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

Memorial Hospital at Gulfport

Organization Internal Medicine Physician · NPI 1700213279

Memorial Hospital at Gulfport is an Internal Medicine Physician in Gulfport, Mississippi. Licensed in Mississippi. Registered with an NPI since 2013.

Licensed in
MS
In the registry since
2013
Specialties on file
4

Practice location Address checks out

4500 13th St
Gulfport, MS 39501-2515
Phone: (228) 867-5201
Fax: (228) 867-3152
Show map & directions

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

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X
Internal Medicine Physician Taxonomy 207R00000X (MS)
Critical Care Medicine (Internal Medicine) Physician Taxonomy 207RC0200X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1700213279
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Peggy Noonan — Physician Business Services Dir. · (228) 575-1740
NPI enumeratedSeptember 30, 2013
Last updated in NPPESJanuary 9, 2024
Certification dateJanuary 9, 2024
Mailing addressPo Box 1810, Gulfport, MS 39502-1810

Other providers in Gulfport