Dwight S Keady Jr Jr. (NPI# 1568449536, PAC ID# 6709953631) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1568449536 |
| PAC ID by PECOS | 6709953631 |
| Professional Enrollment ID | I20080923000670 |
| Full Name | Dwight S Keady Jr Jr. |
| Organization Legal Name | NESHOBA PHYSICIAN BILLING SERVICE |
| Address |
1001 Holland Ave Philadelphia MS 39350-2161 |
| Phone Number | 6016631269 |
| Gender | M |
| Medical School | UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE |
| Graduation Year | 1984 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | HEMATOLOGY/ONCOLOGY |
| Group Practice PAC ID | 4183518335 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250043 | NESHOBA COUNTY GENERAL HOSPITAL |
| 250104 | ANDERSON REGIONAL MEDICAL CTR |
| 250069 | RUSH FOUNDATION HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2124 14th St, Meridian, MS 39301-4040 | 6015536000 | MEDICAL SERVICES OF MERIDIAN INC |
| 1001 Holland Ave, Philadelphia, MS 39350-2161 | 6016631269 | NESHOBA PHYSICIAN BILLING SERVICE |
| 1001 Holland Ave, Philadelphia, MS 39350-2161 | 6016631200 | NESHOBA COUNTY GENERAL HOSPITAL |
| Organization Legal Name | NESHOBA PHYSICIAN BILLING SERVICE |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donald G Guild | Family Medicine | Neshoba Physician Billing Service | 1001 Holland Ave, Philadelphia, MS 39350-2161 |
| Julia E Riley | Pediatric Medicine | Neshoba Physician Billing Service | 1001 Holland Ave, Philadelphia, MS 39350-2161 |
| Bobby H Smith Ii | Family Practice | Neshoba Physician Billing Service | 1001 Holland Ave, Philadelphia, MS 39350-2161 |
| Street Address |
1001 HOLLAND AVE |
| City | PHILADELPHIA |
| State | MS |
| Zip | 39350-2161 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paula S Clearman | Nurse Practitioner | Neshoba County General Hospital | 1001 Holland Ave, Philadelphia, MS 39350-2161 |
| Elizabeth A Stokes | Nurse Practitioner | Neshoba County General Hospital | 1001 Holland Ave, Philadelphia, MS 39350-2161 |
| Donald G Guild | Family Medicine | Neshoba Physician Billing Service | 1001 Holland Ave, Philadelphia, MS 39350-2161 |
| Hailey Elizabeth Thompson | Emergency Medicine | Neshoba County General Hospital | 1001 Holland Ave, Philadelphia, MS 39350-2161 |
| Pamela Stokes | Nurse Practitioner | Neshoba County General Hospital | 1001 Holland Ave, Philadelphia, MS 39350-2161 |
| Verena T Valley | Emergency Medicine | Neshoba County General Hospital | 1001 Holland Ave, Philadelphia, MS 39350-2161 |
| Pamela Z Mccool | Certified Registered Nurse Anesthetist (crna) | Lifelinc Anesthesia Pllc | 1001 Holland Ave, Philadelphia, MS 39350-2161 |
| Jessica L Myers | Emergency Medicine | Neshoba County General Hospital | 1001 Holland Ave, Philadelphia, MS 39350-2161 |
| Racheal A Page | Nurse Practitioner | Neshoba County General Hospital | 1001 Holland Ave, Philadelphia, MS 39350-2161 |
| Jon M Boyles | Emergency Medicine | Neshoba County General Hospital | 1001 Holland Ave, Philadelphia, MS 39350-2161 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer W Phillips | Nurse Practitioner | Neshoba County General Hospital | 1002 Saint Francis Dr, Philadelphia, MS 39350-2030 |
| Tina S Boyles | Nurse Practitioner | Neshoba County General Hospital | 1002 Saint Francis Dr, Philadelphia, MS 39350-2030 |
| Julia E Riley | Pediatric Medicine | Neshoba Physician Billing Service | 1001 Holland Ave, Philadelphia, MS 39350-2161 |
| Bobby H Smith Ii | Family Practice | Neshoba Physician Billing Service | 1001 Holland Ave, Philadelphia, MS 39350-2161 |
| Jeffrey T Willis | General Practice | Surgery Clinic of Philadelphia | 1003 Holland Ave, Suite 101, Philadelphia, MS 39350-2180 |
| Andrew P Dabbs | General Surgery | Surgery Clinic of Philadelphia | 1003 Holland Ave, Suite 101, Philadelphia, MS 39350-2180 |
| Erica D Flake | Nurse Practitioner | In Touch Psychological Services LLC | 1120 E Main St, Suite 24, Philadelphia, MS 39350-2300 |
| Veronica Knowles | Clinical Social Worker | In Touch Psychological Services LLC | 1120 E Main St, Suite 24, Philadelphia, MS 39350-2300 |
| Lowell Wallace | Clinical Social Worker | In Touch Psychological Services LLC | 1120 E Main St, Suite 24, Philadelphia, MS 39350-2300 |
| Tommy Latimer | Optometry | 1003 E Main St, Philadelphia, MS 39350-2307 | |
| Find all physicians in zip 39350 | |||
| City | PHILADELPHIA |
| Zip Code | 39350 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | PHILADELPHIA + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Dwight S Keady Jr Jr..
| 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.