Arturo E Blanco (NPI# 1184778508, PAC ID# 2567568595) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1184778508 |
| PAC ID by PECOS | 2567568595 |
| Professional Enrollment ID | I20070508000121 |
| Full Name | Arturo E Blanco |
| Organization Legal Name | ST. DOMINIC MEDICAL ASSOCIATES LLC |
| Address |
728 Clinton Pkwy Suite B Clinton MS 39056-5227 |
| Phone Number | 6012004800 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE |
| Graduation Year | 2006 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0446303168 |
| Number of Group Practice Members | 113 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250048 | ST DOMINIC-JACKSON MEMORIAL HOSPITAL |
| 250001 | UNIVERSITY OF MISSISSIPPI MED CENTER |
| 250102 | MISSISSIPPI BAPTIST MEDICAL CENTER |
| 250072 | MERIT HEALTH CENTRAL |
| Address | Phone | Organization |
|---|---|---|
| 728 Clinton Pkwy, Suite B, Clinton, MS 39056-5227 | 6012004800 | ST. DOMINIC MEDICAL ASSOCIATES LLC |
| Organization Legal Name | ST. DOMINIC MEDICAL ASSOCIATES LLC |
| Physicians | 129 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Molly Grubbs Mayhugh | Nurse Practitioner | St. Dominic Medical Associates LLC | 342 Magnolia Dr, Raleigh, MS 39153-6012 |
| Charnell R Cain | Family Medicine | St. Dominic Medical Associates LLC | 1297 W Government St, St Dominic Family Practice Associaties, Brandon, MS 39042-3048 |
| Samuel Hammond Love | Internal Medicine | St. Dominic Medical Associates LLC | 970 Lakeland Dr, Suite 40, Jackson, MS 39216-4640 |
| Tiffany Smith | Nurse Practitioner | St. Dominic Medical Associates LLC | 969 Lakeland Dr, Jackson, MS 39216-4606 |
| J Scott Harrison | Internal Medicine | St. Dominic Medical Associates LLC | 106 Highland Way, 200 St Dominic Surgical Oncology, Madison, MS 39110-6933 |
| Jo P Deal | Infectious Disease | St. Dominic Medical Associates LLC | 971 Lakeland Dr, Suite 954, Jackson, MS 39216-4609 |
| Paul E Sheffield | Family Medicine | St. Dominic Medical Associates LLC | 890 Lakeland Dr, Jackson, MS 39216-4644 |
| George E Patton Jr. | Internal Medicine | St. Dominic Medical Associates LLC | 971 Lakeland Dr, Suite 250, Jackson, MS 39216-4620 |
| John Adrian Lancon | Neurosurgery | St. Dominic Medical Associates LLC | 971 Lakeland Dr, Suite 1250, Jackson, MS 39216-4609 |
| Lelouise T Davis | Nurse Practitioner | St. Dominic Medical Associates LLC | 970 Lakeland Dr, Suite 45, Jackson, MS 39216-4634 |
| Street Address |
728 CLINTON PKWY SUITE B |
| City | CLINTON |
| State | MS |
| Zip | 39056-5227 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth Allen | Nurse Practitioner | St. Dominic Medical Associates LLC | 728 Clinton Pkwy, Suite B, Clinton, MS 39056-5227 |
| James J Garner | Physical Therapy | Gptrs II | 728 Clinton Pkwy, Suite A, Clinton, MS 39056-5227 |
| Amanda L Atwood | Nurse Practitioner | St. Dominic Medical Associates LLC | 728 Clinton Pkwy, Suite B, Clinton, MS 39056-5227 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly Coker Dabbs | Physical Therapy | Drayer Physical Therapy Mississippi LLC | 801 E Northside Dr, Suite B, Clinton, MS 39056-3663 |
| Bobby C Pankey | Optometry | 115 Cynthia St, Clinton, MS 39056-3711 | |
| Ashley Dawn Blackwell | Podiatry | Premier Foot Clinic PC | 705 Hwy 80 W, Clinton, MS 39056-4103 |
| Bethany Sumerford | Nurse Practitioner | Mea Primary Care Plus, LLC | 498 Hwy 80 E, Mea Primary Care Plu, Clinton, MS 39056-4720 |
| Will Gray | Physical Therapy | Medical Foundation of Central Mississippi Inc | 108 Clinton Pkwy, Clinton, MS 39056-4730 |
| Stephanie Keith | Physician Assistant | Medical Foundation of Central Mississippi Inc | 106 Clinton Pkwy, Clinton, MS 39056-4730 |
| George M Atkinson | Ophthalmology | Jackson Eye Associates Pllc | 102 Clinton Pkwy, Suite 3, Clinton, MS 39056-4730 |
| Mark Page Miller Jr. | Physical Therapy | Medical Foundation of Central Mississippi Inc | 108 Clinton Pkwy, Clinton, MS 39056-4730 |
| Robert Scott French | Nurse Practitioner | Medical Foundation of Central Mississippi Inc | 106 Clinton Pkwy, Clinton, MS 39056-4730 |
| Joseph B Montgomery | Family Medicine | Medical Foundation of Central Mississippi Inc | 106 Clinton Pkwy, Clinton, MS 39056-4730 |
| Find all physicians in zip 39056 | |||
| City | CLINTON |
| Zip Code | 39056 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | CLINTON + FAMILY MEDICINE |
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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.