Ki Mun Chang (NPI# 1649363656, PAC ID# 8628252731) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1649363656 |
| PAC ID by PECOS | 8628252731 |
| Professional Enrollment ID | I20110414000698 |
| Full Name | Ki Mun Chang |
| Organization Legal Name | BAPTIST MEMORIAL MEDICAL GROUP, INC. |
| Address |
7165 Getwell Rd Bldg F Southaven MS 38672-9619 |
| Phone Number | 6623493206 |
| Gender | M |
| Medical School | MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE |
| Graduation Year | 1987 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 5193610228 |
| Number of Group Practice Members | 338 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250141 | BAPTIST MEMORIAL HOSPITAL DESOTO |
| 440048 | BAPTIST MEMORIAL HOSPITAL |
| 250167 | METHODIST HEALTHCARE - OLIVE BRANCH HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 8040 Wolf River Blvd, Suite 200, Germantown, TN 38138-1775 | 9017260200 | BAPTIST MEMORIAL MEDICAL GROUP, INC. |
| 8970 Winchester Rd, Memphis, TN 38125-8231 | 9017945806 | BAPTIST MEMORIAL MEDICAL GROUP, INC. |
| 7165 Getwell Rd, Bldg F, Southaven, MS 38672-9619 | 6623493206 | BAPTIST MEMORIAL MEDICAL GROUP, INC. |
| Organization Legal Name | BAPTIST MEMORIAL MEDICAL GROUP, INC. |
| Physicians | 323 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Connie Harris Scurti | Internal Medicine | Baptist Memorial Medical Group, Inc. | 255 Baptist Blvd, Columbus, MS 39705-2006 |
| Joseph Andrew Freeman | Family Medicine | Baptist Memorial Medical Group, Inc. | 1995 Hwy 51 S 203, Covington, TN 38019-3655 |
| Robert Alejo Armada | Obstetrics/gynecology | Baptist Memorial Medical Group, Inc. | 1312 Bishop St, Union City, TN 38261-5406 |
| Jacob Drew Gaskin | Physical Therapy | Baptist Memorial Medical Group, Inc. | 1111 Union Ave, Memphis, TN 38104-6646 |
| Katherine E Waters | Nurse Practitioner | Baptist Memorial Medical Group, Inc. | 504 Azalea Dr, Suite A, Oxford, MS 38655-5397 |
| Carrington E Campbell | Nurse Practitioner | Baptist Memorial Medical Group, Inc. | 112 Medical Arts Dr, Calhoun City, MS 38916-9721 |
| Andrea Jones | Nurse Practitioner | Baptist Memorial Medical Group, Inc. | 6025 Walnut Grove Rd, Suite 627, Memphis, TN 38120-2126 |
| Jenny Doza | Physical Therapy | Baptist Memorial Medical Group, Inc. | 2100 Exeter Rd, Germantown, TN 38138-3966 |
| Jeana L Whitacre | Nurse Practitioner | Baptist Memorial Medical Group, Inc. | 2402 5th St N, Columbus, MS 39705-2000 |
| Jennifer B. Warren | Nurse Practitioner | Baptist Memorial Medical Group, Inc. | 7736 Airways Blvd, Southaven, MS 38671-5306 |
| Street Address |
7165 GETWELL RD BLDG F |
| City | SOUTHAVEN |
| State | MS |
| Zip | 38672-9619 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey J Cunningham | Otolaryngology | Northwest Mississippi Otolaryngology Head and Neck Surgery, LLC | 7165 Getwell Rd, Suite 1, Southaven, MS 38672-9618 |
| Julie A Gardino | Qualified Audiologist | Northwest Mississippi Otolaryngology Head and Neck Surgery, LLC | 7165 Getwell Rd, Suite 1, Southaven, MS 38672-9618 |
| Amanda R Cunningham | Endocrinology | 7165 Getwell Rd, H, Southaven, MS 38672-9618 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deborah A Verucchi | Nurse Practitioner | The Women's Clinic At The Grove | 5740 Getwell Rd, Suite B, Southaven, MS 38672-6346 |
| Jennifer B Fredrickson | Nurse Practitioner | The Women's Clinic At The Grove | 5740 Getwell Rd, Suite B, Southaven, MS 38672-6346 |
| William Earl Owens Iv | Neurology | 5740 Getwell Rd, Bldg 6 Suite D, Southaven, MS 38672-6346 | |
| Stacy L Sanders | Audiologist | 5740 Getwell Rd, Unit B, Southaven, MS 38672-6346 | |
| Steven B Roberts | Maxillofacial Surgery | North Mississippi Oral and Maxillofacial Surgery Associates, Pa | 5779 Getwell Rd, Suite 4, Southaven, MS 38672-6347 |
| Robert Appling | Podiatry | 5779 Getwell Rd, Bldg A, Southaven, MS 38672-6348 | |
| Amy R Graham | Physical Therapy | 3075 Goodman Rd E, Suite 7, Southaven, MS 38672-6359 | |
| Jennifer R Dunn | Nurse Practitioner | Getwell Urgent Care, LLC | 6752 Getwell Rd, Southaven, MS 38672-6403 |
| Linda Clark | Nurse Practitioner | Getwell Urgent Care, LLC | 6752 Getwell Rd, Southaven, MS 38672-6403 |
| Tracy J Smiley | Nurse Practitioner | Getwell Urgent Care, LLC | 6752 Getwell Rd, Southaven, MS 38672-6403 |
| Find all physicians in zip 38672 | |||
| City | SOUTHAVEN |
| Zip Code | 38672 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | SOUTHAVEN + INTERNAL 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.