Mack Allen Brown (NPI# 1043565385, PAC ID# 3072761923) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1043565385 |
| PAC ID by PECOS | 3072761923 |
| Professional Enrollment ID | I20120918000500 |
| Full Name | Mack Allen Brown |
| Organization Legal Name | NORTHSTAR ANESTHESIA OF MISSISSIPPI LLC |
| Address |
2100 Hwy 61 N Northstar Anes of Ms LLC Vicksburg MS 39183-8211 |
| Phone Number | 6018835000 |
| Gender | M |
| Graduation Year | 2012 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 1658682117 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250084 | MERIT HEALTH NATCHEZ |
| Address | Phone | Organization |
|---|---|---|
| 2100 Hwy 61 N, Northstar Anes of Ms LLC, Vicksburg, MS 39183-8211 | 6018835000 | NORTHSTAR ANESTHESIA OF MISSISSIPPI LLC |
| Organization Legal Name | NORTHSTAR ANESTHESIA OF MISSISSIPPI LLC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Billy Joe Starr | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Mississippi LLC | 2100 Hwy 61 N, Northstar Anes of Ms LLC, Vicksburg, MS 39183-8211 |
| Arthur E Person | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Mississippi LLC | 2100 Hwy 61 N, Northstar Anes of Ms LLC, Vicksburg, MS 39183-8211 |
| Lisa G Wilson | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Mississippi LLC | 2100 Hwy 61 N, Northstar Anes of Ms LLC, Vicksburg, MS 39183-8211 |
| Vidya Kamalapur | Anesthesiology | Northstar Anesthesia of Mississippi LLC | 2100 Hwy 61 N, Northstar Anes of Ms LLC, Vicksburg, MS 39183-8211 |
| Tyrone Corbett Mccann | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Mississippi LLC | 2100 Hwy 61 N, Northstar Anes of Ms LLC, Vicksburg, MS 39183-8211 |
| Melanie J Waldrop | Certified Registered Nurse Anesthetist | Northstar Anesthesia of Mississippi LLC | 2100 Hwy 61 N, Vicksburg, MS 39183-8211 |
| John A Engelmann | Anesthesiology | Northstar Anesthesia of Mississippi LLC | 2100 Hwy 61 N, Vicksburg, MS 39183-8211 |
| Street Address |
2100 HWY 61 N NORTHSTAR ANES OF MS LLC |
| City | VICKSBURG |
| State | MS |
| Zip | 39183-8211 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Billy Joe Starr | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Mississippi LLC | 2100 Hwy 61 N, Northstar Anes of Ms LLC, Vicksburg, MS 39183-8211 |
| George E Habeeb | Internal Medicine | Vicksburg Healthcare LLC | 2100 Hwy 61 N, Vicksburg, MS 39183-8211 |
| Arthur E Person | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Mississippi LLC | 2100 Hwy 61 N, Northstar Anes of Ms LLC, Vicksburg, MS 39183-8211 |
| Andrew Trey Hendrix | Certified Registered Nurse Anesthetist (crna) | Anesthesia Consultants Pa | 2100 Hwy 61 N, Vicksburg, MS 39183-8211 |
| Richard M Stone Jr. | Certified Registered Nurse Anesthetist (crna) | Anesthesia Consultants Pa | 2100 Hwy 61 N, Vicksburg, MS 39183-8211 |
| Lisa G Wilson | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Mississippi LLC | 2100 Hwy 61 N, Northstar Anes of Ms LLC, Vicksburg, MS 39183-8211 |
| Jean Max Herve Augustin | Family Medicine | Vicksburg Healthcare LLC | 2100 Hwy 61 N, Vicksburg, MS 39183-8211 |
| Denton C Stokes | Certified Registered Nurse Anesthetist (crna) | Anesthesia Consultants Pa | 2100 Hwy 61 N, Vicksburg, MS 39183-8211 |
| Marcus Presley | Diagnostic Radiology | Lakeland Radiologists, Pa | 2100 Hwy 61 N, Vicksburg, MS 39183-8211 |
| Stephanie Nicole Clark | Certified Registered Nurse Anesthetist (crna) | Anesthesia Consultants Pa | 2100 Hwy 61 N, Vicksburg, MS 39183-8211 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tabitha Nicole Allen | Nurse Practitioner | Wound Care Associates LLC | 2100 Hwy 61 N, Promise Hosp, Vicksburg, MS 39183 |
| Natasha Yvonneavion West | Nurse Practitioner | Wound Care Associates LLC | 2100 Hwy 61 N, Promise Hosp, Vicksburg, MS 39183 |
| Kelly W Ryder | Internal Medicine | Vicksburg Healthcare LLC | 2100 Hwy 61 N, Vicksburg, MS 39183 |
| Annette Bryant | Clinical Social Worker | 1107 B Openwood St, Vicksburg, MS 39183-2533 | |
| Michelle D Banks | Nurse Practitioner | 919 Mission, Suite 66, Vicksburg, MS 39183-2751 | |
| Mary C Strong | Nurse Practitioner | Vicksburg Holistic Healthcare LLC | 919 Mission, Suite 66, Vicksburg, MS 39183-2751 |
| Carrie Willis Eure | Physician Assistant | Vicksburg Clinic LLC | 104 Mcauley Dr, Vicksburg, MS 39183-2825 |
| Joyce Wanjugu Muruthi | Obstetrics/gynecology | Vicksburg Clinic LLC | 104 Mcauley Dr, Vicksburg, MS 39183-2825 |
| Kent Ian Kossoy | General Surgery | Vicksburg Clinic LLC | 104 Mcauley Dr, Vicksburg, MS 39183-2825 |
| Feras M Hamadeh | Internal Medicine | Vicksburg Clinic LLC | 104 Mcauley Dr, Vicksburg, MS 39183-2825 |
| Find all physicians in zip 39183 | |||
| City | VICKSBURG |
| Zip Code | 39183 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | VICKSBURG + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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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.