Phillip Blaine Ley (NPI# 1790890499, PAC ID# 8426182544) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1790890499 |
| PAC ID by PECOS | 8426182544 |
| Professional Enrollment ID | I20100811000683 |
| Full Name | Phillip Blaine Ley |
| Organization Legal Name | FLOWOOD RIVER OAKS HMA MEDICAL GROUP, LLC |
| Address |
1020 N Flowood Dr A Merit Health Surgical Oncology Flowood MS 39232-9532 |
| Phone Number | 6019336132 |
| Gender | M |
| Medical School | BAYLOR COLLEGE OF MEDICINE |
| Graduation Year | 1988 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 5890825004 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250136 | MERIT HEALTH WOMEN'S HOSPITAL |
| 250138 | MERIT HEALTH RIVER OAKS |
| 250102 | MISSISSIPPI BAPTIST MEDICAL CENTER |
| 250048 | ST DOMINIC-JACKSON MEMORIAL HOSPITAL |
| 250001 | UNIVERSITY OF MISSISSIPPI MED CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1020 N Flowood Dr, Suite A Merit Health Surgical Oncology, Flowood, MS 39232-9532 | 6019336132 | FLOWOOD RIVER OAKS HMA MEDICAL GROUP, LLC |
| 1020 N Flowood Dr A, Merit Health Surgical Oncology, Flowood, MS 39232-9532 | 6019336132 | FLOWOOD RIVER OAKS HMA MEDICAL GROUP, LLC |
| 1030 N Flowood Dr, Suite C Merit Health Surgical Oncology, Flowood, MS 39232-9532 | 6019336132 | FLOWOOD RIVER OAKS HMA MEDICAL GROUP, LLC |
| 1030 River Oaks Dr, Flowood, MS 39232-9553 | FLOWOOD RIVER OAKS HMA MEDICAL GROUP, LLC | |
| 1030 River Oaks Dr, Suite C, Flowood, MS 39232-9553 | 6019336132 | FLOWOOD RIVER OAKS HMA MEDICAL GROUP, LLC |
| 1038 River Oaks Dr, Jackson, MS 39232-9553 | 6019325244 | FLOWOOD RIVER OAKS HMA MEDICAL GROUP, LLC |
| Organization Legal Name | FLOWOOD RIVER OAKS HMA MEDICAL GROUP, LLC |
| Physicians | 17 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patrice M Buisson | Registered Dietitian Or Nutrition Professional | Flowood River Oaks Hma Medical Group, LLC | 2500 Flowood Dr, Suite 403, Flowood, MS 39232-9362 |
| James Kevin Bridges | Internal Medicine | Flowood River Oaks Hma Medical Group, LLC | 200 Key Dr, Madison, MS 39110-7361 |
| Christie C Hull | Nurse Practitioner | Flowood River Oaks Hma Medical Group, LLC | 7724 Old Canton Rd, Madison, MS 39110-9299 |
| Annette K Low | Internal Medicine | Flowood River Oaks Hma Medical Group, LLC | 1040 River Oaks Dr, Suite 304, Flowood, MS 39232-9530 |
| Robert A Sheely | Family Medicine | Flowood River Oaks Hma Medical Group, LLC | 1220 Northshore Pkwy A, Care Plus At The Reservoir, Brandon, MS 39047-6035 |
| David L Smith | Infectious Disease | Flowood River Oaks Hma Medical Group, LLC | 350 Crossgates Blvd, Brandon, MS 39042-2601 |
| Peter J Casano | Otolaryngology | Flowood River Oaks Hma Medical Group, LLC | 330 N Broad St, Forest, MS 39074-3508 |
| Cindy M Johnson | Qualified Audiologist | Flowood River Oaks Hma Medical Group, LLC | 1030 River Oaks Dr, Flowood, MS 39232-9553 |
| Charles R Cannon | Otolaryngology | Flowood River Oaks Hma Medical Group, LLC | 1030 River Oaks Dr, Flowood, MS 39232-9553 |
| Aaron S Katzenmeyer | Nurse Practitioner | Flowood River Oaks Hma Medical Group, LLC | 7724 Old Canton Rd, Madison, MS 39110-9299 |
| Street Address |
1020 N FLOWOOD DR A MERIT HEALTH SURGICAL ONCOLOGY |
| City | FLOWOOD |
| State | MS |
| Zip | 39232-9532 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Madina C Dixon | Nurse Practitioner | Flowood River Oaks Hma Medical Group, LLC | 1020 N Flowood Dr A, Merit Health Surgical Oncology, Flowood, MS 39232-9532 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James K Hensarling | Rheumatology | 4436 Mangum Dr A, Flowood, MS 39232-2113 | |
| Charles Bradley Edmondson | Physical Therapy | Agilitas Usa Inc | 330 Ridge Way, Results Physiotherapy, Flowood, MS 39232-3306 |
| Cortni Cooper | Physical Therapy | Agilitas Usa Inc | 330 Ridge Way, Results Physiotherapy, Flowood, MS 39232-3306 |
| Latoya Green | Physical Therapy | Agilitas Usa Inc | 330 Ridge Way, Flowood, MS 39232-3306 |
| Leah Calder | Physician Assistant | Belle Meade Medical LLC | 108 Belle Meade Pt, Flowood, MS 39232-3308 |
| Miriam J Shatley | Dermatology | Belle Meade Medical LLC | 108 Belle Meade Pt, Flowood, MS 39232-3308 |
| Anna C Asher | Dermatology | Belle Meade Medical LLC | 108 Belle Meade Pt, Flowood, MS 39232-3308 |
| Audra Lewis | Nurse Practitioner | Ms Phs LLC | 232 Market St, Flowood, MS 39232-3339 |
| Okshoon Scott | Nurse Practitioner | Segue Health of Mississippi LLC | 232 Market St, Flowood, MS 39232-3339 |
| Denise Gossett | Nurse Practitioner | Segue Health of Mississippi LLC | 232 Market St, Flowood, MS 39232-3339 |
| Find all physicians in zip 39232 | |||
| City | FLOWOOD |
| Zip Code | 39232 |
| Specialty | GENERAL SURGERY |
| City + Specialty | FLOWOOD + GENERAL SURGERY |
Please comment or provide details below to improve the information on Phillip Blaine Ley.
| 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.