Leonel K Vance (NPI# 1669507943, PAC ID# 0547338469) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL PAIN MANAGEMENT.
| Nation Provider ID (NPI) | 1669507943 |
| PAC ID by PECOS | 0547338469 |
| Professional Enrollment ID | I20081006000347 |
| Full Name | Leonel K Vance |
| Organization Legal Name | COMPREHENSIVE PAIN CENTER OF MISSISSIPPI |
| Address |
129 Fountains Blvd Madison MS 39110-6318 |
| Phone Number | 7693000730122 |
| Gender | M |
| Medical School | UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE |
| Graduation Year | 1996 |
| Primary Specialty | INTERVENTIONAL PAIN MANAGEMENT |
| Group Practice PAC ID | 5193893014 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250138 | MERIT HEALTH RIVER OAKS |
| 250102 | MISSISSIPPI BAPTIST MEDICAL CENTER |
| 250048 | ST DOMINIC-JACKSON MEMORIAL HOSPITAL |
| 250031 | MERIT HEALTH RIVER REGION |
| 251313 | BAPTIST MEDICAL CENTER YAZOO |
| Address | Phone | Organization |
|---|---|---|
| 129 Fountains Blvd, Madison, MS 39110-6318 | 7693000730122 | COMPREHENSIVE PAIN CENTER OF MISSISSIPPI |
| Organization Legal Name | COMPREHENSIVE PAIN CENTER OF MISSISSIPPI |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kellie J Watkins | Nurse Practitioner | Comprehensive Pain Center of Mississippi | 129 Fountains Blvd, Madison, MS 39110-6318 |
| Maryann Jones | Nurse Practitioner | Comprehensive Pain Center of Mississippi | 129 Fountains Blvd, Madison, MS 39110-6318 |
| June G Kimbrough | Nurse Practitioner | Comprehensive Pain Center of Mississippi | 129 Fountains Blvd, Madison, MS 39110-6318 |
| Kathryn Amanda Arnold | Nurse Practitioner | Comprehensive Pain Center of Mississippi | 129 Fountains Blvd, Madison, MS 39110-6344 |
| Street Address |
129 FOUNTAINS BLVD |
| City | MADISON |
| State | MS |
| Zip | 39110-6318 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kellie J Watkins | Nurse Practitioner | Comprehensive Pain Center of Mississippi | 129 Fountains Blvd, Madison, MS 39110-6318 |
| Maryann Jones | Nurse Practitioner | Comprehensive Pain Center of Mississippi | 129 Fountains Blvd, Madison, MS 39110-6318 |
| June G Kimbrough | Nurse Practitioner | Comprehensive Pain Center of Mississippi | 129 Fountains Blvd, Madison, MS 39110-6318 |
| Kathryn Amanda Arnold | Nurse Practitioner | Comprehensive Pain Center of Mississippi | 129 Fountains Blvd, Madison, MS 39110-6344 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jesse C Ethridge | Obstetrics/gynecology | The Womans Clinic of Ms Pllc | 401 Baptist Dr, Suite 402, Madison, MS 39110-2009 |
| James H Crews | Obstetrics/gynecology | The Womans Clinic of Ms Pllc | 401 Baptist Dr, Suite 402, Madison, MS 39110-2009 |
| Erica M Ory | Obstetrics/gynecology | The Womans Clinic of Ms Pllc | 401 Baptist Dr, Suite 402, Madison, MS 39110-2009 |
| Lawrence S Goldstein | Obstetrics/gynecology | The Womans Clinic of Ms Pllc | 401 Baptist Dr, Suite 402, Madison, MS 39110-2009 |
| Leland D Gebhart | Obstetrics/gynecology | The Womans Clinic of Ms Pllc | 401 Baptist Dr, Suite 402, Madison, MS 39110-2009 |
| Lauren E Barry | Obstetrics/gynecology | The Womans Clinic of Ms Pllc | 401 Baptist Dr, Suite 402, Madison, MS 39110-2009 |
| Amanda Nicols | Obstetrics/gynecology | The Womans Clinic of Ms Pllc | 401 Baptist Dr, Suite 402, Madison, MS 39110-2009 |
| Barbara D Sullivan | Obstetrics/gynecology | The Womans Clinic of Ms Pllc | 401 Baptist Dr, Suite 402, Madison, MS 39110-2009 |
| Thomas L Wiley | Obstetrics/gynecology | The Womans Clinic of Ms Pllc | 401 Baptist Dr, Suite 402, Madison, MS 39110-2009 |
| Meredith M Travelstead | Obstetrics/gynecology | The Womans Clinic of Ms Pllc | 401 Baptist Dr, Suite 402, Madison, MS 39110-2009 |
| Find all physicians in zip 39110 | |||
| City | MADISON |
| Zip Code | 39110 |
| Specialty | INTERVENTIONAL PAIN MANAGEMENT |
| City + Specialty | MADISON + INTERVENTIONAL PAIN MANAGEMENT |
Please comment or provide details below to improve the information on Leonel K Vance.
| 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.