Thomas A Feduccia, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

11032 Issued in MS

Practice address

15200 Community Rd
Gulfport, MS 39503-3085

Phone

(228) 575-7120

Fax

(228) 575-7103

NPI assigned

Jul 10, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gulfport Emergency Physicians

  • Emergency Medicine Physician
  • Gulfport, MS
  • NPI 1467400887
  NPD (past)

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1992739817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 LIVE OAK DR",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395324322",
            "telephone_number": "228-385-0927",
            "fax_number": "727-507-3618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15200 COMMUNITY RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395033085",
            "telephone_number": "228-575-7120",
            "fax_number": "228-575-7103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDUCCIA",
        "first_name": "THOMAS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "11032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Troy W Farris, LPC
• Dessie Elizabeth Faulkner, LMFT
• Elisabeth Brownlee Faust, LCSW
• Melanie Lynne Fayard, P.T.
• Iqra Fazal
• Elizabeth Feeney
• Kaylan Felker, NP
• James W Fendalson, M.DIV,CPT,L.C.M.H.T.
• Beverly B Ferguson, LMSW
• Terriondriah Ferguson

• Emergency Medicine Physician in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Emergency Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.