Galen W Poole (NPI# 1679583157, PAC ID# 0941225585) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1679583157 |
| PAC ID by PECOS | 0941225585 |
| Professional Enrollment ID | I20051012000622 |
| Full Name | Galen W Poole |
| Organization Legal Name | CROSSGATES HMA MEDICAL GROUP LLC |
| Address |
350 Crossgates Blvd Brandon MS 39042-2601 |
| Phone Number | 6018248465 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE |
| Graduation Year | 1978 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 8628100427 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250096 | CROSSGATES RIVER OAKS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 201 N College St, Suite 102, Brandon, MS 39042-4439 | 6018253074 | CROSSGATES HMA MEDICAL GROUP LLC |
| 346 Crossgates Blvd, Brandon, MS 39042-2608 | CROSSGATES HMA MEDICAL GROUP LLC | |
| 350 Crossgates Blvd, Brandon, MS 39042-2601 | 6018248465 | CROSSGATES HMA MEDICAL GROUP LLC |
| Organization Legal Name | CROSSGATES HMA MEDICAL GROUP LLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kurt D Johnson | Family Medicine | Crossgates Hma Medical Group LLC | 201 N College St, Suite 102, Brandon, MS 39042-4439 |
| Shuja Yousuf | Internal Medicine | Crossgates Hma Medical Group LLC | 346 Crossgates Blvd, Suite 101, Brandon, MS 39042-2608 |
| Todd H Perkins | Family Medicine | Crossgates Hma Medical Group LLC | 201 N College St, Suite 102, Brandon, MS 39042-4439 |
| John B Madden | Family Medicine | Crossgates Hma Medical Group LLC | 201 N College St, Suite 102, Brandon, MS 39042-4439 |
| Kimberly Johnson Gross | Nurse Practitioner | Crossgates Hma Medical Group LLC | 348 Crossgates Blvd, Suite 1500, Brandon, MS 39042-2687 |
| Street Address |
350 CROSSGATES BLVD |
| City | BRANDON |
| State | MS |
| Zip | 39042-2601 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Constantine P Zouboukos | Anesthesiology | Anesthesia Consultants Pa | 350 Crossgates Blvd, Brandon, MS 39042-2601 |
| David L Smith | Infectious Disease | Flowood River Oaks Hma Medical Group, LLC | 350 Crossgates Blvd, Brandon, MS 39042-2601 |
| Mollie Slaughter Harrell | Certified Registered Nurse Anesthetist (crna) | Anesthesia Consultants Pa | 350 Crossgates Blvd, Brandon, MS 39042-2601 |
| Joshua Williams | Internal Medicine | Mississippi Hma Hospitalists LLC | 350 Crossgates Blvd, Brandon, MS 39042-2601 |
| Elizabeth Mccord | Nurse Practitioner | App of Mississippi Ed LLC | 350 Crossgates Blvd, Brandon, MS 39042-2601 |
| Lee E Herring | Anesthesiology | Anesthesia Consultants Pa | 350 Crossgates Blvd, Brandon, MS 39042-2601 |
| Russell Wardlaw | Certified Registered Nurse Anesthetist (crna) | Anesthesia Consultants Pa | 350 Crossgates Blvd, Brandon, MS 39042-2601 |
| Larry H Killebrew | General Surgery | App of Mississippi Ed LLC | 350 Crossgates Blvd, Brandon, MS 39042-2601 |
| Jonathan Paul Bagley | Anesthesiology | Anesthesia Consultants Pa | 350 Crossgates Blvd, Brandon, MS 39042-2601 |
| Issac Perkins | Internal Medicine | Mississippi Hma Hospitalists LLC | 350 Crossgates Blvd, Brandon, MS 39042-2601 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lawrence E Tamburino | Podiatry | 103 Service Dr, Brandon, MS 39042-2401 | |
| Meseret Teferra | Internal Medicine | Family Health Care Clinic Inc | 1551 W Government St, Brandon, MS 39042-2408 |
| Arbie B Hinton | Family Medicine | Family Health Care Clinic Inc | 1551 W Government St, Brandon, MS 39042-2408 |
| Esquanickia Fletcher | Nurse Practitioner | Family Health Care Clinic Inc | 1551 W Government St, Brandon, MS 39042-2408 |
| Darryl Wheat | Clinical Social Worker | 1700 W Government St, Bldg A Suite G, Brandon, MS 39042-2420 | |
| Mylissa Hodges | Occupational Therapy | Sentry Rehab LLC | 6100 Old Brandon Rd, Brandon, MS 39042-2543 |
| Twanda Vershun Longino | Physical Therapy | Sentry Rehab LLC | 6100 Old Brandon Rd, Brandon, MS 39042-2543 |
| Kristy L Taylor | Qualified Speech Language Pathologist | Sentry Rehab LLC | 6100 Old Brandon Rd, Brandon, MS 39042-2543 |
| Donald S Murray | Anesthesiology | Anesthesia Consultants Pa | 350 Crossgates Blvd, Brandon, MS 39042-2601 |
| Thomas B Smith | Certified Registered Nurse Anesthetist (crna) | Anesthesia Consultants Pa | 350 Crossgates Blvd, Brandon, MS 39042-2601 |
| Find all physicians in zip 39042 | |||
| City | BRANDON |
| Zip Code | 39042 |
| Specialty | GENERAL SURGERY |
| City + Specialty | BRANDON + GENERAL SURGERY |
Please comment or provide details below to improve the information on Galen W Poole.
| 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.