Jeffrey A Blalack (NPI# 1033175161, PAC ID# 4880886076) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1033175161 |
| PAC ID by PECOS | 4880886076 |
| Professional Enrollment ID | I20180516000669 |
| Full Name | Jeffrey A Blalack |
| Organization Legal Name | MEDICAL ANESTHESIA GROUP, PA |
| Address |
4250 Bethel Rd Olive Branch MS 38654-8737 |
| Phone Number | 6629329000 |
| Gender | M |
| Medical School | UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE |
| Graduation Year | 1990 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 9436047685 |
| Number of Group Practice Members | 135 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4250 Bethel Rd, Olive Branch, MS 38654-8737 | 6629329000 | MEDICAL ANESTHESIA GROUP, PA |
| 7580 Clarington Cv, Southaven, MS 38671-5657 | 6625482951 | MEDICAL ANESTHESIA GROUP, PA |
| Organization Legal Name | MEDICAL ANESTHESIA GROUP, PA |
| Physicians | 134 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shelly L Bryant Thannum | Anesthesiology | Medical Anesthesia Group, Pa | 2596 Interstate 55, Marion, AR 72364-2327 |
| Antonni Shingles | Certified Registered Nurse Anesthetist (crna) | Medical Anesthesia Group, Pa | 1265 Union Ave, Memphis, TN 38104-3415 |
| Michael Fisher | Certified Registered Nurse Anesthetist (crna) | Medical Anesthesia Group, Pa | 1265 Union Ave, Memphis, TN 38104-3415 |
| Shannon N Noblin | Certified Registered Nurse Anesthetist (crna) | Medical Anesthesia Group, Pa | 1265 Union Ave, Memphis, TN 38104-3415 |
| James R Burch | Anesthesiology | Medical Anesthesia Group, Pa | 1265 Union Ave, Memphis, TN 38104-3415 |
| Brendan B. Mckinney | Certified Registered Nurse Anesthetist (crna) | Medical Anesthesia Group, Pa | 1265 Union Ave, Memphis, TN 38104-3415 |
| Jennifer S Nathaniel | Certified Registered Nurse Anesthetist (crna) | Medical Anesthesia Group, Pa | 1265 Union Ave, Memphis, TN 38104-3415 |
| David H Reid | Anesthesiology | Medical Anesthesia Group, Pa | 1265 Union Ave, Memphis, TN 38104-3415 |
| Robert A Crone | Anesthesiology | Medical Anesthesia Group, Pa | 1265 Union Ave, Memphis, TN 38104-3415 |
| Sara M Midyett | Certified Registered Nurse Anesthetist (crna) | Medical Anesthesia Group, Pa | 1265 Union Ave, Memphis, TN 38104-3415 |
| Street Address |
4250 BETHEL RD |
| City | OLIVE BRANCH |
| State | MS |
| Zip | 38654-8737 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aaron A Amos | Family Medicine | Carr, Pllc | 4250 Bethel Rd, Olive Branch, MS 38654-8737 |
| Shannon Vinson | Nurse Practitioner | Carr, Pllc | 4250 Bethel Rd, Olive Branch, MS 38654-8737 |
| Lisa J Young | Cardiovascular Disease (cardiology) | Specialty Physician Group LLC | 4250 Bethel Rd, Olive Branch, MS 38654-8737 |
| Michelle R Fifer | Certified Registered Nurse Anesthetist (crna) | Medical Anesthesia Group, Pa | 4250 Bethel Rd, Olive Branch, MS 38654-8737 |
| Madison S Crouch | Emergency Medicine | Carr, Pllc | 4250 Bethel Rd, Olive Branch, MS 38654-8737 |
| Wesley Alex Angel | Diagnostic Radiology | Memphis Radiological PC | 4250 Bethel Rd, Olive Branch, MS 38654-8737 |
| Abdul-rahman R Abdel-karim | Interventional Cardiology | Specialty Physician Group LLC | 4250 Bethel Rd, Fl 5, Olive Branch, MS 38654-8737 |
| Queen Mcghee | Nurse Practitioner | Carr, Pllc | 4250 Bethel Rd, Olive Branch, MS 38654-8737 |
| Nerma B Scharr | Anesthesiology | Medical Anesthesia Group, Pa | 4250 Bethel Rd, Olive Branch, MS 38654-8737 |
| Jennifer Boals | Diagnostic Radiology | Memphis Radiological PC | 4250 Bethel Rd, Olive Branch, MS 38654-8737 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nathan Musso | Physical Therapy | Agilitas Usa Inc | 8110 Camp Creek Rd, Suite 106, Olive Branch, MS 38654-1622 |
| Clare E Benson | Physical Therapy | Agilitas Usa Inc | 8110 Camp Creek Rd, Suite 106, Olive Branch, MS 38654-1622 |
| Shavon Conerly | Physical Therapy | Agilitas Usa Inc | 8110 Camp Creek Rd, Suite 106, Olive Branch, MS 38654-1622 |
| Steven Hopkins | Physical Therapy | Agilitas Usa Inc | 8110 Camp Creek Rd, Suite 106, Olive Branch, MS 38654-1622 |
| Nicholas Bailey | Physical Therapy | Agilitas Usa Inc | 8110 Camp Creek Rd, Suite 106, Olive Branch, MS 38654-1622 |
| Emily Michele Terrell | Physical Therapy | Agilitas Usa Inc | 8110 Camp Creek Rd, Suite 106, Olive Branch, MS 38654-1622 |
| John H Desutter | Chiropractic | 9659 Goodman Rd, Olive Branch, MS 38654-1725 | |
| Vickie D Long | Nurse Practitioner | 9684 Old Goodman Rd, Olive Branch, MS 38654-1726 | |
| Jennifer C Sanders | Nurse Practitioner | Primary Care Group, LLC | 7163 Goodman Rd, Olive Branch, MS 38654-1904 |
| Shailesh Patel | Internal Medicine | Primary Care Group, LLC | 7163 Goodman Rd, Olive Branch, MS 38654-1904 |
| Find all physicians in zip 38654 | |||
| City | OLIVE BRANCH |
| Zip Code | 38654 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | OLIVE BRANCH + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Jeffrey A Blalack.
| 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.