Gregory P Stidham (NPI# 1831183219, PAC ID# 6507044849) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1831183219 |
| PAC ID by PECOS | 6507044849 |
| Professional Enrollment ID | I20110822000237 |
| Full Name | Gregory P Stidham |
| Organization Legal Name | GARRY W MAGOUIRK MD PC |
| Address |
110 23rd St Nw Fayette AL 35555-1001 |
| Phone Number | 2059323891 |
| Gender | M |
| Graduation Year | 1997 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | EMERGENCY MEDICINE |
| Group Practice PAC ID | 8628096047 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010045 | FAYETTE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 110 23rd St Nw, Fayette, AL 35555-1001 | 2059323891 | GARRY W MAGOUIRK MD PC |
| Organization Legal Name | GARRY W MAGOUIRK MD PC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Garry W Magouirk | Family Medicine | Garry W Magouirk Md PC | 110 23rd St Nw, Fayette, AL 35555-1001 |
| Lauren S Brock | Nurse Practitioner | Garry W Magouirk Md PC | 110 23rd St Nw, Fayette, AL 35555-1001 |
| Hillary L Gant | Nurse Practitioner | Garry W Magouirk Md PC | 110 23rd St Nw, Fayette, AL 35555-1001 |
| Street Address |
110 23RD ST NW |
| City | FAYETTE |
| State | AL |
| Zip | 35555-1001 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Garry W Magouirk | Family Medicine | Garry W Magouirk Md PC | 110 23rd St Nw, Fayette, AL 35555-1001 |
| Lauren S Brock | Nurse Practitioner | Garry W Magouirk Md PC | 110 23rd St Nw, Fayette, AL 35555-1001 |
| Hillary L Gant | Nurse Practitioner | Garry W Magouirk Md PC | 110 23rd St Nw, Fayette, AL 35555-1001 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles William Nolen Jr. | General Practice | 1705 1st Way Nw, Fayette, AL 35555-1307 | |
| Ronald D Evans | General Practice | West Alabama Physician Associates LLC | 1716 Temple Ave N, Suite 1 and 2, Fayette, AL 35555-1309 |
| Martha J Christian | Internal Medicine | 1716 Temple Ave N, Suite 4, Fayette, AL 35555-1309 | |
| Frederick L Yerby | Family Medicine | 1716 Temple Ave N, Suite 6, Fayette, AL 35555-1309 | |
| James Robert Crowe | Certified Registered Nurse Anesthetist (crna) | Fayette Medical Center-crna | 1653 Temple Ave N, Fayette, AL 35555-1314 |
| Steven R Straughn | Certified Registered Nurse Anesthetist (crna) | Fayette Medical Center-crna | 1653 Temple Ave N, Fayette, AL 35555-1314 |
| Dana S Norris | Nurse Practitioner | Fmc Medical Clinic - Fayette LLC | 1653 Temple Ave N, Suite 1, Fayette, AL 35555-1314 |
| Ronald B Woods | Certified Registered Nurse Anesthetist (crna) | Fayette Medical Center-crna | 1653 Temple Ave N, Fayette, AL 35555-1314 |
| Karen L Lake | Certified Registered Nurse Anesthetist (crna) | Fayette Medical Center-crna | 1653 Temple Ave N, Fayette, AL 35555-1314 |
| William G Walker | Certified Registered Nurse Anesthetist (crna) | Fayette Medical Center-crna | 1653 Temple Ave N, Fayette, AL 35555-1314 |
| Find all physicians in zip 35555 | |||
| City | FAYETTE |
| Zip Code | 35555 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | FAYETTE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Gregory P Stidham.
| 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.