1. Home
  2. Directory
  3. Mississippi
  4. Gulfport
  5. Surgery
  6. NPI Profile

SURGICAL SPECIALISTS OF MISSISSIPPI
NPI 1639444854
Surgery in Gulfport, MS

Active since March 21, 2012
15190 COMMUNITY RD, STE 210, GULFPORT, MS 39503(985) 234-3000 Get Directions Write a Review

NPPES record last updated: March 21, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Surgical Specialists Of Mississippi NPPES

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

SURGICAL SPECIALISTS OF MISSISSIPPI (NPI 1639444854) is a healthcare organization registered as a surgery in Gulfport, Mississippi and active in the NPI registry since March 2012. The organization lists Donald Balder, Administrator, as its authorized official.

NPPES Registry Identity

NPI1639444854
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameSURGICAL SPECIALISTS OF MISSISSIPPI
Location Address15190 COMMUNITY RD, STE 210Gulfport, MS 39503-3485
Mailing Address15190 Community Rd, Ste 210Gulfport, MS 39503-3485 · (985) 234-3000
Phone(985) 234-3000
Organization SubpartNo
Authorized OfficialDonald BalderAdministrator · (985) 234-3000
Enumeration DateMarch 21, 2012
✔ NPI 1639444854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
15190 COMMUNITY RD, Gulfport, MS 39503
Open in Google Maps ↗

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 20

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

VICTOR P POLITO CRNA
Nurse Anesthetist, Certified Registered
15190 COMMUNITY RD, SUITE 230A
GULFPORT, MS 39503
Harrison County (228) 831-0204
MRS. MICHELLE WRIGHT TAYLOR ACNP
Nurse Practitioner (Acute Care)
15190 COMMUNITY RD, STE 220
GULFPORT, MS 39503
Harrison County (228) 539-3356
GLEN DEITRICK C.R.N.A
Nurse Anesthetist, Certified Registered
15190 COMMUNITY RD, SUITE 230A
GULFPORT, MS 39503
Harrison County (228) 831-0204
JULIE K KLESTER CRNA
Nurse Anesthetist, Certified Registered
15190 COMMUNITY RD, SUITE 230A
GULFPORT, MS 39503
Harrison County (228) 831-0204
JOSHUA DIBBLE
Anesthesiology
15190 COMMUNITY RD
GULFPORT, MS 39503
Harrison County (228) 575-7290
MICHAEL E MOSES MD
Surgery
15190 COMMUNITY RD, SUITE250
GULFPORT, MS 39503
Harrison County (228) 539-8100
MEMORIAL HOSPITAL AT GULFPORT
Urology
15190 COMMUNITY RD, SUITE 240
GULFPORT, MS 39503
Harrison County (228) 539-2242
ROBIN L MITTERER CRNA
Nurse Anesthetist, Certified Registered
15190 COMMUNITY RD, SUITE 230A
GULFPORT, MS 39503
Harrison County (228) 831-0204

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 Surgical Specialists Of Mississippi's NPI number?

The NPI number for Surgical Specialists Of Mississippi is 1639444854. It was assigned to this organization in the NPPES registry on March 21, 2012.

Where is Surgical Specialists Of Mississippi located?

Surgical Specialists Of Mississippi is located at 15190 Community Rd Ste 210, Gulfport, MS 39503. The listed phone number is (985) 234-3000.

What is Surgical Specialists Of Mississippi's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Surgical Specialists Of Mississippi was last updated on March 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.