GULF COAST DERMATOLOGY, PA
NPI 1376532788
Dermatology in Gulfport, MS

Active since October 18, 2005
1304 44TH AVE, GULFPORT, MS 39501(228) 868-4006(228) 868-9545 Get Directions Write a Review

NPPES record last updated: August 20, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gulf Coast Dermatology, Pa NPPES

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

GULF COAST DERMATOLOGY, PA (NPI 1376532788) is a healthcare organization registered as a dermatology in Gulfport, Mississippi and active in the NPI registry since October 2005. The organization lists Gwendolyn A Crane, Physician, as its authorized official.

NPPES Registry Identity

NPI1376532788
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameGULF COAST DERMATOLOGY, PA
Location Address1304 44TH AVEGulfport, MS 39501-2552
Mailing Address1304 44th AveGulfport, MS 39501-2552 · (228) 868-4006 · Fax (228) 868-9545
Fax(228) 868-9545
Organization SubpartNo
Authorized OfficialGwendolyn A CranePhysician · (228) 868-4006
Enumeration DateOctober 18, 2005
Last NPPES UpdateAugust 20, 2009
NPI 1376532788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in MS · 14316
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
1304 44TH AVE, Gulfport, MS 39501

Other Identifiers 2

Other070007893MS · Medicare Rr
Medicaid04922734MS

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

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

Dermatology
1304 44TH 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 Dermatology, PA's NPI number?

The NPI number for Gulf Coast Dermatology, PA is 1376532788. It was assigned to this organization in the NPPES registry on October 18, 2005.

Where is Gulf Coast Dermatology, PA located?

Gulf Coast Dermatology, PA is located at 1304 44th Ave, Gulfport, MS 39501. The listed phone number is (228) 868-4006.

What is Gulf Coast Dermatology, PA's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

When was this NPI record last updated?

The NPPES record for Gulf Coast Dermatology, PA was last updated on August 20, 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.