Alfred G Windham (NPI# 1326079518, PAC ID# 0345373296) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1326079518 |
| PAC ID by PECOS | 0345373296 |
| Professional Enrollment ID | I20100729000708 |
| Full Name | Alfred G Windham |
| Organization Legal Name | VICKSBURG CLINIC LLC |
| Address |
2200 Hwy 61 N 2100 Vicksburg Street Clinic Pediatrics Vicksburg MS 39183-8246 |
| Phone Number | 6018833144 |
| Gender | M |
| Medical School | UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE |
| Graduation Year | 1979 |
| Primary Specialty | OTOLARYNGOLOGY |
| Group Practice PAC ID | 5890696330 |
| Number of Group Practice Members | 30 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250031 | MERIT HEALTH RIVER REGION |
| Address | Phone | Organization |
|---|---|---|
| 2200 Hwy 61 N 2100, Vicksburg Street Clinic Pediatrics, Vicksburg, MS 39183-8246 | 6018833144 | VICKSBURG CLINIC LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_091_overall | Acute Otitis Externa (AOE): Topical Therapy | 39% | |
| MIPS_EC_093_overall | Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy - Avoidance of Inappropriate Use | 88% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 87% |
| Organization Legal Name | VICKSBURG CLINIC LLC |
| Physicians | 31 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura Lavee Burris | Physician Assistant | Vicksburg Clinic LLC | 21 S 4th St B, Merit Health Rr Specialist, Rolling Fork, MS 39159-5146 |
| Carrie Willis Eure | Physician Assistant | Vicksburg Clinic LLC | 104 Mcauley Dr, Vicksburg, MS 39183-2825 |
| Gwendolyn J Stewart | Nurse Practitioner | Vicksburg Clinic LLC | 1907 Mission, Suite 66, Vicksburg, MS 39180-3711 |
| Daniel J Silvio | Physician Assistant | Vicksburg Clinic LLC | 1111 N Frontage Rd, Vmc Adolescent Psy Unit Ip, Vicksburg, MS 39180-5102 |
| Murray P Whitaker | Internal Medicine | Vicksburg Clinic LLC | 54 Sergeant Prentiss Dr, Natchez, MS 39120-4726 |
| Kerrie Kashaun Sanders | Nurse Practitioner | Vicksburg Clinic LLC | 1 Medical Plaza Dr, Vicksburg, MS 39180-5187 |
| Eugene B Ferris | General Surgery | Vicksburg Clinic LLC | 54 Sergeant Prentiss Dr, Natchez, MS 39120-4726 |
| Joyce Wanjugu Muruthi | Obstetrics/gynecology | Vicksburg Clinic LLC | 104 Mcauley Dr, Vicksburg, MS 39183-2825 |
| Henry M Jarmon | General Surgery | Vicksburg Clinic LLC | 54 Sergeant Prentiss Dr, Natchez, MS 39120-4726 |
| Kent Ian Kossoy | General Surgery | Vicksburg Clinic LLC | 104 Mcauley Dr, Vicksburg, MS 39183-2825 |
| Street Address |
2200 HWY 61 N 2100 VICKSBURG STREET CLINIC PEDIATRICS |
| City | VICKSBURG |
| State | MS |
| Zip | 39183-8246 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tulio Figarola | Orthopedic Surgery | Vicksburg Clinic LLC | 2200 Hwy 61 N 2100, Vicksburg Street Clinic Pediatrics, Vicksburg, MS 39183-8246 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tabitha Nicole Allen | Nurse Practitioner | Wound Care Associates LLC | 2100 Hwy 61 N, Promise Hosp, Vicksburg, MS 39183 |
| Natasha Yvonneavion West | Nurse Practitioner | Wound Care Associates LLC | 2100 Hwy 61 N, Promise Hosp, Vicksburg, MS 39183 |
| Kelly W Ryder | Internal Medicine | Vicksburg Healthcare LLC | 2100 Hwy 61 N, Vicksburg, MS 39183 |
| Annette Bryant | Clinical Social Worker | 1107 B Openwood St, Vicksburg, MS 39183-2533 | |
| Michelle D Banks | Nurse Practitioner | 919 Mission, Suite 66, Vicksburg, MS 39183-2751 | |
| Mary C Strong | Nurse Practitioner | Vicksburg Holistic Healthcare LLC | 919 Mission, Suite 66, Vicksburg, MS 39183-2751 |
| Carrie Willis Eure | Physician Assistant | Vicksburg Clinic LLC | 104 Mcauley Dr, Vicksburg, MS 39183-2825 |
| Joyce Wanjugu Muruthi | Obstetrics/gynecology | Vicksburg Clinic LLC | 104 Mcauley Dr, Vicksburg, MS 39183-2825 |
| Kent Ian Kossoy | General Surgery | Vicksburg Clinic LLC | 104 Mcauley Dr, Vicksburg, MS 39183-2825 |
| Feras M Hamadeh | Internal Medicine | Vicksburg Clinic LLC | 104 Mcauley Dr, Vicksburg, MS 39183-2825 |
| Find all physicians in zip 39183 | |||
| City | VICKSBURG |
| Zip Code | 39183 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | VICKSBURG + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on Alfred G Windham.
| 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.