Gloria J Butler (NPI# 1750312963, PAC ID# 3971665589) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1750312963 |
| PAC ID by PECOS | 3971665589 |
| Professional Enrollment ID | I20081216000305 |
| Full Name | Gloria J Butler |
| Organization Legal Name | VICKSBURG CLINIC LLC |
| Address |
1901 Mission Suite 66 Vicksburg MS 39180-3711 |
| Phone Number | 6016361050 |
| Gender | F |
| Medical School | HOWARD UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1982 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 5890696330 |
| Number of Group Practice Members | 30 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250031 | MERIT HEALTH RIVER REGION |
| 250001 | UNIVERSITY OF MISSISSIPPI MED CENTER |
| Address | Phone | Organization |
|---|---|---|
| 104 Mcauley Dr, Vicksburg, MS 39183-2825 | 6016387271 | VICKSBURG CLINIC LLC |
| 1901 Mission, Suite 66, Vicksburg, MS 39180-3711 | 6016361050 | VICKSBURG CLINIC LLC |
| 1907 Mission, Suite 66, Vicksburg, MS 39180-3711 | 6016361173 | VICKSBURG CLINIC LLC |
| Organization Legal Name | VICKSBURG CLINIC LLC |
| Physicians | 31 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura Lavee Burris | Physician Assistant | Vicksburg Clinic LLC | 21 S 4th St B, Merit Health Rr Specialist, Rolling Fork, MS 39159-5146 |
| Carrie Willis Eure | Physician Assistant | Vicksburg Clinic LLC | 104 Mcauley Dr, Vicksburg, MS 39183-2825 |
| Gwendolyn J Stewart | Nurse Practitioner | Vicksburg Clinic LLC | 1907 Mission, Suite 66, Vicksburg, MS 39180-3711 |
| Daniel J Silvio | Physician Assistant | Vicksburg Clinic LLC | 1111 N Frontage Rd, Vmc Adolescent Psy Unit Ip, Vicksburg, MS 39180-5102 |
| Alfred G Windham | Otolaryngology | Vicksburg Clinic LLC | 2200 Hwy 61 N 2100, Vicksburg Street Clinic Pediatrics, Vicksburg, MS 39183-8246 |
| Murray P Whitaker | Internal Medicine | Vicksburg Clinic LLC | 54 Sergeant Prentiss Dr, Natchez, MS 39120-4726 |
| Kerrie Kashaun Sanders | Nurse Practitioner | Vicksburg Clinic LLC | 1 Medical Plaza Dr, Vicksburg, MS 39180-5187 |
| Eugene B Ferris | General Surgery | Vicksburg Clinic LLC | 54 Sergeant Prentiss Dr, Natchez, MS 39120-4726 |
| Joyce Wanjugu Muruthi | Obstetrics/gynecology | Vicksburg Clinic LLC | 104 Mcauley Dr, Vicksburg, MS 39183-2825 |
| Henry M Jarmon | General Surgery | Vicksburg Clinic LLC | 54 Sergeant Prentiss Dr, Natchez, MS 39120-4726 |
| Street Address |
1901 MISSION SUITE 66 |
| City | VICKSBURG |
| State | MS |
| Zip | 39180-3711 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert Calvin Masterson | Family Medicine | 1901 Mission, Suite 66, Vicksburg, MS 39180-3711 | |
| Carlos A Latorre | Family Medicine | 1901 Mission, Suite 66, Vicksburg, MS 39180-3711 | |
| William O Mccraney | Orthopedic Surgery | Capital Orthopaedic Clinic, Pllc | 1901 Mission, Suite 66, Vicksburg, MS 39180-3711 |
| Charles D Hosemann | Orthopedic Surgery | Capital Orthopaedic Clinic, Pllc | 1901 Mission, Suite 66, Vicksburg, MS 39180-3711 |
| Matthew C Futvoye | Orthopedic Surgery | Capital Orthopaedic Clinic, Pllc | 1901 Mission, Suite 66, Vicksburg, MS 39180-3711 |
| Roy B Kellum | Orthopedic Surgery | Capital Orthopaedic Clinic, Pllc | 1901 Mission, Suite 66, Vicksburg, MS 39180-3711 |
| Laura F Thornton | Nurse Practitioner | Capital Orthopaedic Clinic, Pllc | 1901 Mission, Suite 66, Vicksburg, MS 39180-3711 |
| John R Barnes | Family Medicine | 1901 Mission, Suite 66, Vicksburg, MS 39180-3711 | |
| Robert Cannon | Family Medicine | 1901 Mission, Suite 66, Vicksburg, MS 39180-3711 | |
| Robert Lee Giffin | Family Medicine | 1901 Mission, Suite 66, Vicksburg, MS 39180-3711 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hailey P Beckwith | Nurse Practitioner | Warren Yazoo Mental Health Service | 3444 Wisconsin Ave, Vicksburg, MS 39180-0000 |
| Ashley T Karel | Nurse Practitioner | Warren Yazoo Mental Health Service | 3444 Wisconsin Ave, Vicksburg, MS 39180-0000 |
| Namita Arora | Psychiatry | Warren Yazoo Mental Health Service | 3444 Wisconsin Ave, Vicksburg, MS 39180-0000 |
| Lisa Parker | Nurse Practitioner | Wound Care Associates LLC | 2850 Porters Chapel Rd, Vicksburg, MS 39180-1805 |
| Paul D Murry | Chiropractic | 1109 Mission Park Dr, Vicksburg, MS 39180-3700 | |
| Albert Chiemprabha | Gastroenterology | Gastrointestinal Associates Pa | 1815 Mission, Suite 66, Vicksburg, MS 39180-3709 |
| Susan H Needham | Certified Registered Nurse Anesthetist (crna) | Gastrointestinal Associates Pa | 1815 Mission, Suite 66, Vicksburg, MS 39180-3709 |
| Maranda Eversoll | Nurse Practitioner | Gastrointestinal Associates Pa | 1815 Mission, Suite 66, Vicksburg, MS 39180-3709 |
| Vishwanath Shenoy | Gastroenterology | Gastrointestinal Associates Pa | 1815 Mission, Suite 66, Vicksburg, MS 39180-3709 |
| Miles David Ashley | Optometry | The Vision Clinic of Vicksburg LLC | 1808 Mission, Suite 66, Vicksburg, MS 39180-3710 |
| Find all physicians in zip 39180 | |||
| City | VICKSBURG |
| Zip Code | 39180 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | VICKSBURG + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Gloria J Butler.
| 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.