Malcolm S Dean (NPI# 1093912826, PAC ID# 0042375107) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1093912826 |
| PAC ID by PECOS | 0042375107 |
| Professional Enrollment ID | I20090224000625 |
| Full Name | Malcolm S Dean |
| Organization Legal Name | MEMORIAL HOSPITAL AT GULFPORT |
| Address |
1340 Broad Ave Gulfport MS 39501-2460 |
| Gender | M |
| Graduation Year | 2005 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 2466524012 |
| Number of Group Practice Members | 353 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250019 | MEMORIAL HOSPITAL AT GULFPORT |
| 250162 | HANCOCK MEDICAL CENTER |
| 251303 | STONE COUNTY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4433 Leisure Time Dr, Diamondhead, MS 39525-3259 | 2285869229 | MEMORIAL HOSPITAL AT GULFPORT |
| 1340 Broad Ave, Gulfport, MS 39501-2460 | MEMORIAL HOSPITAL AT GULFPORT | |
| 4500 13th St, Gulfport, MS 39501-2515 | MEMORIAL HOSPITAL AT GULFPORT |
| Organization Legal Name | MEMORIAL HOSPITAL AT GULFPORT |
| Physicians | 362 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Danielle Kusserow Bersabe | Internal Medicine | Memorial Hospital At Gulfport | 1756 Popps Ferry Rd, Suite A, Biloxi, MS 39532-2118 |
| Mai Thi Tran | Nurse Practitioner | Memorial Hospital At Gulfport | 4333 15th St, Suite A, Gulfport, MS 39501-2525 |
| Kristi Ramey Kennon | Physician Assistant | Memorial Hospital At Gulfport | 9454 Three Rivers Rd, Gulfport, MS 39503-4294 |
| James C Hardwick | Cardiovascular Disease (cardiology) | Memorial Hospital At Gulfport | 4215 15th St, Gulfport, MS 39501-2523 |
| Takiffany Jean Mcleod | Nurse Practitioner | Memorial Hospital At Gulfport | 3890 Bienville Blvd, Ocean Springs, MS 39564-5803 |
| Laura Schepens | Nurse Practitioner | Memorial Hospital At Gulfport | 4603 Hospital St, Suite A, Pascagoula, MS 39581-5337 |
| Ursula Knight | Nurse Practitioner | Memorial Hospital At Gulfport | 2781 Ct Switzer Dr, Suite 104, Biloxi, MS 39531 |
| Susan P Muzslay | Registered Dietitian Or Nutrition Professional | Memorial Hospital At Gulfport | 90 Industrial Park Cir, Ocean Springs, MS 39564-5800 |
| Jennifer Dawn Champagne | Nurse Practitioner | Memorial Hospital At Gulfport | 8950 Lorraine Rd, Suite B, Gulfport, MS 39503-4183 |
| Ruth Bishop | Nurse Practitioner | Memorial Hospital At Gulfport | 1408 44th Ave, Gulfport, MS 39501-2554 |
| Street Address |
1340 BROAD AVE |
| City | GULFPORT |
| State | MS |
| Zip | 39501-2460 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carla Ann Rushing | Nurse Practitioner | Memorial Hospital At Gulfport | 1340 Broad Ave, Gulfport, MS 39501-2404 |
| Randall W Chang | Physician Assistant | Memorial Hospital At Gulfport | 1340 Broad Ave, Gulfport, MS 39501-2459 |
| Mario A Nievas | Certified Registered Nurse Anesthetist (crna) | Memorial Hospital At Gulfport | 1340 Broad Ave, Gulfport, MS 39501-2404 |
| James K Campbell | Gastroenterology | Memorial Hospital At Gulfport | 1340 Broad Ave, Gulfport, MS 39501-2404 |
| Paul Ware | General Surgery | Memorial Hospital At Gulfport | 1340 Broad Ave, Suite 240, Gulfport, MS 39501-2465 |
| Lauren Hitt | Nurse Practitioner | Memorial Hospital At Gulfport | 1340 Broad Ave, Gulfport, MS 39501-2404 |
| Stephanie Fussell | Medical Oncology | Memorial Hospital At Gulfport | 1340 Broad Ave, Gulfport, MS 39501-2404 |
| Christopher Jones | Certified Registered Nurse Anesthetist (crna) | Memorial Hospital At Gulfport | 1340 Broad Ave, Gulfport, MS 39501-2404 |
| Dandria T Wiley | Nurse Practitioner | Memorial Hospital At Gulfport | 1340 Broad Ave, Suite 440, Gulfport, MS 39501-2460 |
| Melinda Auxier | Internal Medicine | Memorial Hospital At Gulfport | 1340 Broad Ave, Gulfport, MS 39501-2404 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason V Smith | Otolaryngology | 3017 13th St, Gulfport, MS 39501-1833 | |
| Samuel Robinson | Otolaryngology | Coastal Ear, Nose and Throat, Head and Neck Surgery Associates, Pllc | 3017 13th St, Gulfport, MS 39501-1833 |
| Gregory K Meekin | Otolaryngology | 1201 31st Ave, Gulfport, MS 39501-1847 | |
| Melissa K Rounsaville | Qualified Audiologist | Coastal Ear, Nose and Throat, Head and Neck Surgery Associates, Pllc | 1201 31st Ave, Gulfport, MS 39501-1847 |
| Christy M Couevas | Certified Registered Nurse Anesthetist (crna) | Memorial Hospital At Gulfport | 1340 Broad Ave, Gulfport, MS 39501-2404 |
| Amie Lynn Alexander | Nurse Practitioner | Memorial Hospital At Gulfport | 1340 Broad Ave, Suite 300a, Gulfport, MS 39501-2404 |
| Maegan C Fisackerly | Certified Registered Nurse Anesthetist (crna) | Memorial Hospital At Gulfport | 1340 Broad Ave, Gulfport, MS 39501-2404 |
| Bethany Parker | Certified Registered Nurse Anesthetist (crna) | Memorial Hospital At Gulfport | 1340 Broad Ave, Gulfport, MS 39501-2404 |
| Jonathan B Benefield | Certified Registered Nurse Anesthetist (crna) | Memorial Hospital At Gulfport | 1340 Broad Ave, Gulfport, MS 39501-2404 |
| Charles A Stanich | Internal Medicine | Memorial Hospital At Gulfport | 1340 Broad Ave, Gulfport, MS 39501-2404 |
| Find all physicians in zip 39501 | |||
| City | GULFPORT |
| Zip Code | 39501 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | GULFPORT + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Malcolm S Dean.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.