George R Bush (NPI# 1093740920, PAC ID# 6709927593) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1093740920 |
| PAC ID by PECOS | 6709927593 |
| Professional Enrollment ID | I20091230000251 |
| Full Name | George R Bush |
| Organization Legal Name | FIRST INTERMED CORPORATION |
| Address |
5606 Old Canton Rd Jackson MS 39211-4217 |
| Phone Number | 6019573333 |
| Gender | M |
| Medical School | UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE |
| Graduation Year | 1971 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 5294629895 |
| Number of Group Practice Members | 49 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 5606 Old Canton Rd, Jackson, MS 39211-4217 | 6019573333 | FIRST INTERMED CORPORATION |
| Organization Legal Name | FIRST INTERMED CORPORATION |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mandeep K Bajwa | Family Practice | First Intermed Corporation | 4204 Clay St, Vicksburg, MS 39183-3438 |
| Elizabeth B Hill | Nurse Practitioner | First Intermed Corporation | 5606 Old Canton Rd, Jackson, MS 39211-4217 |
| Nancy Collins | Emergency Medicine | First Intermed Corporation | 5606 Old Canton Rd, Jackson, MS 39211-4217 |
| Street Address |
5606 OLD CANTON RD |
| City | JACKSON |
| State | MS |
| Zip | 39211-4217 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Diana Lynn Entrekin | Family Medicine | Mea Primary Care Plus, LLC | 5606 Old Canton Rd, Jackson, MS 39211-4217 |
| David S. Joe | Family Medicine | Mea Primary Care Plus, LLC | 5606 Old Canton Rd, Jackson, MS 39211-4217 |
| William P Howard | Family Medicine | Mea Primary Care Plus, LLC | 5606 Old Canton Rd, Jackson, MS 39211-4217 |
| William Grantham | Family Medicine | Mea Primary Care Plus, LLC | 5606 Old Canton Rd, Jackson, MS 39211-4217 |
| Frank Koe | Emergency Medicine | Mea Primary Care Plus, LLC | 5606 Old Canton Rd, Jackson, MS 39211-4217 |
| Joe Walter Terry Iii | Family Medicine | Mea Primary Care Plus, LLC | 5606 Old Canton Rd, Jackson, MS 39211-4217 |
| Patrick D Whipple | Family Medicine | Mea Primary Care Plus, LLC | 5606 Old Canton Rd, Jackson, MS 39211-4217 |
| Bradley Suggs | Family Medicine | Mea Primary Care Plus, LLC | 5606 Old Canton Rd, Jackson, MS 39211-4217 |
| Larry Wayne Sivils | Family Medicine | Mea Primary Care Plus, LLC | 5606 Old Canton Rd, Jackson, MS 39211-4217 |
| Stephen A Coachys | Family Medicine | Mea Primary Care Plus, LLC | 5606 Old Canton Rd, Jackson, MS 39211-4217 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christy L Davis | Nurse Practitioner | East Endocrine and Metabolism Pllc | 1551 E County Line Rd, Jackson, MS 39211-1801 |
| Sagar H Patel | Psychiatry | 1059 Ridgewood Pl B, Jackson, MS 39211-2018 | |
| Susan F Snyder | Clinical Social Worker | Ridgewood Clinics Pa | 1059 Ridgewood Pl, Jackson, MS 39211-2018 |
| Nokita T Jones | Nurse Practitioner | Ridgewood Clinics Pa | 1059 Ridgewood Pl, Jackson, MS 39211-2018 |
| Keiella Butler | Nurse Practitioner | Ridgewood Clinics Pa | 1059 Ridgewood Pl, Jackson, MS 39211-2018 |
| Claire Tyler | Clinical Social Worker | Ridgewood Clinics Pa | 1059 Ridgewood Pl, Jackson, MS 39211-2018 |
| Tanita Martin | Clinical Social Worker | Ridgewood Clinics Pa | 1059 Ridgewood Pl, Jackson, MS 39211-2018 |
| Dinesh K Goel | Family Medicine | 6050 I 55 N E Frontage Rd, Medical Clinic of Mississippi, Jackson, MS 39211-2461 | |
| Charles A Benford Sr. | Physical Therapy | 5888 Ridgewood Rd B, Jackson, MS 39211-2644 | |
| Tiffany Sutton | Physical Therapy | Medical Foundation of Central Mississippi Inc | 6250 Old Canton Rd, Jackson, MS 39211-2946 |
| Find all physicians in zip 39211 | |||
| City | JACKSON |
| Zip Code | 39211 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | JACKSON + FAMILY PRACTICE |
Please comment or provide details below to improve the information on George R Bush.
| 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.