Organization Active NPI

Pisciotta Medical, Inc

  • Sleep Medicine (Internal Medicine) Physician
  • Biloxi, MS
National Provider Identifier
1932756384
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
Legal business name
PISCIOTTA MEDICAL, INC
Practice address
2781 C T Switzer Sr Dr Ste 400
Biloxi, MS 39531-4535
Phone
(228) 388-4585
Fax
(228) 385-7610
NPI assigned
Aug 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2020

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

Authorized official

Name
Amy Bain
Title
Administrator
Phone
(228) 388-4585

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RS0012X Primary

Addresses

Primary practice location

2781 C T Switzer Sr Dr Ste 400
Biloxi, MS 39531-4535

Mailing address

2781 C T Switzer Sr Dr Ste 400
Biloxi, MS 39531-4535
Phone (228) 388-4585

Other identifiers 1

IdentifierTypeStateIssuer
00123600MedicaidMS

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Biloxi Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1566345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602028800000",
    "number": "1932756384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2781 C T SWITZER SR DR STE 400",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395314535",
            "telephone_number": "228-388-4585",
            "fax_number": "228-385-7610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2781 C T SWITZER SR DR STE 400",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395314535",
            "telephone_number": "228-388-4585",
            "fax_number": "228-385-7610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PISCIOTTA MEDICAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-21",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A",
        "authorized_official_last_name": "BAIN",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "228-388-4585"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00123600",
            "state": "MS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Biloxi",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2781 C T Switzer SR Dr Ste 400",
            "city": "Biloxi",
            "state": "MS",
            "country_code": "US",
            "postal_code": "395314535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Biloxi, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; 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.