Edmund M Miller (NPI# 1689089203, PAC ID# 0042517666) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1689089203 |
| PAC ID by PECOS | 0042517666 |
| Professional Enrollment ID | I20160328000378 |
| Full Name | Edmund M Miller |
| Organization Legal Name | KEYSTONE MEDICAL SERVICES OF WEST POINT INC |
| Address |
150 Medical Ctr Dr West Point MS 39773-0428 |
| Phone Number | 9047953600 |
| Gender | M |
| Medical School | WILLIAM CAREY UNIV COL OF OSTEOPATHIC MEDICINE, HATTIESBURG MS |
| Graduation Year | 2014 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 0143518258 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250067 | CLAY COUNTY MEDICAL CORPORATION |
| 250004 | NORTH MISSISSIPPI MEDICAL CENTER |
| 250100 | BAPTIST MEM HOSP/ GOLDEN TRIANGLE INC |
| Address | Phone | Organization |
|---|---|---|
| 5062 Raymond Ave, Tupelo, MS 38801-8671 | 6625665593 | NORTH MISSISSIPPI MEDICAL CLINICS INC |
| 150 Medical Ctr Dr, West Point, MS 39773-0428 | 9047953600 | KEYSTONE MEDICAL SERVICES OF WEST POINT INC |
| 150 Medical Ctr Dr, West Point, MS 39773-0428 | 6624952300 | KEYSTONE HOSPITALIST SERVICES OF MS INC |
| Organization Legal Name | KEYSTONE MEDICAL SERVICES OF WEST POINT INC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kayla L Warner | Nurse Practitioner | Keystone Medical Services of West Point Inc | 150 Medical Ctr Dr, West Point, MS 39773-0428 |
| Erin A Barnes | Nurse Practitioner | Keystone Medical Services of West Point Inc | 150 Medical Ctr Dr, West Point, MS 39773-0428 |
| John R Browning | Family Medicine | Keystone Medical Services of West Point Inc | 150 Medical Ctr Dr, West Point, MS 39773-0428 |
| Obioma Ogbonna | Emergency Medicine | Keystone Medical Services of West Point Inc | 150 Medical Ctr Dr, West Point, MS 39773-0428 |
| Jordan Webster Steele | Family Medicine | Keystone Medical Services of West Point Inc | 150 Medical Ctr Dr, West Point, MS 39773-0428 |
| Albert Ndzengue | Internal Medicine | Keystone Medical Services of West Point Inc | 150 Medical Ctr Dr, West Point, MS 39773-0428 |
| Timothy J Murphy | Internal Medicine | Keystone Medical Services of West Point Inc | 150 Medical Ctr Dr, West Point, MS 39773-0428 |
| Danni Upperman | Nurse Practitioner | Keystone Medical Services of West Point Inc | 150 Medical Ctr Dr, West Point, MS 39773-0428 |
| Sandy Lieu | Family Medicine | Keystone Medical Services of West Point Inc | 150 Medical Ctr Dr, West Point, MS 39773-0428 |
| Street Address |
150 MEDICAL CTR DR |
| City | WEST POINT |
| State | MS |
| Zip | 39773-0428 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kayla L Warner | Nurse Practitioner | Keystone Medical Services of West Point Inc | 150 Medical Ctr Dr, West Point, MS 39773-0428 |
| Sarah M Powell | Nurse Practitioner | Clay County Medical Corporation | 150 Medical Ctr Dr, West Point, MS 39773-0428 |
| Erin A Barnes | Nurse Practitioner | Keystone Medical Services of West Point Inc | 150 Medical Ctr Dr, West Point, MS 39773-0428 |
| John R Browning | Family Medicine | Keystone Medical Services of West Point Inc | 150 Medical Ctr Dr, West Point, MS 39773-0428 |
| Obioma Ogbonna | Emergency Medicine | Keystone Medical Services of West Point Inc | 150 Medical Ctr Dr, West Point, MS 39773-0428 |
| Stacey S George | Certified Registered Nurse Anesthetist (crna) | Clay County Medical Corporation | 150 Medical Ctr Dr, West Point, MS 39773-0428 |
| Elisabeth Faith Hale | Certified Registered Nurse Anesthetist (crna) | Clay County Medical Corporation | 150 Medical Ctr Dr, West Point, MS 39773-0428 |
| Jordan Webster Steele | Family Medicine | Keystone Medical Services of West Point Inc | 150 Medical Ctr Dr, West Point, MS 39773-0428 |
| Robert S Chamblee | Certified Registered Nurse Anesthetist (crna) | Clay County Medical Corporation | 150 Medical Ctr Dr, West Point, MS 39773-0428 |
| Albert Ndzengue | Internal Medicine | Keystone Medical Services of West Point Inc | 150 Medical Ctr Dr, West Point, MS 39773-0428 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie B Lange | Nurse Practitioner | West Point Obgyn Pa | 116 Medical Ctr Dr, West Point, MS 39773-0428 |
| Hiroji Noguchi | General Surgery | Clay County Medical Corporation | 187 Medical Ctr Dr, West Point, MS 39773-0428 |
| William M Billington Jr. | Family Practice | 104 Medical Ctr Dr, West Point, MS 39773-0428 | |
| Timothy E Whittle | Obstetrics/gynecology | West Point Obgyn Pa | 116 Medical Ctr Dr, West Point, MS 39773-0428 |
| Timothy J Murphy | Internal Medicine | Keystone Medical Services of West Point Inc | 150 Medical Ctr Dr, West Point, MS 39773-0428 |
| Sara Cox | Nurse Practitioner | Clay County Medical Corporation | 150 Medical Ctr Dr, West Point, MS 39773-0428 |
| Danni Upperman | Nurse Practitioner | Keystone Medical Services of West Point Inc | 150 Medical Ctr Dr, West Point, MS 39773-0428 |
| Sandy Lieu | Family Medicine | Keystone Medical Services of West Point Inc | 150 Medical Ctr Dr, West Point, MS 39773-0428 |
| Phillip A Hooker Sr. | Dermatology | 81 Medical Ctr Dr, West Point, MS 39773-0430 | |
| John G Shields | Obstetrics/gynecology | North Mississippi Medical Clinics Inc | 373 Medical Ctr Cir, The Women's Group West Point, West Point, MS 39773-0432 |
| Find all physicians in zip 39773 | |||
| City | WEST POINT |
| Zip Code | 39773 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | WEST POINT + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Edmund M Miller.
| 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.