Biloxi Internal Medicine Clinic PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

BILOXI INTERNAL MEDICINE CLINIC PA

Practice address

147 Reynoir Street
Suite 204
Biloxi, MS 39530

Phone

(228) 374-2051

Fax

(228) 374-5741

NPI assigned

Apr 3, 2006

Last updated

May 2, 2008By 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

Mrs. Marion Jean Wainwright, MDNPI 1942262415

Title

President

Phone

(228) 374-2051

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 7

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.

• Yashashree L Bethala, MD

  • Internal Medicine Physician
  • Biloxi, MS
  • NPI 1659333052
  Medicare reassignment Care Compare group NPD
• Bennett W Cheney, MD

  • Internal Medicine Physician
  • Biloxi, MS
  • NPI 1083676548
  Medicare reassignment Care Compare group NPD
• Gholam Reza Motakhaveri, MD

  • Internal Medicine Physician
  • Biloxi, MS
  • NPI 1790747269
  Medicare reassignment Care Compare group NPD
• Andrew J. Peterson, D.O.

  • Internal Medicine Physician
  • Biloxi, MS
  • NPI 1306826854
  Medicare reassignment Care Compare group NPD
• Marion Jean Wainwright, MD

  • Internal Medicine Physician
  • Biloxi, MS
  • NPI 1942262415
  NPD Authorized official
• Kirsten Marie Pinto, NP

  • Nurse Practitioner
  • Biloxi, MS
  • NPI 1386604676
  Medicare reassignment
• Brian Barbara, DO

  • Internal Medicine Physician
  • New Orleans, LA
  • NPI 1982232880
  NPD

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209686400000",
    "number": "1962464438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 REYNOIR STREET",
            "address_2": "SUITE 204",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "39530",
            "telephone_number": "228-374-2051",
            "fax_number": "228-374-5741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 REYNOIR STREET",
            "address_2": "SUITE 204",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "39530",
            "telephone_number": "228-374-2051",
            "fax_number": "228-374-5741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BILOXI INTERNAL MEDICINE CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-03",
        "last_updated": "2008-05-02",
        "status": "A",
        "authorized_official_last_name": "WAINWRIGHT",
        "authorized_official_first_name": "MARION",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "228-374-2051",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09012028",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Biloxi Hma Physician Management, LLC (Care Plus Family Medicine - Biloxi)
• Biloxi Hma Physician Management, LLC (Total Health Internal Medicine Consultants)
• Biloxi Hma Physician Management, LLC (Biloxi Neurology Clinic)
• Biloxi Hma Physician Management, LLC (Dr. Donna Alexander)
• Biloxi Hma Physician Management, LLC (Coast Oncology & Hematology)
• Biloxi Medical Clinic
• Biloxi OB GYN Clinic
• Biloxi OB GYN Clinic
• Biloxi Radiation Oncology Center LLC
• Biloxi Radiology PA

• Internal Medicine Physician in Biloxi, MS
• Providers in Biloxi, MS by specialty
• Internal Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.