Paul H Moore (NPI# 1629098587, PAC ID# 5193806206) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1629098587 |
| PAC ID by PECOS | 5193806206 |
| Professional Enrollment ID | I20100617000282 |
| Full Name | Paul H Moore |
| Organization Legal Name | SINGING RIVER RADIOLOGY GROUP, PA |
| Address |
1365 Market St Pascagoula MS 39567-6698 |
| Phone Number | 6017621353 |
| Gender | M |
| Medical School | UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE |
| Graduation Year | 1976 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 6204847064 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250040 | SINGING RIVER HOSPITAL |
| 250019 | MEMORIAL HOSPITAL AT GULFPORT |
| 010087 | UNIVERSITY OF SOUTH ALABAMA MEDICAL CENTER |
| 250007 | MERIT HEALTH BILOXI |
| Address | Phone | Organization |
|---|---|---|
| 1365 Market St, Pascagoula, MS 39567-6698 | 6017621353 | SINGING RIVER RADIOLOGY GROUP, PA |
| Organization Legal Name | SINGING RIVER RADIOLOGY GROUP, PA |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Carter | Diagnostic Radiology | Singing River Radiology Group, Pa | 1720 A Medical Park Dr, Suite 110, Biloxi, MS 39532-2122 |
| Roland J Mestayer | Diagnostic Radiology | Singing River Radiology Group, Pa | 1720 A Medical Park Dr, Suite 110, Biloxi, MS 39532-2122 |
| Thurman N Polchow | Diagnostic Radiology | Singing River Radiology Group, Pa | 15012 Lemoyne Blvd, Biloxi, MS 39532-5205 |
| Charles Vaccaro Menendez Jr. | Diagnostic Radiology | Singing River Radiology Group, Pa | 1720 A Medical Park Dr, Suite 110, Biloxi, MS 39532-2122 |
| John A Banahan | Diagnostic Radiology | Singing River Radiology Group, Pa | 3109 Bienville Blvd, Ocean Springs, MS 39564-4361 |
| Street Address |
1365 MARKET ST |
| City | PASCAGOULA |
| State | MS |
| Zip | 39567-6698 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thayne Christopher Griener | Otolaryngology | 2812 Andrew Ave, Pascagoula, MS 39567-1802 | |
| Gilberto Patino | Cardiovascular Disease (cardiology) | Gulf Coast Heart Institute | 2917 Shortcut Rd, Pascagoula, MS 39567-1809 |
| Satjit Adlakha | Cardiovascular Disease (cardiology) | 3111 Shortcut Rd, Pascagoula, MS 39567-1811 | |
| Jennifer Susanne Neher | Clinical Social Worker | 5009 Telephone Rd, Pascagoula, MS 39567-1832 | |
| Lindsey Anne Brewer | Optometry | E Franklin Rawlings Md | 3111 Shortcut Rd, Pascagoula, MS 39567-1843 |
| Holly E Bowie | Optometry | E Franklin Rawlings Md | 3111 Shortcut Rd, Pascagoula, MS 39567-1843 |
| Stephen T Mcdavid | Family Medicine | South Mississippi Surgeons | 2525 Telephone Rd, Pascagoula, MS 39567-3202 |
| Patricia L Lewis | Nurse Practitioner | South Mississippi Surgeons | 2525 Telephone Rd, Pascagoula, MS 39567-3202 |
| Lashaunda R Whitley | Nurse Practitioner | South Mississippi Surgeons | 2525 Telephone Rd, Pascagoula, MS 39567-3202 |
| Tracie D George | Nurse Practitioner | South Mississippi Surgeons | 2525 Telephone Rd, Pascagoula, MS 39567-3202 |
| Find all physicians in zip 39567 | |||
| City | PASCAGOULA |
| Zip Code | 39567 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | PASCAGOULA + DIAGNOSTIC RADIOLOGY |
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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.