Rebekah W Moulder (NPI# 1932200151, PAC ID# 4486682150) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1932200151 |
PAC ID by PECOS | 4486682150 |
Professional Enrollment ID | I20050803000200 |
Full Name | Rebekah W Moulder |
Organization Legal Name | ST. DOMINIC MEDICAL ASSOCIATES LLC |
Address |
106 Highland Way 103 St Dominic Family Practice Madison Madison MS 39110-6930 |
Phone Number | 6012004750 |
Gender | F |
Credential | MD |
Medical School | UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE |
Graduation Year | 2002 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 0446303168 |
Number of Group Practice Members | 113 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
250048 | ST DOMINIC-JACKSON MEMORIAL HOSPITAL |
250001 | UNIVERSITY OF MISSISSIPPI MED CENTER |
250152 | MISSISSIPPI METHODIST REHAB CTR |
250102 | MISSISSIPPI BAPTIST MEDICAL CENTER |
250168 | UNIVERSITY OF MISSISSIPPI MEDICAL CENTER- GRENADA |
Address | Phone | Organization |
---|---|---|
890 Lakeland Dr, Jackson, MS 39216-4644 | 6012003131 | ST. DOMINIC MEDICAL ASSOCIATES LLC |
971 Lakeland Dr, Suite 250, Jackson, MS 39216-4620 | 6012004860 | ST. DOMINIC MEDICAL ASSOCIATES LLC |
106 Highland Way, 103 St Dominic Family Practice Madison, Madison, MS 39110-6930 | 6012004750 | ST. DOMINIC MEDICAL ASSOCIATES LLC |
Organization Legal Name | ST. DOMINIC MEDICAL ASSOCIATES LLC |
Physicians | 129 |
Name | Specialty | Organization | Address |
---|---|---|---|
Molly Grubbs Mayhugh | Nurse Practitioner | St. Dominic Medical Associates LLC | 342 Magnolia Dr, Raleigh, MS 39153-6012 |
Charnell R Cain | Family Medicine | St. Dominic Medical Associates LLC | 1297 W Government St, St Dominic Family Practice Associaties, Brandon, MS 39042-3048 |
Samuel Hammond Love | Internal Medicine | St. Dominic Medical Associates LLC | 970 Lakeland Dr, Suite 40, Jackson, MS 39216-4640 |
Tiffany Smith | Nurse Practitioner | St. Dominic Medical Associates LLC | 969 Lakeland Dr, Jackson, MS 39216-4606 |
J Scott Harrison | Internal Medicine | St. Dominic Medical Associates LLC | 106 Highland Way, 200 St Dominic Surgical Oncology, Madison, MS 39110-6933 |
Arturo E Blanco | Family Medicine | St. Dominic Medical Associates LLC | 728 Clinton Pkwy, Suite B, Clinton, MS 39056-5227 |
Jo P Deal | Infectious Disease | St. Dominic Medical Associates LLC | 971 Lakeland Dr, Suite 954, Jackson, MS 39216-4609 |
Paul E Sheffield | Family Medicine | St. Dominic Medical Associates LLC | 890 Lakeland Dr, Jackson, MS 39216-4644 |
George E Patton Jr. | Internal Medicine | St. Dominic Medical Associates LLC | 971 Lakeland Dr, Suite 250, Jackson, MS 39216-4620 |
John Adrian Lancon | Neurosurgery | St. Dominic Medical Associates LLC | 971 Lakeland Dr, Suite 1250, Jackson, MS 39216-4609 |
Street Address |
106 HIGHLAND WAY 103 ST DOMINIC FAMILY PRACTICE MADISON |
City | MADISON |
State | MS |
Zip | 39110-6930 |
Name | Specialty | Organization | Address |
---|---|---|---|
J Scott Harrison | Internal Medicine | St. Dominic Medical Associates LLC | 106 Highland Way, 200 St Dominic Surgical Oncology, Madison, MS 39110-6933 |
Reed Hogan | Gastroenterology | Gastrointestinal Associates Pa | 106 Highland Way, Suite 101, Madison, MS 39110-6930 |
Seth Compton | Rheumatology | St. Dominic Medical Associates LLC | 106 Highland Way, 203 St Dominic Rheumatology, Madison, MS 39110-6933 |
Richard Larry Russell | Internal Medicine | St. Dominic Medical Associates LLC | 106 Highland Way, 200 St Dominic Surgical Oncology, Madison, MS 39110-6933 |
Mary H Needham | Certified Registered Nurse Anesthetist (crna) | Gastrointestinal Associates Pa | 106 Highland Way, Suite 101, Madison, MS 39110-6930 |
Makau P. Lee | Gastroenterology | Gastrointestinal Associates Pa | 106 Highland Way, Suite 101, Madison, MS 39110-6930 |
Meghan Page Poole | Internal Medicine | St. Dominic Medical Associates LLC | 106 Highland Way, 103 St Dominic Family Practice Madison, Madison, MS 39110-6930 |
Gulliermo J Tanaka | Interventional Radiology | Lakeland Radiologists, Pa | 106 Highland Way, Madison, MS 39110-6929 |
Rodney Biggs | Nurse Practitioner | Capital Orthopaedic Clinic, Pllc | 106 Highland Way, Suite 102, Madison, MS 39110-6933 |
Ernest S Weeks Jr. | Gastroenterology | Gastrointestinal Associates Pa | 106 Highland Way, Suite 101, Madison, MS 39110-6930 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Jesse C Ethridge | Obstetrics/gynecology | The Womans Clinic of Ms Pllc | 401 Baptist Dr, Suite 402, Madison, MS 39110-2009 |
James H Crews | Obstetrics/gynecology | The Womans Clinic of Ms Pllc | 401 Baptist Dr, Suite 402, Madison, MS 39110-2009 |
Erica M Ory | Obstetrics/gynecology | The Womans Clinic of Ms Pllc | 401 Baptist Dr, Suite 402, Madison, MS 39110-2009 |
Lawrence S Goldstein | Obstetrics/gynecology | The Womans Clinic of Ms Pllc | 401 Baptist Dr, Suite 402, Madison, MS 39110-2009 |
Leland D Gebhart | Obstetrics/gynecology | The Womans Clinic of Ms Pllc | 401 Baptist Dr, Suite 402, Madison, MS 39110-2009 |
Lauren E Barry | Obstetrics/gynecology | The Womans Clinic of Ms Pllc | 401 Baptist Dr, Suite 402, Madison, MS 39110-2009 |
Amanda Nicols | Obstetrics/gynecology | The Womans Clinic of Ms Pllc | 401 Baptist Dr, Suite 402, Madison, MS 39110-2009 |
Barbara D Sullivan | Obstetrics/gynecology | The Womans Clinic of Ms Pllc | 401 Baptist Dr, Suite 402, Madison, MS 39110-2009 |
Thomas L Wiley | Obstetrics/gynecology | The Womans Clinic of Ms Pllc | 401 Baptist Dr, Suite 402, Madison, MS 39110-2009 |
Meredith M Travelstead | Obstetrics/gynecology | The Womans Clinic of Ms Pllc | 401 Baptist Dr, Suite 402, Madison, MS 39110-2009 |
Find all physicians in zip 39110 |
City | MADISON |
Zip Code | 39110 |
Specialty | FAMILY MEDICINE |
City + Specialty | MADISON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Rebekah W Moulder.
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.