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

Dr. Alton Henry Dauterive, MD, FACS

Individual provider Vascular Surgery Physician · NPI 1558491589

Dr. Alton Henry Dauterive, MD, FACS is a Vascular Surgery in Gulfport, Mississippi. Graduated from Tulane University School of Medicine in 1980, 46 years ago. Practices with Memorial Hospital at Gulfport, a 470-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
46
Trained at
Tulane University School of Medicine
Licensed in
MS
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
FACS — Fellow of the American College of Surgeons
A surgeon admitted as a fellow of the ACS.

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Practice location Address checks out

1340 Broad Ave Ste 220
Gulfport, MS 39501-2404
Phone: (228) 864-0092
Fax: (228) 867-6423
Show map & directions

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

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 10998 (MS)

Record details

NPI number1558491589
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , FACS
Sole proprietorNo
NPI enumeratedMarch 7, 2007
Last updated in NPPESJuly 10, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyVASCULAR SURGERY
Also practisesDIAGNOSTIC RADIOLOGY, EMERGENCY MEDICINE, PERIPHERAL VASCULAR DISEASE
Medical schoolTULANE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1980 (46 years in practice)
Group practice Memorial Hospital At Gulfport — 470 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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