Anthony Bedear Petro (NPI# 1487769154, PAC ID# 5193776961) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
Nation Provider ID (NPI) | 1487769154 |
PAC ID by PECOS | 5193776961 |
Professional Enrollment ID | I20100813000574 |
Full Name | Anthony Bedear Petro |
Organization Legal Name | THE SURGICAL CLINIC ASSOCIATES, P.A. |
Address |
501 Marshall St Suite 500 Jackson MS 39202-1615 |
Phone Number | 6019481411 |
Gender | M |
Medical School | UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE |
Graduation Year | 1969 |
Primary Specialty | GENERAL SURGERY |
Group Practice PAC ID | 4082687058 |
Number of Group Practice Members | 8 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
250102 | MISSISSIPPI BAPTIST MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
501 Marshall St, Suite 500, Jackson, MS 39202-1615 | 6019481411 | THE SURGICAL CLINIC ASSOCIATES, P.A. |
Organization Legal Name | THE SURGICAL CLINIC ASSOCIATES, P.A. |
Physicians | 8 |
Name | Specialty | Organization | Address |
---|---|---|---|
Gina E Heath | General Surgery | The Surgical Clinic Associates, P.a. | 501 Marshall St, Suite 500, Jackson, MS 39202-1615 |
George Edward Copeland Iii | General Surgery | The Surgical Clinic Associates, P.a. | 501 Marshall St, Suite 500, Jackson, MS 39202-1615 |
Erin R Cummins | General Surgery | The Surgical Clinic Associates, P.a. | 501 Marshall St, Suite 500, Jackson, MS 39202-1615 |
Jason G Murphy | General Surgery | The Surgical Clinic Associates, P.a. | 501 Marshall St, Suite 500, Jackson, MS 39202-1615 |
Nathan Dudley Maples | General Surgery | The Surgical Clinic Associates, P.a. | 501 Marshall St, Suite 500, Jackson, MS 39202-1615 |
Andrew Currier Mallette | General Surgery | The Surgical Clinic Associates, P.a. | 501 Marshall St, Suite 500, Jackson, MS 39202-1615 |
Alexander John Haick | General Surgery | The Surgical Clinic Associates, P.a. | 501 Marshall St, Suite 500, Jackson, MS 39202-1615 |
Street Address |
501 MARSHALL ST SUITE 500 |
City | JACKSON |
State | MS |
Zip | 39202-1615 |
Name | Specialty | Organization | Address |
---|---|---|---|
Michael C Livingston | Obstetrics/gynecology | 501 Marshall St, Suite 501, Jackson, MS 39202-1615 | |
Brittany A Little | Nurse Practitioner | Jackson Pulmonary Associates, Pa | 501 Marshall St, Suite 200, Jackson, MS 39202-1687 |
Gina E Heath | General Surgery | The Surgical Clinic Associates, P.a. | 501 Marshall St, Suite 500, Jackson, MS 39202-1615 |
Robert W Naef | Obstetrics/gynecology | 501 Marshall St, Suite 600, Jackson, MS 39202-1650 | |
Ashley M Johnson | Obstetrics/gynecology | The Womans Clinic of Ms Pllc | 501 Marshall St, Suite 400, Jackson, MS 39202-1687 |
Lindsey B Lassiter | Nurse Practitioner | Jackson Pulmonary Associates, Pa | 501 Marshall St, Suite 200, Jackson, MS 39202-1687 |
Laurie S Nimon | Nurse Practitioner | Southeast Urogyn LLC | 501 Marshall St, Suite 600, Jackson, MS 39202-1650 |
George Edward Copeland Iii | General Surgery | The Surgical Clinic Associates, P.a. | 501 Marshall St, Suite 500, Jackson, MS 39202-1615 |
Erin R Cummins | General Surgery | The Surgical Clinic Associates, P.a. | 501 Marshall St, Suite 500, Jackson, MS 39202-1615 |
Raymond L Portis | Internal Medicine | Jackson Pulmonary Associates, Pa | 501 Marshall St, Suite 200, Jackson, MS 39202-1687 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Jason G Murphy | General Surgery | The Surgical Clinic Associates, P.a. | 501 Marshall St, Suite 500, Jackson, MS 39202-1615 |
Nathan Dudley Maples | General Surgery | The Surgical Clinic Associates, P.a. | 501 Marshall St, Suite 500, Jackson, MS 39202-1615 |
Andrew Currier Mallette | General Surgery | The Surgical Clinic Associates, P.a. | 501 Marshall St, Suite 500, Jackson, MS 39202-1615 |
Alexander John Haick | General Surgery | The Surgical Clinic Associates, P.a. | 501 Marshall St, Suite 500, Jackson, MS 39202-1615 |
Martha D Dickens | Family Practice | Medical Foundation of Central Mississippi Inc | 501 Marshall St, Suite 500, Jackson, MS 39202-1615 |
Amanda Leigh Ellis | Nurse Practitioner | Southeast Urogyn LLC | 501 Marshall St, Suite 600, Jackson, MS 39202-1650 |
Steven E Speights | Obstetrics/gynecology | Southeast Urogyn LLC | 501 Marshall St, Suite 600, Jackson, MS 39202-1650 |
Sabra Sullivan | Dermatology | 501 Marshall St, Suite 606, Jackson, MS 39202-1650 | |
Robert L Harris | Obstetrics/gynecology | Southeast Urogyn LLC | 501 Marshall St, Suite 600, Jackson, MS 39202-1650 |
Leticia Otchere-darko | Anesthesiology | State of Mississippi-university of Mississippi Medical Center | 1421 N State St, Suite 203, Jackson, MS 39202-1658 |
Find all physicians in zip 39202 |
City | JACKSON |
Zip Code | 39202 |
Specialty | GENERAL SURGERY |
City + Specialty | JACKSON + GENERAL SURGERY |
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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.