Joseph Taiwo (NPI# 1174796254, PAC ID# 3577622885) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1174796254 |
| PAC ID by PECOS | 3577622885 |
| Professional Enrollment ID | I20090806000519 |
| Full Name | Joseph Taiwo |
| Organization Legal Name | KEYSTONE MEDICAL SERVICES OF MS INC |
| Address |
1560 Sumrall Rd Columbia MS 39429-2654 |
| Phone Number | 6017366303 |
| Gender | M |
| Graduation Year | 2000 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 7618075177 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450271 | WISE REGIONAL HEALTH SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 1560 Sumrall Rd, Columbia, MS 39429-2654 | 6017366303 | KEYSTONE MEDICAL SERVICES OF MS INC |
| 609 Medical Ctr Dr, Decatur, TX 76234-3836 | 9406275921 | WISE EMERGENCY MEDICINE ASSOCIATES PA |
| 910 N Galloway Ave, Suite 102, Mesquite, TX 75149-2409 |
| Organization Legal Name | KEYSTONE MEDICAL SERVICES OF MS INC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly Jane Mckay | General Surgery | Keystone Medical Services of Ms Inc | 27190 Hwy 28, Hazlehurst, MS 39083-2224 |
| Lemuel D Oliver | Emergency Medicine | Keystone Medical Services of Ms Inc | 1560 Sumrall Rd, Columbia, MS 39429-2654 |
| Tobby M Tinsley | Emergency Medicine | Keystone Medical Services of Ms Inc | 27190 Hwy 28, Hazlehurst, MS 39083-2224 |
| Street Address |
1560 SUMRALL RD |
| City | COLUMBIA |
| State | MS |
| Zip | 39429-2654 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Oladipo Kusemiju | Family Medicine | Forrest County General Hospital | 1560 Sumrall Rd, Columbia, MS 39429-2654 |
| Ronda M Vanderheiden | Nurse Practitioner | Forrest County General Hospital | 1560 Sumrall Rd, Columbia, MS 39429-2654 |
| Lemuel D Oliver | Emergency Medicine | Keystone Medical Services of Ms Inc | 1560 Sumrall Rd, Columbia, MS 39429-2654 |
| Jackie Stuckey | Nurse Practitioner | Forrest County General Hospital | 1560 Sumrall Rd, Columbia, MS 39429-2654 |
| Jeffrey N Johnson | Internal Medicine | Forrest County General Hospital | 1560 Sumrall Rd, Columbia, MS 39429-2654 |
| Peter J Jensen | Family Medicine | Keystone Hospitalist Services of Ms Inc | 1560 Sumrall Rd, Columbia, MS 39429-2654 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shakita D Rawls | Nurse Practitioner | Quality Medical Clinic, Inc. | 315 Lafayette St, Columbia, MS 39429-2059 |
| Vickie L Robbins | Psychologist, Clinical | Meditelecare of Mississippi LLC | 1506 N Main St, Columbia, MS 39429-2070 |
| Leonard Oswald | Clinical Social Worker | Serenity Psychiatric Outpatient, LLC | 11 Pecan Dr, Columbia, MS 39429-2600 |
| Alicia Brister | Nurse Practitioner | Internal Medicine Clinic of Columbia, P.a. | 914 Sumrall Rd, Columbia, MS 39429-2652 |
| Nancy F Easterling | Nurse Practitioner | Internal Medicine Clinic of Columbia, P.a. | 914 Sumrall Rd, Columbia, MS 39429-2652 |
| Oscar A Smith | Optometry | 317 Church St, Columbia, MS 39429-2725 | |
| Jerry L Kimble | Chiropractic | 262 S High School Ave, Suite 5, Columbia, MS 39429-3418 | |
| Holly R Fink | Chiropractic | 230 S High School Ave, Columbia, MS 39429-3421 | |
| Shantele H Bolton | Obstetrics/gynecology | Womens Pavilion of South Mississippi Pllc | 551 Eagle Day Ave, Columbia, MS 39429-3605 |
| Myles Devin Rodgers | Physical Therapy | Encore Rehabilitation Inc | 1215 Hwy 98 E, Columbia, MS 39429-3702 |
| Find all physicians in zip 39429 | |||
| City | COLUMBIA |
| Zip Code | 39429 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | COLUMBIA + EMERGENCY 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.