National Provider Identifier Database

GULFSHORE MEDICAL CONSULTANTS PA
Critical Care Medicine

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.


Contact Information

GULFSHORE MEDICAL CONSULTANTS, PA
22A DOCTORS DR
OCEAN SPRINGS, MS39564-5721
Phone: 228-872-1951
Fax: 228-875-9998
Website:
Specialty Taxonomy Code
* Critical Care Medicine 207RC0200X
Pulmonary Disease 207RP1001X
Rheumatology 207RR0500X
Sleep Medicine 207RS0012X

* Indicates primary specialty

NPI Profile & details for GULFSHORE MEDICAL CONSULTANTS, PA

NPI Number 1710049200
Legal business name
LBN
GULFSHORE MEDICAL CONSULTANTS, PA
Authorized official GARY RODBERG - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 12/14/2006
Last updated 01/22/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • MS License #: 14252
  • MS License #: 15014
  • MS License #: 17943
  • MS License #: 18516
  • MS Medicaid: 00114969
  • MS Medicaid: 00117171
  • MS Medicaid: 00126926
  • MS Medicaid: 07521804
  • MS Medicaid: 09015817

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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