Mark B Wall (NPI# 1053447268, PAC ID# 5193883569) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1053447268 |
| PAC ID by PECOS | 5193883569 |
| Professional Enrollment ID | I20110823000164 |
| Full Name | Mark B Wall |
| Organization Legal Name | GCI RADIOLOGY PLLC |
| Address |
150 Reynoir St Biloxi MS 39530-4130 |
| Phone Number | 2287317114 |
| Gender | M |
| Medical School | UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 4284997107 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250007 | MERIT HEALTH BILOXI |
| 010087 | UNIVERSITY OF SOUTH ALABAMA MEDICAL CENTER |
| 250019 | MEMORIAL HOSPITAL AT GULFPORT |
| 013301 | UNIVERSITY OF S A CHILDREN'S AND WOMEN'S HOS |
| Address | Phone | Organization |
|---|---|---|
| 150 Reynoir St, Biloxi, MS 39530-4130 | 2287317114 | GCI RADIOLOGY PLLC |
| 1660 Spring Hill Ave, Suite 3069, Mobile, AL 36604-1405 | 2514458405 | UNIVERSITY OF SOUTH ALABAMA |
| Organization Legal Name | GCI RADIOLOGY PLLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason B Crowder | Diagnostic Radiology | Gci Radiology Pllc | 150 Reynoir St, Biloxi, MS 39530-4130 |
| Street Address |
150 REYNOIR ST |
| City | BILOXI |
| State | MS |
| Zip | 39530-4130 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen W Baker | Internal Medicine | Mississippi Hma Hospitalists LLC | 150 Reynoir St, Biloxi, MS 39530-4130 |
| Amanda L Graham | Certified Registered Nurse Anesthetist (crna) | Biloxi Anesthesiology, Pllc | 150 Reynoir St, Biloxi, MS 39530-4130 |
| Jason B Crowder | Diagnostic Radiology | Gci Radiology Pllc | 150 Reynoir St, Biloxi, MS 39530-4130 |
| Mark S Brown | Ophthalmology | 150 Reynoir St, Biloxi, MS 39530-4130 | |
| Claire M Lakes | Nurse Practitioner | App of Mississippi Ed LLC | 150 Reynoir St, Biloxi, MS 39530-4130 |
| John G Carter | Anesthesiology | Biloxi Anesthesiology, Pllc | 150 Reynoir St, Biloxi, MS 39530-4130 |
| Thomas Mark Carter | Certified Registered Nurse Anesthetist (crna) | Biloxi Anesthesiology, Pllc | 150 Reynoir St, Biloxi, MS 39530-4130 |
| Matthew J Chiniche | Certified Registered Nurse Anesthetist (crna) | Biloxi Hma Physician Management LLC | 150 Reynoir St, Biloxi, MS 39530-4130 |
| John R Walli | Nurse Practitioner | 150 Reynoir St, Biloxi, MS 39530-4130 | |
| Michael J Yarborough | Anesthesiology | Biloxi Anesthesiology, Pllc | 150 Reynoir St, Biloxi, MS 39530-4130 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ramona Lanea Williams | Nurse Practitioner | Coastal Family Health Center Inc | 715 A Division St, Biloxi, MS 39530-2209 |
| April Norwood | Nurse Practitioner | Coastal Family Health Center Inc | 715 A Division St, Biloxi, MS 39530-2209 |
| Angelos Vamvakas | Psychiatry | Coastal Family Health Center Inc | 715 A Division St, Biloxi, MS 39530-2209 |
| Jaime Denise Hallman | Nurse Practitioner | Coastal Family Health Center Inc | 715 A Division St, Biloxi, MS 39530-2209 |
| Melody Horton-drummond | Nurse Practitioner | Antigen Solutions LLC | 1025 Division St, Suite D, Biloxi, MS 39530-2910 |
| William S Ross | Family Practice | Coastal Family Health Center Inc | 1046 Division St, Biloxi, MS 39530-2935 |
| Deborah K Flagg | Nurse Practitioner | Coastal Family Health Center Inc | 1046 Division St, Biloxi, MS 39530-2935 |
| Sarilyn R Freeman | Nurse Practitioner | Coastal Family Health Center, Inc | 1046 Division St, Biloxi, MS 39530-2935 |
| Rolando S Barnes | Family Medicine | 201 Lameuse St, Biloxi, MS 39530-3107 | |
| Phillip L Barnes | Family Medicine | 201 Lameuse St, Biloxi, MS 39530-3107 | |
| Find all physicians in zip 39530 | |||
| City | BILOXI |
| Zip Code | 39530 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | BILOXI + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Mark B Wall.
| 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.