Provider Demographics
| NPI: | 1356105597 |
|---|---|
| Name: | BY HEALTH, LLC |
| Entity type: | Organization |
| Organization Name: | BY HEALTH, LLC |
| Other - Org Name: | <UNAVAIL> |
| Other - Org Type: | |
| Authorized Official - Title/Position: | MANAGER |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | GARY |
| Authorized Official - Middle Name: | L |
| Authorized Official - Last Name: | BARTON |
| Authorized Official - Suffix: | JR |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 228-363-3914 |
| Mailing Address - Street 1: | 12531 OAK FOREST DR |
| Mailing Address - Street 2: | |
| Mailing Address - City: | GULFPORT |
| Mailing Address - State: | MS |
| Mailing Address - Zip Code: | 39503-5730 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 228-363-3914 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 1423 MAGNOLIA STREET |
| Practice Address - Street 2: | SUITE I |
| Practice Address - City: | GULFPORT |
| Practice Address - State: | MS |
| Practice Address - Zip Code: | 39507 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 228-363-3914 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2024-02-08 |
| Last Update Date: | 2025-05-28 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | Group - Multi-Specialty | |
| No | 261QU0200X | Ambulatory Health Care Facilities | Clinic/Center | Urgent Care | Group - Multi-Specialty |