Kassie L Stafford
THE DERMATOLOGY CLINIC, PLLC


Address: 11295 E Taylor Rd, Gulfport, MS 39503-4197
Phone: 2288643300

Kassie L Stafford (NPI# 1245567775, PAC ID# 5991833675) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.

Physician Overview

Nation Provider ID (NPI) 1245567775
PAC ID by PECOS 5991833675
Professional Enrollment ID I20100518000215
Full Name Kassie L Stafford
Organization Legal Name THE DERMATOLOGY CLINIC, PLLC
Address 11295 E Taylor Rd
Gulfport
MS 39503-4197
Phone Number 2288643300
Gender F
Graduation Year 2009
Primary Specialty PHYSICIAN ASSISTANT
Group Practice PAC ID 8123129673
Number of Group Practice Members 4
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
250040 SINGING RIVER HOSPITAL

Other Locations

Address Phone Organization
11295 E Taylor Rd, Gulfport, MS 39503-4197 2288643300 THE DERMATOLOGY CLINIC, PLLC

Organization Information

Organization Legal Name THE DERMATOLOGY CLINIC, PLLC
Physicians 4

Physicians with the same organization

Name Specialty Organization Address
Emily A Burger Physician Assistant The Dermatology Clinic, Pllc 11295 E Taylor Rd, Gulfport, MS 39503-4197
Barbra E Leahy Physician Assistant The Dermatology Clinic, Pllc 11295 E Taylor Rd, Gulfport, MS 39503-4197
Angela B Wingfield Dermatology The Dermatology Clinic, Pllc 11295 E Taylor Rd, Gulfport, MS 39503-4197

Office Location

Street Address 11295 E TAYLOR RD
City GULFPORT
State MS
Zip 39503-4197

Physicians in the same location

Name Specialty Organization Address
Emily A Burger Physician Assistant The Dermatology Clinic, Pllc 11295 E Taylor Rd, Gulfport, MS 39503-4197
Barbra E Leahy Physician Assistant The Dermatology Clinic, Pllc 11295 E Taylor Rd, Gulfport, MS 39503-4197
Angela B Wingfield Dermatology The Dermatology Clinic, Pllc 11295 E Taylor Rd, Gulfport, MS 39503-4197

Physicians in the same zip code

Name Specialty Organization Address
Jonathan Dwaine Brown Orthopedic Surgery Bienville Orthopaedic Specialists, LLC 15476 Dedeaux Rd, Suite B, Gulfport, MS 39503-2637
Clarence Ray Quave Jr. Physical Therapy Encore Rehabilitation Inc 15476 B Dedeaux Rd, Gulfport, MS 39503-2637
Cherryl D Purvis Nurse Practitioner Heart Hypertension Cholesterol and Diabetes Care LLC 15444 Dedeaux Rd, Suite B, Gulfport, MS 39503-2637
Joseph M Frame Physical Therapy 15444 Dedeaux Rd A, Gulfport, MS 39503-2637
Ricky D Roach Podiatry 15476 Dedeaux Rd, Gulfport, MS 39503-2637
Henry T Leis Orthopedic Surgery Bienville Orthopaedic Specialists, LLC 15476 Dedeaux Rd, Suite B, Gulfport, MS 39503-2637
Ophelia Abrahams Occupational Therapy Bienville Orthopaedic Specialists, LLC 15476 Dedeaux Rd, Suite B, Gulfport, MS 39503-2637
Jason Lowery Physician Assistant Bienville Orthopaedic Specialists, LLC 15476 Dedeaux Rd, Suite B, Gulfport, MS 39503-2637
Eric Jason Graham Orthopedic Surgery Bienville Orthopaedic Specialists, LLC 15476 Dedeaux Rd, Suite B, Gulfport, MS 39503-2637
Nicole Lynn Johnson Nurse Practitioner Bienville Orthopaedic Specialists, LLC 15476 Dedeaux Rd, Suite B, Gulfport, MS 39503-2637
Find all physicians in zip 39503

Competitor

Search similar physicians

City GULFPORT
Zip Code 39503
Specialty PHYSICIAN ASSISTANT
City + Specialty GULFPORT + PHYSICIAN ASSISTANT

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Dataset Information

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.

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