Timothy B Skelton (NPI# 1598867350, PAC ID# 0648325498) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1598867350 |
| PAC ID by PECOS | 0648325498 |
| Professional Enrollment ID | I20090901000319 |
| Full Name | Timothy B Skelton |
| Organization Legal Name | GARDEN PARK PHYSICIAN GROUP INC |
| Address |
15200 Community Rd Gulfport MS 39503-3085 |
| Phone Number | 2285757000 |
| Gender | M |
| Medical School | EAST TENNESSEE STATE UNIVERSITY, QUILLEN-DISHNER COLLEGE OF MEDICINE |
| Graduation Year | 2003 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 2264425610 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250123 | GARDEN PARK MEDICAL CENTER |
| 250019 | MEMORIAL HOSPITAL AT GULFPORT |
| 250007 | MERIT HEALTH BILOXI |
| 250040 | SINGING RIVER HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 15200 Community Rd, Gulfport, MS 39503-3085 | 2285757000 | GARDEN PARK PHYSICIAN GROUP INC |
| Organization Legal Name | GARDEN PARK PHYSICIAN GROUP INC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edwina I Roland | Nurse Practitioner | Garden Park Physician Group Inc | 350 Cowan Rd, Gulfport, MS 39507-2008 |
| Curtis A Broussard | Family Medicine | Garden Park Physician Group Inc | 12330 Ashley Dr, Gulfport, MS 39503-2737 |
| Street Address |
15200 COMMUNITY RD |
| City | GULFPORT |
| State | MS |
| Zip | 39503-3085 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zachary P Funk | Emergency Medicine | Keystone Medical Services of Gulfport Inc | 15200 Community Rd, Gulfport, MS 39503-3085 |
| Glen M Cavalier | Certified Registered Nurse Anesthetist (crna) | Lifelinc Anesthesia Pllc | 15200 Community Rd, Gulfport, MS 39503-3085 |
| Brandi R Garris | Nurse Practitioner | Keystone Medical Services of Gulfport Inc | 15200 Community Rd, Gulfport, MS 39503-3085 |
| Christopher L Smelley | Emergency Medicine | Keystone Medical Services of Gulfport Inc | 15200 Community Rd, Gulfport, MS 39503-3085 |
| Joshua Nathaniel Burkhardt | Emergency Medicine | Keystone Medical Services of Gulfport Inc | 15200 Community Rd, Gulfport, MS 39503-3085 |
| Truong V Nguyen | Nurse Practitioner | Keystone Medical Services of Gulfport Inc | 15200 Community Rd, Gulfport, MS 39503-3085 |
| Jeffrey Tipton | Nurse Practitioner | Keystone Hospitalist Services of Ms Inc | 15200 Community Rd, Gulfport, MS 39503-3085 |
| Jessica Lee | Nurse Practitioner | Keystone Medical Services of Gulfport Inc | 15200 Community Rd, Gulfport, MS 39503-3085 |
| Michael Rehor | Nurse Practitioner | Keystone Medical Services of Gulfport Inc | 15200 Community Rd, Gulfport, MS 39503-3085 |
| Jennifer Duncan | Nurse Practitioner | Keystone Medical Services of Gulfport Inc | 15200 Community Rd, Gulfport, MS 39503-3085 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan Dwaine Brown | Orthopedic Surgery | Bienville Orthopaedic Specialists, LLC | 15476 Dedeaux Rd, Suite B, Gulfport, MS 39503-2637 |
| Clarence Ray Quave Jr. | Physical Therapy | Encore Rehabilitation Inc | 15476 B Dedeaux Rd, Gulfport, MS 39503-2637 |
| Cherryl D Purvis | Nurse Practitioner | Heart Hypertension Cholesterol and Diabetes Care LLC | 15444 Dedeaux Rd, Suite B, Gulfport, MS 39503-2637 |
| Joseph M Frame | Physical Therapy | 15444 Dedeaux Rd A, Gulfport, MS 39503-2637 | |
| Ricky D Roach | Podiatry | 15476 Dedeaux Rd, Gulfport, MS 39503-2637 | |
| Henry T Leis | Orthopedic Surgery | Bienville Orthopaedic Specialists, LLC | 15476 Dedeaux Rd, Suite B, Gulfport, MS 39503-2637 |
| Ophelia Abrahams | Occupational Therapy | Bienville Orthopaedic Specialists, LLC | 15476 Dedeaux Rd, Suite B, Gulfport, MS 39503-2637 |
| Jason Lowery | Physician Assistant | Bienville Orthopaedic Specialists, LLC | 15476 Dedeaux Rd, Suite B, Gulfport, MS 39503-2637 |
| Eric Jason Graham | Orthopedic Surgery | Bienville Orthopaedic Specialists, LLC | 15476 Dedeaux Rd, Suite B, Gulfport, MS 39503-2637 |
| Nicole Lynn Johnson | Nurse Practitioner | Bienville Orthopaedic Specialists, LLC | 15476 Dedeaux Rd, Suite B, Gulfport, MS 39503-2637 |
| Find all physicians in zip 39503 | |||
| City | GULFPORT |
| Zip Code | 39503 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | GULFPORT + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Timothy B Skelton.
| 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.