Garden Park Physician Services Corp.

Primary specialty

MidwifeTaxonomy code 176B00000X

Legal business name

GARDEN PARK PHYSICIAN SERVICES CORP.

Practice address

15190 Community Rd
Suite 330
Gulfport, MS 39503-3485

Phone

(228) 832-3075

Fax

(228) 832-9095

NPI assigned

Sep 29, 2006

Organization subpart

No

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

Authorized official

Name

Robert Legesse

Title

Vice President

Phone

(615) 373-7630

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Family Health Care Center Doing business as

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Clifford Eugene Baker, NP

  • Family Nurse Practitioner
  • Gulfport, MS
  • NPI 1104928605
  NPD (past)
• Wendy E Williams, MD

  • Pediatrics Physician
  • Gulfport, MS
  • NPI 1467446963
  NPD (past)
• Safeer Ahmed, M.D.

  • Pediatrics Physician
  • McAllen, TX
  • NPI 1265418479
  NPD (past)
• Juan C Beteta, MD

  • Pediatrics Physician
  • Portsmouth, VA
  • NPI 1417942947
  NPD (past)
• Scott H Davis, MD

  • Pediatric Pulmonology Physician
  • New Orleans, LA
  • NPI 1932194131
  NPD (past)
• Douglas C. Lagarde, M.D.

  • Pediatrics Physician
  • Asheville, NC
  • NPI 1164528022
  NPD (past)
• Ihor V Yosypiv, MD

  • Pediatric Nephrology Physician
  • New Orleans, LA
  • NPI 1528083409
  NPD (past)

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1942392386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15190 COMMUNITY RD",
            "address_2": "SUITE 330",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395033485",
            "telephone_number": "228-832-3075",
            "fax_number": "228-832-9095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15190 COMMUNITY RD",
            "address_2": "SUITE 330",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395033485",
            "telephone_number": "228-832-3075",
            "fax_number": "228-832-9095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN PARK PHYSICIAN SERVICES CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "LEGESSE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "615-373-7630"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08838517",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Garden Park Hospitalist Program LLC
• Garden Park Physician Group Inc
• Garden Park Physician Group-Specialty Care, LLC
• Garden Park Physician Services Corp
• Garden Park Physician Services Corp
• Garlington Haller Ventures, LLC
• Deanna Garrard, PT
• George N Garrett, HIS
• Kortney Garrett
• Elizabeth Garriga, NP

• All providers in Gulfport, MS
• Midwife in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.