GULF COAST PLASTIC SURGERY
NPI 1093780959
Plastic Surgery in Gulfport, MS

Active since February 22, 2006
1133 45TH AVE, GULFPORT, MS 39501(228) 865-7299 Get Directions Write a Review

NPPES record last updated: October 30, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gulf Coast Plastic Surgery NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GULF COAST PLASTIC SURGERY (NPI 1093780959) is a healthcare organization registered as a plastic surgery in Gulfport, Mississippi and active in the NPI registry since February 2006. The organization lists Eric J Wyble, Owner Md, as its authorized official.

NPPES Registry Identity

NPI1093780959
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameGULF COAST PLASTIC SURGERY
Location Address1133 45TH AVEGulfport, MS 39501-2564
Mailing AddressPo Box 366Gulfport, MS 39502-0366 · (228) 865-7299
Organization SubpartNo
Authorized OfficialEric J WybleOwner Md · (228) 865-7299
Enumeration DateFebruary 22, 2006
Last NPPES UpdateOctober 30, 2009
NPI 1093780959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License Licensed in MS · 12046
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
1133 45TH AVE, Gulfport, MS 39501

Other Identifiers 2

Medicare PINC04595MS
OtherDG9511MS · Railroad Medicare

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Plastic Surgery
1133 45TH AVE
GULFPORT, MS 39501
Registered Nurse
1133 45TH AVE
GULFPORT, MS 39501
Plastic Surgery
1133 45TH AVE
GULFPORT, MS 39501

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gulf Coast Plastic Surgery's NPI number?

The NPI number for Gulf Coast Plastic Surgery is 1093780959. It was assigned to this organization in the NPPES registry on February 22, 2006.

Where is Gulf Coast Plastic Surgery located?

Gulf Coast Plastic Surgery is located at 1133 45th Ave, Gulfport, MS 39501. The listed phone number is (228) 865-7299.

What is Gulf Coast Plastic Surgery's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

When was this NPI record last updated?

The NPPES record for Gulf Coast Plastic Surgery was last updated on October 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.