GARDEN PARK PHYSICIAN GROUP-SPECIALTY CARE, LLC
NPI 1679668958
Surgery in Gulfport, MS

Q: What is Garden Park Physician Group-Specialty Care, LLC's specialty?

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

Active since October 04, 2006

15190 COMMUNITY RD, SUITE 330, GULFPORT, MS 39503(228) 539-9100(228) 539-9133 Get Directions Write a Review

NPPES record last updated: March 7, 2013. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Garden Park Physician Group-specialty Care, Llc NPPES

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

GARDEN PARK PHYSICIAN GROUP-SPECIALTY CARE, LLC (NPI 1679668958) is a healthcare organization registered as a surgery in Gulfport, Mississippi and active in the NPI registry since October 2006. The organization lists Todd Carlon, Vp, as its authorized official.

NPPES Registry Identity

NPI1679668958

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NameGARDEN PARK PHYSICIAN GROUP-SPECIALTY CARE, LLC

Location Address15190 COMMUNITY RD, SUITE 330Gulfport, MS 39503-3485

Mailing Address15190 Community Rd, Suite 330Gulfport, MS 39503-3485 · (228) 539-9100 · Fax (228) 539-9133

Phone(228) 539-9100

Fax(228) 539-9133

Organization SubpartNo

Authorized OfficialTodd CarlonVp · (816) 508-4090

Enumeration DateOctober 4, 2006

Last NPPES UpdateMarch 7, 2013

✔ NPI 1679668958 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

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Other Identifiers 4

Medicaid3576014MS

Medicaid01681729MS

Medicare PINDG5132

Medicare PINC03700MS

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 Garden Park Physician Group-Specialty Care, LLC's NPI number?

The NPI number for Garden Park Physician Group-Specialty Care, LLC is 1679668958. It was assigned to this organization in the NPPES registry on October 4, 2006.

Where is Garden Park Physician Group-Specialty Care, LLC located?

Garden Park Physician Group-Specialty Care, LLC is located at 15190 Community Rd Suite 330, Gulfport, MS 39503. The listed phone number is (228) 539-9100.

What is Garden Park Physician Group-Specialty Care, LLC'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 Garden Park Physician Group-Specialty Care, LLC was last updated on March 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.