Donald G Mitema (NPI# 1053622142, PAC ID# 6608003512) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1053622142 |
| PAC ID by PECOS | 6608003512 |
| Professional Enrollment ID | I20160707000718 |
| Full Name | Donald G Mitema |
| Organization Legal Name | MURPHY S. MARTIN, M.D., PLLC |
| Address |
1600 N State St Suite 200 Jackson MS 39202-1689 |
| Phone Number | 6013263900 |
| Gender | M |
| Graduation Year | 2012 |
| Primary Specialty | NEPHROLOGY |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 4688712243 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250102 | MISSISSIPPI BAPTIST MEDICAL CENTER |
| 251336 | BAPTIST MEDICAL CENTER ATTALA |
| 251313 | BAPTIST MEDICAL CENTER YAZOO |
| 250124 | MAGEE GENERAL HOSPITAL |
| 251315 | BAPTIST MEDICAL CENTER-LEAKE |
| Address | Phone | Organization |
|---|---|---|
| 1600 N State St, Suite 200, Jackson, MS 39202-1689 | 6013263900 | MURPHY S. MARTIN, M.D., PLLC |
| Organization Legal Name | MURPHY S. MARTIN, M.D., PLLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa D Slade | Nurse Practitioner | Murphy S. Martin, M.d., Pllc | 1600 N State St, Suite 200, Jackson, MS 39202-1689 |
| Carla G Monico | Nephrology | Murphy S. Martin, M.d., Pllc | 1600 N State St, Suite 200, Jackson, MS 39202-1689 |
| Murphy S Martin | Nephrology | Murphy S. Martin, M.d., Pllc | 1600 N State St, Suite 200, Jackson, MS 39202-1689 |
| Street Address |
1600 N STATE ST SUITE 200 |
| City | JACKSON |
| State | MS |
| Zip | 39202-1689 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa D Slade | Nurse Practitioner | Murphy S. Martin, M.d., Pllc | 1600 N State St, Suite 200, Jackson, MS 39202-1689 |
| Kendall T Blake | Orthopedic Surgery | 1600 N State St, Suite 400, Jackson, MS 39202-1689 | |
| Carla G Monico | Nephrology | Murphy S. Martin, M.d., Pllc | 1600 N State St, Suite 200, Jackson, MS 39202-1689 |
| Murphy S Martin | Nephrology | Murphy S. Martin, M.d., Pllc | 1600 N State St, Suite 200, Jackson, MS 39202-1689 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael C Livingston | Obstetrics/gynecology | 501 Marshall St, Suite 501, Jackson, MS 39202-1615 | |
| 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 |
| Anthony Bedear Petro | 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 |
| Martha D Dickens | Family Practice | Medical Foundation of Central Mississippi Inc | 501 Marshall St, Suite 500, Jackson, MS 39202-1615 |
| Find all physicians in zip 39202 | |||
| City | JACKSON |
| Zip Code | 39202 |
| Specialty | NEPHROLOGY |
| City + Specialty | JACKSON + NEPHROLOGY |
Please comment or provide details below to improve the information on Donald G Mitema.
| 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.