828 Walk In Clinic, NPI 1255608816
Pain Medicine (Anesthesiology) Physician in Gulfport, MS, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1255608816 |
| NPI Entity Type | Organization |
| Provider Name |
828 Walk In Clinic
Doing Business As |
| Subpart of Organization | Painstop Spine Clinic, Llc |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 12207 Hwy 49, Suite 40, Gulfport, MS, US |
| Provider Mailing Address | Po Box 4594, Biloxi, MS, US, 395354594 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | Stacey M Tsang |
| Official Position | GENERAL MANAGER |
| Phone | 228-273-4096 |
Group Taxonomy
| Taxonomy Code | 193200000X |
| Taxonomy Name | 193200000X MULTI-SPECIALTY GROUP |
| Definition | A business group of one or more individual practitioners, who practice with different areas of specialization. |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Pain Medicine (Anesthesiology) Physician |
| Classification | |
| Group | |
| License No. | 14282 |
| License State | MS |
| Description | An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| R791344 | MS | No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 00114733 | MS | MEDICAID | 05 |
| 04078379 | MS | MEDICAID | 05 |
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