Keith G Goodfellow (NPI# 1164573515, PAC ID# 8729162425) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1164573515 |
| PAC ID by PECOS | 8729162425 |
| Professional Enrollment ID | I20080219000576 |
| Full Name | Keith G Goodfellow |
| Organization Legal Name | BILOXI HMA PHYSICIAN MANAGEMENT LLC |
| Address |
147 Reynoir St Biloxi MS 39530-4119 |
| Gender | M |
| Medical School | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS |
| Graduation Year | 1990 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 4880690288 |
| Number of Group Practice Members | 28 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250007 | MERIT HEALTH BILOXI |
| 250019 | MEMORIAL HOSPITAL AT GULFPORT |
| Address | Phone | Organization |
|---|---|---|
| 147 Reynoir St, Biloxi, MS 39530-4119 | BILOXI HMA PHYSICIAN MANAGEMENT LLC | |
| 1720 B Medical Park Dr, Biloxi, MS 39532-2131 | 2287022000 | BILOXI HMA PHYSICIAN MANAGEMENT LLC |
| 1732 Medical Park Dr, Biloxi, MS 39532-2131 | 2283142510 | BILOXI HMA PHYSICIAN MANAGEMENT LLC |
| Organization Legal Name | BILOXI HMA PHYSICIAN MANAGEMENT LLC |
| Physicians | 26 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brandy Lynn Westman | Nurse Practitioner | Biloxi Hma Physician Management LLC | 1107 Cowan Rd, Gulfport, MS 39507-3442 |
| Molly B Brown | Nurse Practitioner | Biloxi Hma Physician Management LLC | 967 Cedar Lake Rd, Suite B, Biloxi, MS 39532-2128 |
| Tana K Cooper | Family Medicine | Biloxi Hma Physician Management LLC | 147 Reynoir St, Biloxi, MS 39530-4121 |
| Hope Burkett | Family Medicine | Biloxi Hma Physician Management LLC | 147 Reynoir St, Biloxi, MS 39530-4121 |
| John D Patterson | Certified Registered Nurse Anesthetist (crna) | Biloxi Hma Physician Management LLC | 147 Reynoir St, Biloxi, MS 39530-4121 |
| Joshua Tyler | General Surgery | Biloxi Hma Physician Management LLC | 147 Reynoir St, Suite 306, Biloxi, MS 39530-4123 |
| Hoyet Arlon Hand | Family Medicine | Biloxi Hma Physician Management LLC | 967 Cedar Lake Rd, Suite B, Biloxi, MS 39532-2128 |
| Matthew J Chiniche | Certified Registered Nurse Anesthetist (crna) | Biloxi Hma Physician Management LLC | 150 Reynoir St, Biloxi, MS 39530-4130 |
| Ramon A Brown | General Surgery | Biloxi Hma Physician Management LLC | 147 Reynoir St, Suite 200, Biloxi, MS 39530-4121 |
| Johnny V Mohan | Certified Registered Nurse Anesthetist (crna) | Biloxi Hma Physician Management LLC | 147 Reynoir St, Biloxi, MS 39530-4121 |
| Street Address |
147 REYNOIR ST |
| City | BILOXI |
| State | MS |
| Zip | 39530-4119 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael J Christie | Obstetrics/gynecology | 147 Reynoir St, Suite 102, Biloxi, MS 39530-4119 | |
| Bennett W Cheney | Internal Medicine | Biloxi Internal Medicine Clinic Pa | 147 Reynoir St, Suite 101, Biloxi, MS 39530-4119 |
| Nicholas J Fayard | General Surgery | South Mississippi Surgeons | 147 Reynoir St, Suite 306, Biloxi, MS 39530-4123 |
| Courtney E Meredith | Obstetrics/gynecology | Biloxi Ob Gyn Clinic | 147 Reynoir St, Suite 105, Biloxi, MS 39530-4119 |
| Tana K Cooper | Family Medicine | Biloxi Hma Physician Management LLC | 147 Reynoir St, Biloxi, MS 39530-4121 |
| Hope Burkett | Family Medicine | Biloxi Hma Physician Management LLC | 147 Reynoir St, Biloxi, MS 39530-4121 |
| John D Patterson | Certified Registered Nurse Anesthetist (crna) | Biloxi Hma Physician Management LLC | 147 Reynoir St, Biloxi, MS 39530-4121 |
| Joshua Tyler | General Surgery | Biloxi Hma Physician Management LLC | 147 Reynoir St, Suite 306, Biloxi, MS 39530-4123 |
| Stephen C Jones | Obstetrics/gynecology | Biloxi Ob Gyn Clinic | 147 Reynoir St, Suite 105, Biloxi, MS 39530-4119 |
| Leslie B Gray | General Surgery | South Mississippi Surgeons | 147 Reynoir St, Suite 306, Biloxi, MS 39530-4123 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ramona Lanea Williams | Nurse Practitioner | Coastal Family Health Center Inc | 715 A Division St, Biloxi, MS 39530-2209 |
| April Norwood | Nurse Practitioner | Coastal Family Health Center Inc | 715 A Division St, Biloxi, MS 39530-2209 |
| Angelos Vamvakas | Psychiatry | Coastal Family Health Center Inc | 715 A Division St, Biloxi, MS 39530-2209 |
| Jaime Denise Hallman | Nurse Practitioner | Coastal Family Health Center Inc | 715 A Division St, Biloxi, MS 39530-2209 |
| Melody Horton-drummond | Nurse Practitioner | Antigen Solutions LLC | 1025 Division St, Suite D, Biloxi, MS 39530-2910 |
| William S Ross | Family Practice | Coastal Family Health Center Inc | 1046 Division St, Biloxi, MS 39530-2935 |
| Deborah K Flagg | Nurse Practitioner | Coastal Family Health Center Inc | 1046 Division St, Biloxi, MS 39530-2935 |
| Sarilyn R Freeman | Nurse Practitioner | Coastal Family Health Center, Inc | 1046 Division St, Biloxi, MS 39530-2935 |
| Rolando S Barnes | Family Medicine | 201 Lameuse St, Biloxi, MS 39530-3107 | |
| Phillip L Barnes | Family Medicine | 201 Lameuse St, Biloxi, MS 39530-3107 | |
| Find all physicians in zip 39530 | |||
| City | BILOXI |
| Zip Code | 39530 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | BILOXI + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Keith G Goodfellow.
| 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.