Phone

(228) 863-9977

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.

• David Provosty Taylor Jr., M.D.

  • Obstetrics & Gynecology Physician
  • Gulfport, MS
  • NPI 1508186990
  NPD

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

{
    "created_epoch": "1722211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722297600000",
    "number": "1902635071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4502 OLD PASS RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395012585",
            "telephone_number": "228-863-9977",
            "fax_number": "228-863-9912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4502 OLD PASS RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395012585",
            "telephone_number": "228-863-9977",
            "fax_number": "228-863-9912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULFPORT OBGYN CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-29",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A",
        "authorized_official_last_name": "GRUICH",
        "authorized_official_first_name": "SYDNEY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "228-863-9977"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gulfport Discount Drugs (Gulfport Discount Pharmacy)
• Gulfport Emergency Group LLC
• Gulfport Emergency Physicians
• Gulfport Healthcare LLC (Gulfport Care Center)
• Gulfport Medical Weight Loss
• Gulfport Obstetrical & Gynecological Clinic, PA
• Gulfport Obstetrical & Gynecological Clinic, PA
• Gulfport Outpatient Anesthesia, P.a.
• Gulfport Outpatient Surgery Center (Gosc LP)
• Gulfport Precision Vision Inc

• Clinic/Center in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; 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.