NORWOOD VILLAGE MEDICAL – NPI #1679509293
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

NORWOOD VILLAGE MEDICAL is a provider located in GULFPORT, MS. NPPES has assigned the NPI number 1679509293 to NORWOOD VILLAGE MEDICAL on June 24, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “NORWOOD VILLAGE MEDICAL” is a dba name, the actual legal business name for this organization is MEDICAL FOUNDATION OF SOUTH MS. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 18 years ago on May 23, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NORWOOD VILLAGE MEDICAL below.

NPI Profile for
MEDICAL FOUNDATION OF SOUTH MS

NPI Number
1679509293
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MEDICAL FOUNDATION OF SOUTH MS
Doing Business As (dba): NORWOOD VILLAGE MEDICAL
Primary location
12100 HIGHWAY 49
GULFPORT, MS 39503-3063
Phone: (228) 831-1988 Fax: (228) 831-1978
Mailing address
1612 31ST AVE
GULFPORT, MS 39501-2750
Phone: (228) 865-1453 Fax: (228) 865-1451
Organization Subpart
No
Authorized Official
RANDY ROBINSON
ADMINISTRATOR
Phone: (228) 865-1453
Updated
Identifiers

Identifiers for NORWOOD VILLAGE MEDICAL

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMS09014414
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)
207Q00000X
- Family Medicine
207K00000X
- Allergy & Immunology

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.