Raun J Wetzel
SMB RADIOLOGY PA


Address: 14231 Seaway Rd, Suite 5003, Gulfport, MS 39503-4660
Phone: 2288644392

Raun J Wetzel (NPI# 1013179266, PAC ID# 9638319825) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.

Physician Overview

Nation Provider ID (NPI) 1013179266
PAC ID by PECOS 9638319825
Professional Enrollment ID I20130711000594
Full Name Raun J Wetzel
Organization Legal Name SMB RADIOLOGY PA
Address 14231 Seaway Rd
Suite 5003
Gulfport
MS 39503-4660
Phone Number 2288644392
Gender M
Graduation Year 2007
Primary Specialty DIAGNOSTIC RADIOLOGY
Group Practice PAC ID 9234136060
Number of Group Practice Members 12
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
250019 MEMORIAL HOSPITAL AT GULFPORT
250123 GARDEN PARK MEDICAL CENTER
250040 SINGING RIVER HOSPITAL

Other Locations

Address Phone Organization
14231 Seaway Rd, Suite 5003, Gulfport, MS 39503-4660 2288644392 SMB RADIOLOGY PA

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
MIPS_EC_076_overall Prevention of Central Venous Catheter (CVC) - Related Bloodstream Infections 100%
MIPS_EC_145_overall Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy 97%
MIPS_EC_225_overall Radiology: Reminder System for Screening Mammograms 99%
MIPS_EC_436_overall Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques 94%

Organization Information

Organization Legal Name SMB RADIOLOGY PA
Physicians 12

Physicians with the same organization

Name Specialty Organization Address
Eric D Lawson Diagnostic Radiology Smb Radiology Pa 4500 13th St, Gulfport, MS 39501-2515
Raymond E Tipton Jr. Diagnostic Radiology Smb Radiology Pa 4500 13th St, Gulfport, MS 39501-2515
Frank A Lovell Diagnostic Radiology Smb Radiology Pa 4500 13th St, Gulfport, MS 39501-2515
Daniel Adams Diagnostic Radiology Smb Radiology Pa 14231 Seaway Rd, Suite 5003, Gulfport, MS 39503-4660
Russell E Allman Jr. Diagnostic Radiology Smb Radiology Pa 14231 Seaway Rd, Suite 5003, Gulfport, MS 39503-4660
Clifton T Leatherbury Diagnostic Radiology Smb Radiology Pa 4500 13th St, Gulfport, MS 39501-2515
Michael J Diaz Diagnostic Radiology Smb Radiology Pa 4500 13th St, Gulfport, MS 39501-2515
Leena Pande Diagnostic Radiology Smb Radiology Pa 4500 13th St, Gulfport, MS 39501-2515
Richard P Hays Diagnostic Radiology Smb Radiology Pa 14231 Seaway Rd, Suite 5003, Gulfport, MS 39503-4660
Milton B Raines Diagnostic Radiology Smb Radiology Pa 4500 13th St, Gulfport, MS 39501-2515

Office Location

Street Address 14231 SEAWAY RD
SUITE 5003
City GULFPORT
State MS
Zip 39503-4660

Physicians in the same location

Name Specialty Organization Address
Paige C White Urology 14231 Seaway Rd, Suite 6000, Gulfport, MS 39503-4677
Donielle A Daigle Obstetrics/gynecology Premier Women's Health Pllc 14231 Seaway Rd, Suite 3004, Gulfport, MS 39503-4653
Daniel Adams Diagnostic Radiology Smb Radiology Pa 14231 Seaway Rd, Suite 5003, Gulfport, MS 39503-4660
Russell E Allman Jr. Diagnostic Radiology Smb Radiology Pa 14231 Seaway Rd, Suite 5003, Gulfport, MS 39503-4660
Elaine Kao Obstetrics/gynecology Premier Women's Health Pllc 14231 Seaway Rd, Suite 3004, Gulfport, MS 39503-4653
Michael A Mckay Obstetrics/gynecology Premier Women's Health Pllc 14231 Seaway Rd, Suite 3004, Gulfport, MS 39503-4653
Richard P Hays Diagnostic Radiology Smb Radiology Pa 14231 Seaway Rd, Suite 5003, Gulfport, MS 39503-4660
Cherry E Graves Nurse Practitioner Premier Women's Health Pllc 14231 Seaway Rd, Suite 3004, Gulfport, MS 39503-4653

Physicians in the same zip code

Name Specialty Organization Address
Jonathan Dwaine Brown Orthopedic Surgery Bienville Orthopaedic Specialists, LLC 15476 Dedeaux Rd, Suite B, Gulfport, MS 39503-2637
Clarence Ray Quave Jr. Physical Therapy Encore Rehabilitation Inc 15476 B Dedeaux Rd, Gulfport, MS 39503-2637
Cherryl D Purvis Nurse Practitioner Heart Hypertension Cholesterol and Diabetes Care LLC 15444 Dedeaux Rd, Suite B, Gulfport, MS 39503-2637
Joseph M Frame Physical Therapy 15444 Dedeaux Rd A, Gulfport, MS 39503-2637
Ricky D Roach Podiatry 15476 Dedeaux Rd, Gulfport, MS 39503-2637
Henry T Leis Orthopedic Surgery Bienville Orthopaedic Specialists, LLC 15476 Dedeaux Rd, Suite B, Gulfport, MS 39503-2637
Ophelia Abrahams Occupational Therapy Bienville Orthopaedic Specialists, LLC 15476 Dedeaux Rd, Suite B, Gulfport, MS 39503-2637
Jason Lowery Physician Assistant Bienville Orthopaedic Specialists, LLC 15476 Dedeaux Rd, Suite B, Gulfport, MS 39503-2637
Eric Jason Graham Orthopedic Surgery Bienville Orthopaedic Specialists, LLC 15476 Dedeaux Rd, Suite B, Gulfport, MS 39503-2637
Nicole Lynn Johnson Nurse Practitioner Bienville Orthopaedic Specialists, LLC 15476 Dedeaux Rd, Suite B, Gulfport, MS 39503-2637
Find all physicians in zip 39503

Competitor

Search similar physicians

City GULFPORT
Zip Code 39503
Specialty DIAGNOSTIC RADIOLOGY
City + Specialty GULFPORT + DIAGNOSTIC RADIOLOGY

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Dataset Information

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.

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