Guy M Shoaf (NPI# 1548255409, PAC ID# 0547212276) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1548255409 |
| PAC ID by PECOS | 0547212276 |
| Professional Enrollment ID | I20090630000613 |
| Full Name | Guy M Shoaf |
| Organization Legal Name | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER |
| Address |
965 Avent Dr 100a Grenada MS 38901-5045 |
| Phone Number | 6622277444 |
| Gender | M |
| Credential | MD |
| Medical School | MEDICAL COLLEGE OF VIRGINIA COMMONWEALTH UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2000 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 1850293036 |
| Number of Group Practice Members | 811 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250168 | UNIVERSITY OF MISSISSIPPI MEDICAL CENTER- GRENADA |
| 250128 | PANOLA MEDICAL CENTER |
| 250099 | GREENWOOD LEFLORE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 965 Avent Dr, 100a, Grenada, MS 38901-5045 | 6622277444 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER |
| 2500 N State St, Jackson, MS 39216-4500 | 6018154775 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER |
| Organization Legal Name | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER |
| Physicians | 939 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicholas A Turner | Diagnostic Radiology | State of Mississippi-university of Mississippi Medical Center | 239 Bowling Green Rd, Lexington, MS 39095-5167 |
| Nawal Shaikh | Neurology | State of Mississippi-university of Mississippi Medical Center | 2500 N State St, Jackson, MS 39216-4500 |
| Stacey Kitchens | Nurse Practitioner | State of Mississippi-university of Mississippi Medical Center | 331 Sunnybrook Rd, Ridgeland, MS 39157-1802 |
| Michal Senitko | Pulmonary Disease | State of Mississippi-university of Mississippi Medical Center | 1900 Grandview Dr, Grenada, MS 38901-5066 |
| Amanda B. Greene | Nurse Practitioner | State of Mississippi-university of Mississippi Medical Center | 350 W Woodrow Wilson Dr, Cancer Institute, Jackson, MS 39213 |
| Wayne S Orr | General Surgery | State of Mississippi-university of Mississippi Medical Center | 161 River Oaks Dr, Canton, MS 39046-5375 |
| John C Simmons | Certified Registered Nurse Anesthetist (crna) | State of Mississippi-university of Mississippi Medical Center | 5 Medical Blvd C, Hattiesburg, MS 39401-7231 |
| Christophor Reed | Diagnostic Radiology | State of Mississippi-university of Mississippi Medical Center | 965 Avent Dr, 100a, Grenada, MS 38901-5045 |
| Antonio A Gamble | Certified Registered Nurse Anesthetist (crna) | State of Mississippi-university of Mississippi Medical Center | 960 Avent Dr, Grenada, MS 38901-5230 |
| Cynthia O Field | Pediatric Medicine | State of Mississippi-university of Mississippi Medical Center | 4400 Old Canton Rd, Suite 3, Jackson, MS 39211-5982 |
| Street Address |
965 AVENT DR 100A |
| City | GRENADA |
| State | MS |
| Zip | 38901-5045 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christophor Reed | Diagnostic Radiology | State of Mississippi-university of Mississippi Medical Center | 965 Avent Dr, 100a, Grenada, MS 38901-5045 |
| Kelsey Marter Moncrief | Nurse Practitioner | State of Mississippi-university of Mississippi Medical Center | 965 Avent Dr, 100a, Grenada, MS 38901-5045 |
| Katherine L Ragland | Diagnostic Radiology | State of Mississippi-university of Mississippi Medical Center | 965 Avent Dr, 100a, Grenada, MS 38901-5045 |
| Douglas Allen Tucker | Anesthesiology | State of Mississippi-university of Mississippi Medical Center | 965 Avent Dr, 100a, Grenada, MS 38901-5045 |
| Evan D Broder | Emergency Medicine | State of Mississippi-university of Mississippi Medical Center | 965 Avent Dr, 100a, Grenada, MS 38901-5045 |
| Vikas Majithia | Rheumatology | State of Mississippi-university of Mississippi Medical Center | 965 Avent Dr, 100a, Grenada, MS 38901-5045 |
| Edward Green | Nuclear Medicine | State of Mississippi-university of Mississippi Medical Center | 965 Avent Dr, 100a, Grenada, MS 38901-5045 |
| Andrea J Collins | Family Medicine | State of Mississippi-university of Mississippi Medical Center | 965 Avent Dr, 100a, Grenada, MS 38901-5045 |
| Michael B Marlin | Medical Toxicology | State of Mississippi-university of Mississippi Medical Center | 965 Avent Dr, 100a, Grenada, MS 38901-5045 |
| Wisit Cheungpasitporn | Nephrology | State of Mississippi-university of Mississippi Medical Center | 965 Avent Dr, 100a, Grenada, MS 38901-5045 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James M Pegg | Optometry | 20-20 Eyecare of Grenada Pa | 600 Old Hickory Rd, Grenada, MS 38901-2727 |
| Christopher T Walls | Optometry | 20-20 Eyecare of Grenada Pa | 600 Old Hickory Rd, Grenada, MS 38901-2727 |
| Valerie Hildebrand | Nurse Practitioner | Ovation Womens Wellness LLC | 1410 Wooded Dr, Grenada, MS 38901-2841 |
| Sandra Melton | Nurse Practitioner | Ovation Womens Wellness LLC | 1410 Wooded Dr, Grenada, MS 38901-2841 |
| Benjamin Clayton Edwards | Physical Therapy | Encore Rehabilitation Inc | 1322 Sunset Dr C, Grenada, MS 38901-4000 |
| Harvey Mack Ballard | Chiropractic | Ballard Chiropractic | 1301 I Sunset Dr, Grenada, MS 38901-4003 |
| Tara L Dew | Optometry | T. Kevin Braswell, Md P.a. | 1321 Sunset Dr, Suite B, Grenada, MS 38901-4005 |
| Thomas K Braswell | Ophthalmology | T. Kevin Braswell, Md P.a. | 1321 Sunset Dr, Suite B, Grenada, MS 38901-4005 |
| Justin Corey Zampella | Optometry | Bruce Eye Clinic Inc. | 1655 Sunset Dr, Grenada, MS 38901-4061 |
| Joseph F Roberts | Internal Medicine | 1117 Sunset Dr, Suite 101, Grenada, MS 38901-4080 | |
| Find all physicians in zip 38901 | |||
| City | GRENADA |
| Zip Code | 38901 |
| Specialty | UROLOGY |
| City + Specialty | GRENADA + UROLOGY |
Please comment or provide details below to improve the information on Guy M Shoaf.
| 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.