Rudolph S Runnels Sr. (NPI# 1881651131, PAC ID# 6901716166) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
Nation Provider ID (NPI) | 1881651131 |
PAC ID by PECOS | 6901716166 |
Professional Enrollment ID | I20100319000011 |
Full Name | Rudolph S Runnels Sr. |
Organization Legal Name | MAGEE BENEVOLENT ASSOCIATION |
Address |
300 3rd Ave Se Northwing Sleep Lab Magee MS 39111-3665 |
Phone Number | 6018497702 |
Gender | M |
Medical School | UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE |
Graduation Year | 1978 |
Primary Specialty | GENERAL PRACTICE |
Secondary Specialties | SLEEP MEDICINE |
Group Practice PAC ID | 3678466463 |
Number of Group Practice Members | 9 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
250124 | MAGEE GENERAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
300 3rd Ave Se Northwing, Sleep Lab, Magee, MS 39111-3665 | 6018497702 | MAGEE BENEVOLENT ASSOCIATION |
Organization Legal Name | MAGEE BENEVOLENT ASSOCIATION |
Physicians | 7 |
Name | Specialty | Organization | Address |
---|---|---|---|
William J Bass | Nurse Practitioner | Magee Benevolent Association | 300 3rd Ave Se, Magee General Hosptial, Magee, MS 39111-3698 |
David Shane Johnson | Physician Assistant | Magee Benevolent Association | 360 Simpson Hwy 149 360, Magee, MS 39111-3843 |
George E Gillespie Iii | Emergency Medicine | Magee Benevolent Association | 300 3rd Ave Se, Magee General Hosptial, Magee, MS 39111-3698 |
Walter S Howard | Nurse Practitioner | Magee Benevolent Association | 300 3rd Ave Se, Magee General Hosptial, Magee, MS 39111-3698 |
Robin Sullivan Hardin | Nurse Practitioner | Magee Benevolent Association | 300 3rd Ave Se, Magee General Hosptial, Magee, MS 39111-3698 |
Bailey J Ferguson | Diagnostic Radiology | Magee Benevolent Association | 300 3rd Ave Se Northwing, Sleep Lab, Magee, MS 39111-3665 |
Street Address |
300 3RD AVE SE NORTHWING SLEEP LAB |
City | MAGEE |
State | MS |
Zip | 39111-3665 |
Name | Specialty | Organization | Address |
---|---|---|---|
Bailey J Ferguson | Diagnostic Radiology | Magee Benevolent Association | 300 3rd Ave Se Northwing, Sleep Lab, Magee, MS 39111-3665 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kathleen Patterson Phd | Psychologist, Clinical | 1119 1st Ave Ne, Magee, MS 39111-3111 | |
Mark A Runnels | Urology | Mississippi Urology Clinic Pllc | 300 3rd St Se, Ms Urology Clinic Pllc, Magee, MS 39111-3665 |
Maurice O Hinton | Certified Registered Nurse Anesthetist (crna) | Southern Anesthesia Inc | 300 Se 3rd Ave, Magee, MS 39111-3665 |
John B Lyon | Ophthalmology | 300 3rd Ave Se, Magee, MS 39111-3665 | |
Whitney J Peterson | Physician Assistant | Mississippi Urology Clinic Pllc | 300 3rd St Se, Ms Urology Clinic Pllc, Magee, MS 39111-3665 |
John D Adams Jr. | Urology | Mississippi Urology Clinic Pllc | 300 3rd St Se, Ms Urology Clinic Pllc, Magee, MS 39111-3665 |
Allen Mcneil Haraway | Urology | Mississippi Urology Clinic Pllc | 300 3rd St Se, Ms Urology Clinic Pllc, Magee, MS 39111-3665 |
Harold J Blalock | Urology | Mississippi Urology Clinic Pllc | 300 3rd St Se, Ms Urology Clinic Pllc, Magee, MS 39111-3665 |
William J Bass | Nurse Practitioner | Magee Benevolent Association | 300 3rd Ave Se, Magee General Hosptial, Magee, MS 39111-3698 |
George E Gillespie Iii | Emergency Medicine | Magee Benevolent Association | 300 3rd Ave Se, Magee General Hosptial, Magee, MS 39111-3698 |
Find all physicians in zip 39111 |
City | MAGEE |
Zip Code | 39111 |
Specialty | GENERAL PRACTICE |
City + Specialty | MAGEE + GENERAL PRACTICE |
Please comment or provide details below to improve the information on Rudolph S Runnels Sr..
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.