Thomas V Scott Jr. (NPI# 1861833477, PAC ID# 1557505625) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1861833477 |
| PAC ID by PECOS | 1557505625 |
| Professional Enrollment ID | I20130912000190 |
| Full Name | Thomas V Scott Jr. |
| Organization Legal Name | SHARKEY-ISSAQUENA COMMUNITY HOSPITAL |
| Address |
47 S 4th St Rolling Fork MS 39159-5146 |
| Phone Number | 6628734395138 |
| Gender | M |
| Graduation Year | 2013 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1759283039 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250079 | SHARKEY ISSAQUENA COMMUNITY HOSPITAL |
| 251318 | NORTH SUNFLOWER MEDICAL CENTER CAH |
| Address | Phone | Organization |
|---|---|---|
| 47 S 4th St, Rolling Fork, MS 39159-5146 | 6628734395138 | SHARKEY-ISSAQUENA COMMUNITY HOSPITAL |
| Organization Legal Name | SHARKEY-ISSAQUENA COMMUNITY HOSPITAL |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Starkey Hudson | General Practice | Sharkey-issaquena Community Hospital | 47 S 4th St, Rolling Fork, MS 39159-5146 |
| Robert P Oliver | Diagnostic Radiology | Sharkey-issaquena Community Hospital | 47 S 4th St, Rolling Fork, MS 39159-5146 |
| Jennifer L Scott | Nurse Practitioner | Sharkey-issaquena Community Hospital | 47 S 4th St, Rolling Fork, MS 39159-5146 |
| Danny W Jackson | Family Practice | Sharkey-issaquena Community Hospital | 47 S 4th St, Rolling Fork, MS 39038 |
| Street Address |
47 S 4TH ST |
| City | ROLLING FORK |
| State | MS |
| Zip | 39159-5146 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Starkey Hudson | General Practice | Sharkey-issaquena Community Hospital | 47 S 4th St, Rolling Fork, MS 39159-5146 |
| Robert P Oliver | Diagnostic Radiology | Sharkey-issaquena Community Hospital | 47 S 4th St, Rolling Fork, MS 39159-5146 |
| Jennifer L Scott | Nurse Practitioner | Sharkey-issaquena Community Hospital | 47 S 4th St, Rolling Fork, MS 39159-5146 |
| Danny W Jackson | Family Practice | Sharkey-issaquena Community Hospital | 47 S 4th St, Rolling Fork, MS 39038 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael L Baker | Family Practice | Delta Health Center, Inc. | 20400 Hwy 61, Rolling Fork, MS 39159-5014 |
| Laura Lavee Burris | Physician Assistant | Vicksburg Clinic LLC | 21 S 4th St B, Merit Health Rr Specialist, Rolling Fork, MS 39159-5146 |
| Patsy P Johnson | Nurse Practitioner | Dr. Danny W Jackson D.o. Pa | 29 S 4th St, Rolling Fork, MS 39159-5146 |
| Andrew George | Family Medicine | 25 S 4th St, Rolling Fork, MS 39159-5146 |
| City | ROLLING FORK |
| Zip Code | 39159 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | ROLLING FORK + NURSE PRACTITIONER |
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| 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.