Wiley Justice (NPI# 1083619332, PAC ID# 1355458613) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1083619332 |
| PAC ID by PECOS | 1355458613 |
| Professional Enrollment ID | I20110207000152 |
| Full Name | Wiley Justice |
| Organization Legal Name | UNIVERSITY OF SOUTH ALABAMA |
| Address |
51 Stadium Dr Suite 218 Mobile AL 36688-0002 |
| Phone Number | 2514611969 |
| Gender | M |
| Graduation Year | 1975 |
| Primary Specialty | OTOLARYNGOLOGY |
| Group Practice PAC ID | 3072425149 |
| Number of Group Practice Members | 294 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010113 | MOBILE INFIRMARY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 51 Stadium Dr, Suite 218, Mobile, AL 36688-0002 | 2514611969 | UNIVERSITY OF SOUTH ALABAMA |
| 5721 Usa N Dr, Mobile, AL 36688-0002 | 2514459378 | UNIVERSITY OF SOUTH ALABAMA |
| Organization Legal Name | UNIVERSITY OF SOUTH ALABAMA |
| Physicians | 279 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Colbert Andrew Parker | Internal Medicine | University of South Alabama | 575 Stanton Rd, Mobile, AL 36617-2344 |
| Benjamin Ross Niland | Gastroenterology | University of South Alabama | 75 S University Blvd, Ucom 6000 A, Mobile, AL 36688 |
| Tracy Bartel | Nurse Practitioner | University of South Alabama | 1601 Ctr St, Suite 2s, Mobile, AL 36604 |
| Brent L. Wiles | Qualified Speech Language Pathologist | University of South Alabama | 5721 Usa N Dr, Mobile, AL 36688-0002 |
| Melissa R Cochran | Nurse Practitioner | University of South Alabama | 1700 Ctr St, Mobile, AL 36604-3301 |
| Mackenzie Krebsbach | Nurse Practitioner | University of South Alabama | 2451 Fillingim St, Mobile, AL 36617-2238 |
| Percy Vandorn Crocker | Otolaryngology | University of South Alabama | 1720 Ctr St, Suite 103, Mobile, AL 36604-3300 |
| Joseph P Michalski | Rheumatology | University of South Alabama | 1660 Spring Hill Ave, Mobile, AL 36604-1405 |
| Arthur E Frankel | Hematology/oncology | University of South Alabama | 1660 Spring Hill Ave, Mobile, AL 36604-1405 |
| Juan G Ochoa | Neurology | University of South Alabama | 1660 Spring Hill Ave, Mobile, AL 36604-1405 |
| Street Address |
51 STADIUM DR SUITE 218 |
| City | MOBILE |
| State | AL |
| Zip | 36688-0002 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy C Nichols | Qualified Audiologist | University of South Alabama | 51 Stadium Dr, Suite 218, Mobile, AL 36688-0002 |
| Wilder Roberts | Qualified Audiologist | University of South Alabama | 51 Stadium Dr, Suite 218, Mobile, AL 36688-0002 |
| Mary Russell | Qualified Audiologist | University of South Alabama | 51 Stadium Dr, Suite 218, Mobile, AL 36688-0002 |
| Tonia M Beverly | Audiologist | University of South Alabama | 51 Stadium Dr, Suite 218, Mobile, AL 36688-0002 |
| Grayson Hill | Speech Language Pathologist | University of South Alabama | 51 Stadium Dr, Mobile, AL 36688-0002 |
| Robert B Dale | Physical Therapy | University of South Alabama | 51 Stadium Dr, Mobile, AL 36688-0002 |
| Karen Mcvay | Speech Language Pathologist | University of South Alabama | 51 Stadium Dr, Suite 218, Mobile, AL 36688-0002 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benjamin Ross Niland | Gastroenterology | University of South Alabama | 75 S University Blvd, Ucom 6000 A, Mobile, AL 36688 |
| Akiko Makino | Nurse Practitioner | University of South Alabama | 75 S University Blvd, Ucom 6000 A, Mobile, AL 36688 |
| Meir Mizrahi | Gastroenterology | University of South Alabama | 75 S University Blvd, Ucom 6000 A, Mobile, AL 36688 |
| Allison Hinson | Physician Assistant | 600 Clinic Dr, Suite 332, Mobile, AL 36688-0001 | |
| Brent L. Wiles | Qualified Speech Language Pathologist | University of South Alabama | 5721 Usa N Dr, Mobile, AL 36688-0002 |
| Paul A Dagenais | Speech Language Pathologist | University of South Alabama | 5721 Usa N Dr, Mobile, AL 36688-0002 |
| Julie Estis | Speech Language Pathologist | University of South Alabama | 5721 Usa N Dr, Mobile, AL 36688-0002 |
| Kendra D Hudson | Speech Language Pathologist | University of South Alabama | 5721 Usa N Dr, Mobile, AL 36688-0002 |
| City | MOBILE |
| Zip Code | 36688 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | MOBILE + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on Wiley Justice.
| 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.