| Care Doc Llc | |
|
4500 13th St Gulfport MS 39501-2515 | |
| (228) 256-1831 | |
| Not Available |
| Full Name | Care Doc Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4500 13th St, Gulfport, Mississippi |
| Authorized Official Name and Position | Nathan D. Boles (CEO) |
| Authorized Official Contact | 2282561831 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Care Doc Llc 2194 Harmanson Vue Biloxi MS 39531-5273 Ph: (228) 236-3872 | Care Doc Llc 4500 13th St Gulfport MS 39501-2515 Ph: (228) 256-1831 |
| NPI Number | 1225505993 |
|---|---|
| Provider Enumeration Date | 10/31/2018 |
| Last Update Date | 12/11/2023 |
| Medicare PECOS PAC ID | 7719223957 |
|---|---|
| Medicare Enrollment ID | O20190109002502 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225505993 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | David Northington |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780690750 PECOS PAC ID: 5991693632 Enrollment ID: I20040305000368 |
| Provider Name | Charles A Stanich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356424576 PECOS PAC ID: 3577563139 Enrollment ID: I20070104000171 |
| Provider Name | Nathan D Boles |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1730277757 PECOS PAC ID: 0244295533 Enrollment ID: I20070322000405 |
| Provider Name | Mousa Maalouf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780799981 PECOS PAC ID: 5698841229 Enrollment ID: I20080905000342 |
| Provider Name | Stephen P Johns |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881709053 PECOS PAC ID: 8426114877 Enrollment ID: I20090310000178 |
| Provider Name | Frederick Joseph Pakron |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1538196142 PECOS PAC ID: 4981753696 Enrollment ID: I20090528000267 |
| Provider Name | Yvette Susi Folse |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1811929292 PECOS PAC ID: 1850421702 Enrollment ID: I20100619000046 |
| Provider Name | Amanda Louise Osborne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346548096 PECOS PAC ID: 0446435606 Enrollment ID: I20110503000573 |
| Provider Name | Raymond P Blythe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700210432 PECOS PAC ID: 3577786706 Enrollment ID: I20140515001570 |
| Provider Name | Jessica K Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912327289 PECOS PAC ID: 5496972473 Enrollment ID: I20140814002547 |
| Provider Name | Carla Ann Rushing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023417938 PECOS PAC ID: 8325361504 Enrollment ID: I20141218001914 |
| Provider Name | Ashley Blappert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154728483 PECOS PAC ID: 7517285091 Enrollment ID: I20150413001985 |
| Provider Name | Erin Kijonka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376993394 PECOS PAC ID: 7315235744 Enrollment ID: I20161018000467 |
| Provider Name | Brittany Stewart Everhart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891289955 PECOS PAC ID: 6305193152 Enrollment ID: I20180725000380 |
| Provider Name | Dasha N Cowart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528473329 PECOS PAC ID: 7719264324 Enrollment ID: I20181211003421 |
| Provider Name | Kim T Le |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346994183 PECOS PAC ID: 3173917770 Enrollment ID: I20220224001833 |
| Provider Name | Patrick Stovall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376004549 PECOS PAC ID: 3971934571 Enrollment ID: I20230831000981 |
Centerwell Senior Primary Care-gulfport Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12057 Highway 49 Ste C, Gulfport, MS 39503 Phone: 228-832-9385 Fax: 877-504-6444 | |
My Brother's Keeper, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1221 Bridge St, Gulfport, MS 39507 Phone: 769-216-2455 | |
The Healing Hub Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1520 29th Ave Ste 26, Gulfport, MS 39501 Phone: 228-380-0662 | |
Children's International, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 15465 Oak Ln, Gulfport, MS 39503 Phone: 228-831-8800 Fax: 228-831-8020 | |
Coastal Family Health Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15024 Martin Luther King Jr Blvd, Gulfport, MS 39501 Phone: 228-864-0003 Fax: 228-374-0856 | |
Gulf Coast Endocrinology Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4540 W Railroad St, Gulfport, MS 39501 Phone: 228-867-6062 Fax: 228-867-2598 | |
Physicians Clinic At Mhg Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12261 Highway 49, Suite 11 F, Gulfport, MS 39503 Phone: 228-867-5185 Fax: 228-867-5186 |