Everett C Mckibben (NPI# 1093873713, PAC ID# 4385617026) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1093873713 |
| PAC ID by PECOS | 4385617026 |
| Professional Enrollment ID | I20110120000507 |
| Full Name | Everett C Mckibben |
| Organization Legal Name | KERMIT D LAIRD MD PA |
| Address |
103 Doctors Park Starkville MS 39759-2174 |
| Phone Number | 6623232515 |
| Gender | M |
| Medical School | UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE |
| Graduation Year | 1989 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 5294829677 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250050 | OCH REGIONAL MEDICAL CENTER |
| 250100 | BAPTIST MEM HOSP/ GOLDEN TRIANGLE INC |
| Address | Phone | Organization |
|---|---|---|
| 103 Doctors Park, Starkville, MS 39759-2174 | 6623232515 | KERMIT D LAIRD MD PA |
| Organization Legal Name | KERMIT D LAIRD MD PA |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Henry L Edmondson | Family Medicine | Kermit D Laird Md Pa | 103 Doctors Park, Starkville, MS 39759-2174 |
| John J Hollister | Family Medicine | Kermit D Laird Md Pa | 103 Doctors Park, Starkville, MS 39759-2174 |
| Angela I Payne | Family Medicine | Kermit D Laird Md Pa | 103 Doctors Park, Starkville, MS 39759-2174 |
| Street Address |
103 DOCTORS PARK |
| City | STARKVILLE |
| State | MS |
| Zip | 39759-2174 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Henry L Edmondson | Family Medicine | Kermit D Laird Md Pa | 103 Doctors Park, Starkville, MS 39759-2174 |
| John J Hollister | Family Medicine | Kermit D Laird Md Pa | 103 Doctors Park, Starkville, MS 39759-2174 |
| James Rudolph Tuorila | Psychologist, Clinical | 103 Doctors Park, Saint Cloud, MN 56303-1207 | |
| Angela I Payne | Family Medicine | Kermit D Laird Md Pa | 103 Doctors Park, Starkville, MS 39759-2174 |
| Jan A Pijanowski | Internal Medicine | Mid Atlantic Endoscopy PC | 103 Doctors Park, Galax, VA 24333-2277 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hilary H Rendon | Physical Therapy | Starkville Physical Therapy, Inc. | 100 B4 Gt Thames Dr, Starkville, MS 39759 |
| Paul R Huddleston | Physical Therapy | Starkville Physical Therapy, Inc. | 100 B4 Gt Thames Dr, Starkville, MS 39759 |
| Matthew Kyle Bills | Physician Assistant | Stewart Ear Sinus and Allergy Pllc | 4 Professional Plz, Starkville, MS 39759-1901 |
| John S Stewart | Otolaryngology | Stewart Ear Sinus and Allergy Pllc | 4 Professional Plz, Starkville, MS 39759-1901 |
| Adelaide Frances Henderson | Family Practice | 1001 Hospital Rd, Starkville, MS 39759-2125 | |
| Ava L Stegall | Family Medicine | 302 Hospital Rd, Starkville, MS 39759-2156 | |
| Leslie E Peterson | Nurse Practitioner | Digestive Health Specialists Pa | 300 Hospital Rd, Starkville, MS 39759-2156 |
| Steven C Brandon | Family Medicine | L H Brandon Md Pa | 501 Hospital Rd, Starkville, MS 39759-2158 |
| Jennifer Miranda Summers | Nurse Practitioner | L H Brandon Md Pa | 501 Hospital Rd, Starkville, MS 39759-2158 |
| Emily L.b. Landrum | Family Medicine | 501 Hospital Rd, Starkville, MS 39759-2158 | |
| Find all physicians in zip 39759 | |||
| City | STARKVILLE |
| Zip Code | 39759 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | STARKVILLE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Everett C Mckibben.
| 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.