Starkey Hudson (NPI# 1083639744, PAC ID# 4284694415) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
| Nation Provider ID (NPI) | 1083639744 |
| PAC ID by PECOS | 4284694415 |
| Professional Enrollment ID | I20041013000104 |
| Full Name | Starkey Hudson |
| Organization Legal Name | SHARKEY-ISSAQUENA COMMUNITY HOSPITAL |
| Address |
47 S 4th St Rolling Fork MS 39159-5146 |
| Phone Number | 6628734395138 |
| Gender | M |
| Credential | MD |
| Medical School | HOWARD UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1970 |
| Primary Specialty | GENERAL PRACTICE |
| Group Practice PAC ID | 1759283039 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 251338 | |
| 250072 | MERIT HEALTH CENTRAL |
| 250079 | SHARKEY ISSAQUENA COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1134 Winter St, Jackson, MS 39204-2899 | 6019485572 | CENTRAL MISSISSIPPI HEALTH SERVICES, INC. |
| 5429 Robinson Rd Ext, Jackson, MS 39204 | 6019140163 | CENTRAL MISSISSIPPI HEALTH SERVICES, INC. |
| 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 |
|---|---|---|---|
| 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 |
| Thomas V Scott Jr. | 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 |
|---|---|---|---|
| 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 |
| Thomas V Scott Jr. | 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 | GENERAL PRACTICE |
| City + Specialty | ROLLING FORK + GENERAL PRACTICE |
Please comment or provide details below to improve the information on Starkey Hudson.
| 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.