James Caulfield Leak (NPI# 1427086636, PAC ID# 7214845569) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1427086636 |
PAC ID by PECOS | 7214845569 |
Professional Enrollment ID | I20101014000034 |
Full Name | James Caulfield Leak |
Organization Legal Name | FIELD MEMORIAL COMMUNITY HOSPITAL |
Address |
434 N Captain Dr Gloster MS 39638 |
Phone Number | 6012254711 |
Gender | M |
Medical School | UNIVERSITY OF MIAMI SCHOOL OF MEDICINE |
Graduation Year | 1986 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 0547248544 |
Number of Group Practice Members | 19 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
251309 | FIELD HEALTH SYSTEM |
Address | Phone | Organization |
---|---|---|
434 N Captain Dr, Gloster, MS 39638 | 6012254711 | FIELD MEMORIAL COMMUNITY HOSPITAL |
Organization Legal Name | FIELD MEMORIAL COMMUNITY HOSPITAL |
Physicians | 17 |
Name | Specialty | Organization | Address |
---|---|---|---|
Ndeke Nyirenda | Family Medicine | Field Memorial Community Hospital | 178 Hwy 24 E, Centreville, MS 39631-4171 |
Pradeep Kumar Selvaraj | Internal Medicine | Field Memorial Community Hospital | 451 Bank St, Woodville, MS 39664-0876 |
Trinity J Mckenzie | Family Medicine | Field Memorial Community Hospital | 178 Hwy 24 E B, Field Specialty Clinic, Centreville, MS 39631-4171 |
Robert L Lewis | Internal Medicine | Field Memorial Community Hospital | 451 Bank St, Woodville, MS 39664-0876 |
James Lee Hawley | Nurse Practitioner | Field Memorial Community Hospital | 178 Hwy 24 E B, Field Specialty Clinic, Centreville, MS 39631-4171 |
David Burnell Mcgraw | Family Medicine | Field Memorial Community Hospital | 451 Bank St, Woodville, MS 39664-0876 |
Ricardo A Nimo | Internal Medicine | Field Memorial Community Hospital | 178 Hwy 24 E B, Field Specialty Clinic, Centreville, MS 39631-4171 |
Harold G Clausen | Cardiovascular Disease (cardiology) | Field Memorial Community Hospital | 178 Hwy 24 E B, Field Specialty Clinic, Centreville, MS 39631-4171 |
Richard J Field Iii | General Surgery | Field Memorial Community Hospital | 178 Hwy 24 E B, Field Specialty Clinic, Centreville, MS 39631-4171 |
Alicia F Randall | Clinical Social Worker | Field Memorial Community Hospital | 178 Hwy 24 E B, Field Specialty Clinic, Centreville, MS 39631-4171 |
Street Address |
434 N CAPTAIN DR |
City | GLOSTER |
State | MS |
Zip | 39638 |
City | GLOSTER |
Zip Code | 39638 |
Specialty | FAMILY MEDICINE |
City + Specialty | GLOSTER + FAMILY MEDICINE |
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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.