Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gulfport Outpatient Anesthesia, PA

Organization Anesthesiology Physician · NPI 1245402148

Gulfport Outpatient Anesthesia, PA is an Anesthesiology Physician in Gulfport, Mississippi. Registered with an NPI since 2008.

In the registry since
2008
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

15190 Community Rd Ste 230A
Gulfport, MS 39503-3485
Phone: (228) 831-0204
Fax: (228) 831-1868
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X

Record details

NPI number1245402148
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Diane Schultz — Director · (228) 831-0204
NPI enumeratedMarch 31, 2008
Last updated in NPPESMarch 31, 2008
Mailing address15190 Community Rd, Suite 230a, Gulfport, MS 39503-3485

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