Bay St. Louis Pediatrics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

18394 Issued in MS

Legal business name

BAY ST. LOUIS PEDIATRICS

Practice address

202A Drinkwater Blvd
Bay St Louis, MS 39520

Phone

(228) 467-2200

Fax

(228) 467-2211

NPI assigned

Sep 8, 2006

Last updated

Aug 22, 2020By 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. Scott Needle, MD

Title

Pediatrician

Phone

(228) 467-2200

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952405201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202A DRINKWATER BLVD",
            "city": "BAY ST LOUIS",
            "state": "MS",
            "postal_code": "39520",
            "telephone_number": "228-467-2200",
            "fax_number": "228-467-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202A DRINKWATER BLVD",
            "city": "BAY ST LOUIS",
            "state": "MS",
            "postal_code": "39520",
            "telephone_number": "228-467-2200",
            "fax_number": "228-467-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY ST. LOUIS PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NEEDLE",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PEDIATRICIAN",
        "authorized_official_telephone_number": "228-467-2200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MS",
            "license": "18394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatrics Physician in Bay St Louis, MS
• Providers in Bay St Louis, MS by specialty
• Pediatrics Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.