Victor Thomas Bazzone (NPI# 1972604650, PAC ID# 6204886203) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROSURGERY.
| Nation Provider ID (NPI) | 1972604650 |
| PAC ID by PECOS | 6204886203 |
| Professional Enrollment ID | I20050128000668 |
| Full Name | Victor Thomas Bazzone |
| Organization Legal Name | SPINAL AND NEUROLOGICAL SURGERY OF SOUTH MS |
| Address |
15190 Community Rd Gulfport MS 39503-3499 |
| Phone Number | 2288312229 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE |
| Graduation Year | 1965 |
| Primary Specialty | NEUROSURGERY |
| Group Practice PAC ID | 4183674153 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250123 | GARDEN PARK MEDICAL CENTER |
| 250007 | MERIT HEALTH BILOXI |
| 250040 | SINGING RIVER HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 15190 Community Rd, Gulfport, MS 39503-3499 | 2288312229 | SPINAL AND NEUROLOGICAL SURGERY OF SOUTH MS |
| 15190 Community Rd, Suite 300, Gulfport, MS 39503-3499 | 2288312229 | SPINAL AND NEUROLOGICAL SURGERY OF SOUTH MS |
| Organization Legal Name | SPINAL AND NEUROLOGICAL SURGERY OF SOUTH MS |
| Physicians | 1 |
| Street Address |
15190 COMMUNITY RD |
| City | GULFPORT |
| State | MS |
| Zip | 39503-3499 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julie A Klester | Certified Registered Nurse Anesthetist (crna) | Gulfport Anesthesia Services Pa | 15190 Community Rd, Suite 230a, Gulfport, MS 39503-3483 |
| John D Smith Iii | Nurse Practitioner | Mississippi Orthopaedic Institute | 15190 Community Rd, Suite 120, Gulfport, MS 39503-3484 |
| Robert L Brunston Jr. | General Surgery | Garden Park Physician Group-specialty Care LLC | 15190 Community Rd, Suite 250, Gulfport, MS 39503-3483 |
| Elaine Frates Zinger | Certified Registered Nurse Anesthetist (crna) | Gulfport Anesthesia Services Pa | 15190 Community Rd, Suite 230a, Gulfport, MS 39503-3483 |
| Donald A Balder | General Surgery | 15190 Community Rd, Suite 210, Gulfport, MS 39503-3483 | |
| Boyd P Benefield | Internal Medicine | Memorial Hospital At Gulfport | 15190 Community Rd, Suite 240, Gulfport, MS 39503-3483 |
| Charles M Lobrano | Anesthesiology | Gulfport Anesthesia Services Pa | 15190 Community Rd, Suite 230a, Gulfport, MS 39503-3483 |
| Millicent E Holliman | Physical Therapy | Encore Rehabilitation Inc | 15190 Community Rd, Suite 120, Gulfport, MS 39503-3484 |
| Stephanie M Damitio | Certified Registered Nurse Anesthetist (crna) | Gulfport Anesthesia Services Pa | 15190 Community Rd, Suite 230a, Gulfport, MS 39503-3483 |
| Nicole Scairono Merrill | Qualified Audiologist | Coastal Ear, Nose and Throat, Head and Neck Surgery Associates, Pllc | 15190 Community Rd, Suite 100, Gulfport, MS 39503-3484 |
| Find all physicians in the same address | |||
| 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 | |||
| City | GULFPORT |
| Zip Code | 39503 |
| Specialty | NEUROSURGERY |
| City + Specialty | GULFPORT + NEUROSURGERY |
Please comment or provide details below to improve the information on Victor Thomas Bazzone.
| 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.