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

Ediz Tasan, MD

Individual provider Internal Medicine Physician · NPI 1053670166

Ediz Tasan, MD is a Cardiovascular Disease (Cardiology) in Pascagoula, Mississippi. Qualified in 2012, 14 years ago. Practices with Gulf Coast Vascular Care, LLC, a 4-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Kentucky and Mississippi.

Years since qualifying
14
Licensed in
KY, MS
In the registry since
2012
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4300 Hospital St Ste 102
Pascagoula, MS 39581
Phone: (228) 762-1002
Show map & directions

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

Additional practice locations (2)

  • 800 Rose St Rm Hq-101, Lexington, KY 40536-0293 — (305) 484-2236
  • 3704 Bienville Blvd Ste B, Ocean Springs, MS 39564-5710 — (228) 872-4040

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 26840 (MS)
Internal Medicine Physician Taxonomy 207R00000X · Licence R3053 (KY)

Record details

NPI number1053670166
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 9, 2012
Last updated in NPPESJune 24, 2019
Mailing address3704 Bienville Blvd Ste B, Ocean Springs, MS 39564-5710

Medicare enrollment

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

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Gulf Coast Vascular Care, Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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