Healthcare Provider Details

I. General information

NPI: 1679376453
Provider Name (Legal Business Name): OCEAN SPRINGS SURGERY CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2025
Last Update Date: 03/28/2025
Certification Date: 03/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3882 BIENVILLE BLVD
OCEAN SPRINGS MS
39564-5803
US

IV. Provider business mailing address

3882 BIENVILLE BLVD
OCEAN SPRINGS MS
39564-5803
US

V. Phone/Fax

Practice location:
  • Phone: 405-285-7500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: STEVE HOCKERT
Title or Position: CHIEF DEVELOPMENT OFFICER
Credential:
Phone: 405-285-7500