CHILDREN'S MEDICAL CENTER
NPI 1790974111
Pediatrics in Gulfport, MS

Active since October 22, 2007
15465 OAK LN, SUITE 100 F, GULFPORT, MS 39503(228) 832-0414(228) 832-8227 Get Directions Write a Review

NPPES record last updated: June 13, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Children's Medical Center NPPES

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

CHILDREN'S MEDICAL CENTER (NPI 1790974111) is a healthcare organization registered as a pediatrics in Gulfport, Mississippi and active in the NPI registry since October 2007. The organization lists Fauzia F. Quddus, President, as its authorized official.

NPPES Registry Identity

NPI1790974111
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameCHILDREN'S MEDICAL CENTER
Location Address15465 OAK LN, SUITE 100 FGulfport, MS 39503-2663
Mailing Address15465 Oak Ln, Suite 100 FGulfport, MS 39503-2663 · (228) 832-0414 · Fax (228) 832-8227
Fax(228) 832-8227
Organization SubpartNo
Authorized OfficialFauzia F. QuddusPresident · (228) 832-0414
Enumeration DateOctober 22, 2007
Last NPPES UpdateJune 13, 2008
NPI 1790974111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in MS · 14692
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
15465 OAK LN, Gulfport, MS 39503

Other Identifiers 1

Medicaid09014469MS

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 9

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

Clinic/Center (Primary Care)
15465 OAK LN
GULFPORT, MS 39503
Psychologist (Clinical)
15465 OAK LN, STE. D.
GULFPORT, MS 39503
Pediatrics
15465 OAK LN, SUITE 100-F
GULFPORT, MS 39503
Social Worker (Clinical)
15465 OAK LN, STE. D
GULFPORT, MS 39503
Chiropractor
15465 OAK LN, SUITE 100B
GULFPORT, MS 39503
Psychologist (Clinical)
15465 OAK LN
GULFPORT, MS 39503
Dentist (Orthodontics and Dentofacial Orthopedics)
15465 OAK LN
GULFPORT, MS 39503
Chiropractor
15465 OAK LN, SUITE 100B
GULFPORT, MS 39503

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 Children's Medical Center's NPI number?

The NPI number for Children's Medical Center is 1790974111. It was assigned to this organization in the NPPES registry on October 22, 2007.

Where is Children's Medical Center located?

Children's Medical Center is located at 15465 Oak Ln Suite 100 F, Gulfport, MS 39503. The listed phone number is (228) 832-0414.

What is Children's Medical Center's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Children's Medical Center was last updated on June 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.