Stephen B Shoop (NPI# 1598700577, PAC ID# 5092707851) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OSTEOPATHIC MANIPULATIVE MEDICINE.
| Nation Provider ID (NPI) | 1598700577 |
| PAC ID by PECOS | 5092707851 |
| Professional Enrollment ID | I20040401000118 |
| Full Name | Stephen B Shoop |
| Organization Legal Name | MISSISSIPPI STATE HOSPITAL WHITFIELD |
| Address |
350 Capers Ave Jackson MS 39203-2131 |
| Phone Number | 6013518004 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1993 |
| Primary Specialty | OSTEOPATHIC MANIPULATIVE MEDICINE |
| Group Practice PAC ID | 5294727533 |
| Number of Group Practice Members | 21 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250134 | WHITFIELD MEDICAL SURGICAL HOSPITAL |
| 250096 | CROSSGATES RIVER OAKS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 350 Capers Ave, Jackson, MS 39203-2131 | 6013518004 | MISSISSIPPI STATE HOSPITAL WHITFIELD |
| Organization Legal Name | MISSISSIPPI STATE HOSPITAL WHITFIELD |
| Physicians | 19 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen W Commiskey | Anesthesiology | Mississippi State Hospital Whitfield | 3550 Hwy 468 W, Po Box 157 A, Whitfield, MS 39193-0178 |
| Richard J Aubert Jr. | Psychiatry | Mississippi State Hospital Whitfield | 3550 Hwy 468 W, Po Box 157 A, Whitfield, MS 39193-0178 |
| John W Norton | Psychiatry | Mississippi State Hospital Whitfield | 3550 Hwy 468 W, Po Box 157 A, Whitfield, MS 39193-0178 |
| John L Kennedy Jr. | Anesthesiology | Mississippi State Hospital Whitfield | 3550 Hwy 468 W, Po Box 157 A, Whitfield, MS 39193-0178 |
| William D Coughlin | Family Medicine | Mississippi State Hospital Whitfield | 3550 Hwy 468 W, Po Box 157 A, Whitfield, MS 39193-0178 |
| John D Floyd | Anesthesiology | Mississippi State Hospital Whitfield | 3550 Hwy 468 W, Po Box 157 A, Whitfield, MS 39193-0178 |
| Zinat R Khandekar | Family Medicine | Mississippi State Hospital Whitfield | 3550 Hwy 468 W, Po Box 157 A, Whitfield, MS 39193-0178 |
| Kevin M Young | Family Medicine | Mississippi State Hospital Whitfield | 3550 Hwy 468 W, Po Box 157 A, Whitfield, MS 39193-0178 |
| Chasity L Torrence | Family Medicine | Mississippi State Hospital Whitfield | 3550 Hwy 468 W, Po Box 157 A, Whitfield, MS 39193-0178 |
| Mack D Woo | Anesthesiology | Mississippi State Hospital Whitfield | 3550 Hwy 468 W, Po Box 157 A, Whitfield, MS 39193-0178 |
| Street Address |
350 CAPERS AVE |
| City | JACKSON |
| State | MS |
| Zip | 39203-2131 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy D Shumaker | Psychiatry | Mississippi State Hospital Whitfield | 350 Capers Ave, Jackson, MS 39203-2131 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elaine Hargrove | Nurse Practitioner | Central Mississippi Civic Improvement Association, Inc | 327 S Gallatin St, Jackson, MS 39203-3514 |
| City | JACKSON |
| Zip Code | 39203 |
| Specialty | OSTEOPATHIC MANIPULATIVE MEDICINE |
| City + Specialty | JACKSON + OSTEOPATHIC MANIPULATIVE 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.